45 CFR § 180 compliance
F · 55
This hospital published little 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
20,122
Insurances with rates
2
CPT / HCPCS codes
18,084
Source MRF
Most expensive procedures (gross)
J3399
$903,125
ONASEMNOGENE ABEPARVOVEC-XIOI 2X5.5ML & 3X8.3ML IV KIT (6.1-6.5 KG; 35.8 ML)
Gross
$2,125,000
Q2056
$811,644
CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$1,909,750
Q2041
$803,072
AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP
Gross
$1,889,580
Q2053
$763,867
BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP
Gross
$1,797,333
Q2054
$749,786
LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML IV SUSP
Gross
$1,764,202
Q2042
$742,921
TISAGENLECLEUCEL 600000000 CELLS IV SUSP
Gross
$1,748,049
Q2043
$135,255
SIPULEUCEL-T 50000000 CELLS IV SUSP
Gross
$318,246
J9226
$89,857
HISTRELIN ACETATE (CPP) 50 MG SC KIT
Gross
$211,428
J9333
$34,474
ROZANOLIXIZUMAB-NOLI 840 MG/6ML SC SOLN
Gross
$81,116
J9266
$32,585
PEGASPARGASE 750 UNIT/ML IJ SOLN
Gross
$76,672
C9168
$20,726
MIRIKIZUMAB-MRKZ 300 MG/15ML IV SOLN
Gross
$48,768
J2267
$20,726
MIRIKIZUMAB-MRKZ 300 MG/15ML IV SOLN
Gross
$48,768
C2616
$19,120
YTTRIUM-90 (Y-90) BRACHYTHERAPY SOURCE, NON-STRANDED, THERASPHERE STUDY
Gross
$44,988
J3263
$16,890
TORIPALIMAB-TPZI 240 MG/6ML IV SOLN
Gross
$39,740
Q0224
$12,477
PEMIVIBART 500 MG/4ML IV SOLN
Gross
$29,358
C1767
$11,528
HC OR IMPLANT GENERAL
Gross
$27,125
22514
$10,570
PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR
Gross
$24,870
J0225
$9,068
VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY
Gross
$21,336
77372
$8,987
HC SRS LINEAR BASED 1 SESSION
Gross
$21,145
J1162
$8,735
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$20,554
J0480
$8,199
BASILIXIMAB 20 MG IV SOLR
Gross
$19,293
22513
$8,109
HC PERC VERTEB AUGMNT/ KYPHOPLASTY, THORACIC, INC GUIDE
Gross
$19,080
22514
$8,109
HC PERC VERTEB AUGMNT/ KYPHOPLASTY, LUMBAR, INC GUIDE
Gross
$19,080
J7504
$7,484
LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN
Gross
$17,610
22515
$7,298
HC PERC VERTEB AUGMNT/ KYPHOPLASTY, EA ADDTL, INC GUIDE
Gross
$17,172
0200
$6,937
HC R&B ICU
Gross
$16,322
J2507
$6,925
HC RX IP 250 OP 636
Gross
$16,295
36482
$6,301
HC ENDOVEN ABLAT VEIN THER, CHEM ADHESIVE; 1ST VEIN
Gross
$14,825
C1764
$5,912
HC OR EVENT RECORDER, CARDIAC, IMPLANTABLE, OPNP
Gross
$13,912
J3316
$5,836
TRIPTORELIN PAMOATE ER (CPP) 22.5 MG IM SRER
Gross
$13,732
J7352
$5,643
AFAMELANOTIDE ACETATE 16 MG SC IMPL
Gross
$13,278
J3247
$5,483
SECUKINUMAB 125 MG/5ML IV SOLN
Gross
$12,902
69705
$5,336
PR SURG NASOPHARYNGSCPY DILAT EUST TUBE UNILAT
Gross
$12,556
59610
$4,977
PR ROUT OB CARE,VAG DELIV,PREV C-SEC
Gross
$11,711
30468
$4,916
PR REPAIR NASL VALV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT
Gross
$11,567
