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
20,008
Insurances with rates
2
CPT / HCPCS codes
17,970
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3399 | ONASEMNOGENE ABEPARVOVEC-XIOI 2X5.5ML & 7X8.3ML IV KIT (12.1-12.5 KG; 68.8 ML) | $2,125,000 | $903,125 | — | — | 4 |
| Q2056 | CILTACABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $1,909,750 | $811,644 | — | — | 4 |
| 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 | — | — | 4 |
| 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 | — | — | 4 |
| 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 | — | — | 4 |
| J9266 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $76,672 | $32,585 | — | — | 8 |
| J2267 | MIRIKIZUMAB-MRKZ 300 MG/15ML IV SOLN | $48,768 | $20,726 | — | — | 4 |
| C9168 | MIRIKIZUMAB-MRKZ 300 MG/15ML IV SOLN | $48,768 | $20,726 | — | — | 4 |
| C2616 | YTTRIUM-90 (Y-90) BRACHYTHERAPY SOURCE, NON-STRANDED, THERASPHERE STUDY | $44,988 | $19,120 | — | — | 7 |
| J3263 | TORIPALIMAB-TPZI 240 MG/6ML IV SOLN | $39,740 | $16,890 | — | — | 4 |
| Q0224 | PEMIVIBART 500 MG/4ML IV SOLN | $29,358 | $12,477 | — | — | 8 |
| C1767 | HC OR IMPLANT GENERAL | $27,125 | $11,528 | — | — | 4 |
| 22513 | PR KYPHOPLASTY 1 VERT BODY, THORACIC, INC GUIDE | $25,753 | $10,945 | — | — | 2 |
| 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 | — | — | 4 |
| 77372 | HC SRS LINEAR BASED 1 SESSION | $21,145 | $8,987 | — | — | 4 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $20,554 | $8,735 | — | — | 7 |
| 33285 | PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG | $19,602 | $8,331 | — | — | 2 |
| J0480 | BASILIXIMAB 20 MG IV SOLR | $19,293 | $8,199 | — | — | 15 |
| 22514 | HC PERC VERTEB AUGMNT/ KYPHOPLASTY, LUMBAR, INC GUIDE | $19,080 | $8,109 | — | — | 4 |
| 22513 | HC PERC VERTEB AUGMNT/ KYPHOPLASTY, THORACIC, INC GUIDE | $19,080 | $8,109 | — | — | 3 |
| J7504 | LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN | $17,610 | $7,484 | — | — | 7 |
| 22515 | HC PERC VERTEB AUGMNT/ KYPHOPLASTY, EA ADDTL, INC GUIDE | $17,172 | $7,298 | — | — | 4 |
| 0200 | HC R&B ICU | $16,322 | $6,937 | — | — | 2 |
| J2507 | PEGLOTICASE 8 MG/ML IV SOLN | $15,620 | $6,639 | — | — | 3 |
| 36482 | HC ENDOVEN ABLAT VEIN THER, CHEM ADHESIVE; 1ST VEIN | $14,825 | $6,301 | — | — | 3 |
| J0630 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $13,998 | $5,949 | — | — | 36 |
| J3316 | TRIPTORELIN PAMOATE ER (CPP) 22.5 MG IM SRER | $13,956 | $5,931 | — | — | 7 |
| C1764 | HC OR EVENT RECORDER, CARDIAC, IMPLANTABLE, OPNP | $13,912 | $5,912 | — | — | 3 |
| J7352 | AFAMELANOTIDE ACETATE 16 MG SC IMPL | $13,278 | $5,643 | — | — | 3 |
| J3247 | SECUKINUMAB 125 MG/5ML IV SOLN | $12,902 | $5,483 | — | — | 3 |
| 22515 | PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH | $12,729 | $5,410 | — | — | 2 |
| 59400 | PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $11,489 | $4,883 | — | — | 4 |
| J9286 | GLOFITAMAB-GXBM 10 MG/10ML IV SOLN | $11,418 | $4,853 | — | — | 8 |
| 45388 | PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES | $11,209 | $4,764 | — | — | 2 |
| 20822 | HC REIMPLANTATION DIGIT, COMPLETE AMP (NOT THUMB) | $11,198 | $4,759 | — | — | 3 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR | $10,735 | $4,563 | — | — | 18 |
| J0202 | ALEMTUZUMAB 12 MG/1.2ML IV SOLN | $10,593 | $4,502 | — | — | 3 |
| 77301 | HC IMRT PLANNING | $10,244 | $4,353 | — | — | 3 |
| A9572 | INDIUM IN-111 PENTETREOTIDE IV KIT | $9,988 | $4,245 | — | — | 3 |
| 90396 | VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN | $9,754 | $4,146 | — | — | 7 |
| 58563 | PR HYSTEROSCOPY, SURGICAL; W/ ENDOMETRIAL ABLATION, ANY METHOD | $9,732 | $4,136 | — | — | 2 |
| 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 | — | — | 8 |
| J2787 | RIBOFLAV5 & RIBOFLAV5-DEXTRAN 0.146 &0.146-20 % OP SOSY | $9,259 | $3,935 | — | — | 8 |
| 57022 | HC I&D VAGINAL HEMATOMA,OBSTET/POSTPART | $8,842 | $3,758 | — | — | 4 |
Showing top 50 of 20,008 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.