J9286
$4,853
GLOFITAMAB-GXBM 10 MG/10ML IV SOLN
Gross
$11,418
20822
$4,759
HC REIMPLANTATION DIGIT, COMPLETE AMP (NOT THUMB)
Gross
$11,198
31295
$4,656
PR NASAL/SINUS ENDOSCOPY,W/DILAT MAXILLARY SINUS OSTIUM
Gross
$10,956
J0202
$4,502
ALEMTUZUMAB 12 MG/1.2ML IV SOLN
Gross
$10,593
J9229
$4,494
INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR
Gross
$10,573
77301
$4,353
HC IMRT PLANNING
Gross
$10,244
A9572
$4,245
INDIUM IN-111 PENTETREOTIDE IV KIT
Gross
$9,988
C9399
$4,231
TOCILIZUMAB-AAZG 200 MG/10ML IV SOLN
Gross
$9,956
90396
$4,146
VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN
Gross
$9,754
58563
$4,136
PR HYSTEROSCOPY, SURGICAL; W/ ENDOMETRIAL ABLATION, ANY METHOD
Gross
$9,732
0172
$4,124
HC R&B NICU II
Gross
$9,703
J9999
$3,945
ROPEGINTERFERON ALFA-2B-NJFT 500 MCG/ML SC SOSY
Gross
$9,283
J2787
$3,935
RIBOFLAV5 & RIBOFLAV5-DEXTRAN 0.146 &0.146-20 % OP SOSY
Gross
$9,259
57022
$3,758
HC I&D VAGINAL HEMATOMA,OBSTET/POSTPART
Gross
$8,842
J3240
$3,664
THYROTROPIN ALFA 0.9 MG IM SOLR
Gross
$8,621
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3399 | ONASEMNOGENE ABEPARVOVEC-XIOI 2X5.5ML & 3X8.3ML IV KIT (6.1-6.5 KG; 35.8 ML) | $2,125,000 | $903,125 | — | — | 3 |
| Q2056 | CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $1,909,750 | $811,644 | — | — | 3 |
| Q2041 | AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP | $1,889,580 | $803,072 | — | — | 3 |
| Q2053 | BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP | $1,797,333 | $763,867 | — | — | 3 |
| Q2054 | LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML IV SUSP | $1,764,202 | $749,786 | — | — | 3 |
| Q2042 | TISAGENLECLEUCEL 600000000 CELLS IV SUSP | $1,748,049 | $742,921 | — | — | 3 |
| Q2043 | SIPULEUCEL-T 50000000 CELLS IV SUSP | $318,246 | $135,255 | — | — | 3 |
| J9226 | HISTRELIN ACETATE (CPP) 50 MG SC KIT | $211,428 | $89,857 | — | — | 3 |
| J9333 | ROZANOLIXIZUMAB-NOLI 840 MG/6ML SC SOLN | $81,116 | $34,474 | — | — | 3 |
| J9266 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $76,672 | $32,585 | — | — | 6 |
| C9168 | MIRIKIZUMAB-MRKZ 300 MG/15ML IV SOLN | $48,768 | $20,726 | — | — | 3 |
| J2267 | MIRIKIZUMAB-MRKZ 300 MG/15ML IV SOLN | $48,768 | $20,726 | — | — | 3 |
| C2616 | YTTRIUM-90 (Y-90) BRACHYTHERAPY SOURCE, NON-STRANDED, THERASPHERE STUDY | $44,988 | $19,120 | — | — | 6 |
| J3263 | TORIPALIMAB-TPZI 240 MG/6ML IV SOLN | $39,740 | $16,890 | — | — | 3 |
| Q0224 | PEMIVIBART 500 MG/4ML IV SOLN | $29,358 | $12,477 | — | — | 6 |
| C1767 | HC OR IMPLANT GENERAL | $27,125 | $11,528 | — | — | 3 |
| 22514 | PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR | $24,870 | $10,570 | — | — | 2 |
| J0225 | VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY | $21,336 | $9,068 | — | — | 3 |
| 77372 | HC SRS LINEAR BASED 1 SESSION | $21,145 | $8,987 | — | — | 3 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $20,554 | $8,735 | — | — | 6 |
| J0480 | BASILIXIMAB 20 MG IV SOLR | $19,293 | $8,199 | — | — | 12 |
| 22513 | HC PERC VERTEB AUGMNT/ KYPHOPLASTY, THORACIC, INC GUIDE | $19,080 | $8,109 | — | — | 3 |
| 22514 | HC PERC VERTEB AUGMNT/ KYPHOPLASTY, LUMBAR, INC GUIDE | $19,080 | $8,109 | — | — | 3 |
| J7504 | LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN | $17,610 | $7,484 | — | — | 6 |
| 22515 | HC PERC VERTEB AUGMNT/ KYPHOPLASTY, EA ADDTL, INC GUIDE | $17,172 | $7,298 | — | — | 3 |
| 0200 | HC R&B ICU | $16,322 | $6,937 | — | — | 2 |
| J2507 | HC RX IP 250 OP 636 | $16,295 | $6,925 | — | — | 3 |
| 36482 | HC ENDOVEN ABLAT VEIN THER, CHEM ADHESIVE; 1ST VEIN | $14,825 | $6,301 | — | — | 3 |
| C1764 | HC OR EVENT RECORDER, CARDIAC, IMPLANTABLE, OPNP | $13,912 | $5,912 | — | — | 3 |
| J3316 | TRIPTORELIN PAMOATE ER (CPP) 22.5 MG IM SRER | $13,732 | $5,836 | — | — | 6 |
| J7352 | AFAMELANOTIDE ACETATE 16 MG SC IMPL | $13,278 | $5,643 | — | — | 3 |
| J3247 | SECUKINUMAB 125 MG/5ML IV SOLN | $12,902 | $5,483 | — | — | 3 |
| 69705 | PR SURG NASOPHARYNGSCPY DILAT EUST TUBE UNILAT | $12,556 | $5,336 | — | — | 2 |
| 59610 | PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $11,711 | $4,977 | — | — | 2 |
| 30468 | PR REPAIR NASL VALV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT | $11,567 | $4,916 | — | — | 2 |
| J9286 | GLOFITAMAB-GXBM 10 MG/10ML IV SOLN | $11,418 | $4,853 | — | — | 6 |
| 20822 | HC REIMPLANTATION DIGIT, COMPLETE AMP (NOT THUMB) | $11,198 | $4,759 | — | — | 3 |
| 31295 | PR NASAL/SINUS ENDOSCOPY,W/DILAT MAXILLARY SINUS OSTIUM | $10,956 | $4,656 | — | — | 4 |
| J0202 | ALEMTUZUMAB 12 MG/1.2ML IV SOLN | $10,593 | $4,502 | — | — | 3 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $10,573 | $4,494 | — | — | 15 |
| 77301 | HC IMRT PLANNING | $10,244 | $4,353 | — | — | 3 |
| A9572 | INDIUM IN-111 PENTETREOTIDE IV KIT | $9,988 | $4,245 | — | — | 3 |
| C9399 | TOCILIZUMAB-AAZG 200 MG/10ML IV SOLN | $9,956 | $4,231 | — | — | 15 |
| 90396 | VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN | $9,754 | $4,146 | — | — | 6 |
| 58563 | PR HYSTEROSCOPY, SURGICAL; W/ ENDOMETRIAL ABLATION, ANY METHOD | $9,732 | $4,136 | — | — | 4 |
| 0172 | HC R&B NICU II | $9,703 | $4,124 | — | — | 1 |
| J9999 | ROPEGINTERFERON ALFA-2B-NJFT 500 MCG/ML SC SOSY | $9,283 | $3,945 | — | — | 6 |
| J2787 | RIBOFLAV5 & RIBOFLAV5-DEXTRAN 0.146 &0.146-20 % OP SOSY | $9,259 | $3,935 | — | — | 6 |
| 57022 | HC I&D VAGINAL HEMATOMA,OBSTET/POSTPART | $8,842 | $3,758 | — | — | 3 |
| J3240 | THYROTROPIN ALFA 0.9 MG IM SOLR | $8,621 | $3,664 | — | — | 12 |
Showing top 50 of 20,122 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.