45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
6,109
Insurances with rates
14
CPT / HCPCS codes
4,118
Most expensive procedures (gross)
J9347
$170,526
Tremelimumab-Actl 300 Mg/15 Ml
Gross
$175,800
J9347
$170,526
Tremelimumab-Actl 300 Mg/15 Ml
Gross
$175,800
J2350
$86,740
Ocrelizumab 300 Mg/10 Ml
Gross
$89,422
J2350
$86,740
Ocrelizumab 300 Mg/10 Ml
Gross
$89,422
J9309
$80,291
Polatuzumab Ved-Piiq 140 Mg Vl
Gross
$82,774
J9309
$80,291
Polatuzumab Ved-Piiq 140 Mg Vl
Gross
$82,774
J9334
$68,995
Efgart-Hyalu-QVFC 1008Mg/5.6Ml
Gross
$71,128
J9334
$68,995
Efgart-Hyalu-QVFC 1008Mg/5.6Ml
Gross
$71,128
J9316
$57,276
Pertuzu-Trastuzu 15 Ml Vial
Gross
$59,046
J9316
$57,276
Pertuzu-Trastuzu 15 Ml Vial
Gross
$59,046
J3245
$55,084
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$56,787
J3245
$55,084
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$56,787
J9042
$50,867
Brentuximab Vedotin 50 MG Vial
Gross
$52,439
J9042
$50,867
Brentuximab Vedotin 50 MG Vial
Gross
$52,439
J9272
$50,450
Dostarlimab-Gxly 500 Mg/10 Ml
Gross
$52,009
J9272
$50,450
Dostarlimab-Gxly 500 Mg/10 Ml
Gross
$52,009
J9022
$48,249
Atezolizumab 1200 Mg/20 Ml Vl
Gross
$49,741
J9022
$48,249
Atezolizumab 1200 Mg/20 Ml Vl
Gross
$49,741
J2329
$47,152
Ublituximab-Xiiy 150 Mg/6 Ml
Gross
$48,610
J2329
$47,152
Ublituximab-Xiiy 150 Mg/6 Ml
Gross
$48,610
J2327
$44,245
Risankizumab-Rzaa 600 Mg/10 Ml
Gross
$45,613
J2327
$44,245
Risankizumab-Rzaa 600 Mg/10 Ml
Gross
$45,613
J9144
$43,978
Daratumumab Hyaluronida 1800Mg
Gross
$45,338
J9144
$43,978
Daratumumab Hyaluronida 1800Mg
Gross
$45,338
J1930
$41,884
Lanreotide Acet 120MG/0.5ML Sy
Gross
$43,179
J1930
$41,884
Lanreotide Acet 120MG/0.5ML Sy
Gross
$43,179
J3380
$39,085
Vedolizumab 300 MG Vial
Gross
$40,293
J3380
$39,085
Vedolizumab 300 MG Vial
Gross
$40,293
J9228
$38,135
Ipilimumab 5 MG/ML 10 ML Vial
Gross
$39,314
J9228
$38,135
Ipilimumab 5 MG/ML 10 ML Vial
Gross
$39,314
J9301
$36,414
Obinutuzumab 1000 MG/40ML Vial
Gross
$37,540
J9301
$36,414
Obinutuzumab 1000 MG/40ML Vial
Gross
$37,540
J2323
$35,979
Natalizumab 300 MG/15 ML Vial
Gross
$37,092
J2323
$35,979
Natalizumab 300 MG/15 ML Vial
Gross
$37,092
J9223
$35,429
Lurbinectedin 0.1 Mg
Gross
$36,525
J9223
$35,429
Lurbinectedin 0.1 Mg
Gross
$36,525
J9299
$32,999
Nivolumab 240 Mg/24 Ml Vial
Gross
$34,019
J9299
$32,999
Nivolumab 240 Mg/24 Ml Vial
Gross
$34,019
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J0741
$29,058
Cabotegravir 600 Mg/3 Ml/Rilpi
Gross
$29,956
J0741
$29,058
Cabotegravir 600 Mg/3 Ml/Rilpi
Gross
$29,956
J9306
$28,975
Pertuzumab 420 MG/14 ML Vial
Gross
$29,871
J9306
$28,975
Pertuzumab 420 MG/14 ML Vial
Gross
$29,871
J2427
$27,491
Paliperidone Palmitate 546 Mg
Gross
$28,341
J2427
$27,491
Paliperidone Palmitate 546 Mg
Gross
$28,341
J9271
$25,167
Pembrolizumab 100 MG/4 ML Vial
Gross
$25,945
J9271
$25,167
Pembrolizumab 100 MG/4 ML Vial
Gross
$25,945
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9347 | Tremelimumab-Actl 300 Mg/15 Ml | $175,800 | $170,526 | — | — | 4 |
| J9347 | Tremelimumab-Actl 300 Mg/15 Ml | $175,800 | $170,526 | — | — | 7 |
| J2350 | Ocrelizumab 300 Mg/10 Ml | $89,422 | $86,740 | — | — | 4 |
| J2350 | Ocrelizumab 300 Mg/10 Ml | $89,422 | $86,740 | — | — | 10 |
| J9309 | Polatuzumab Ved-Piiq 140 Mg Vl | $82,774 | $80,291 | — | — | 4 |
| J9309 | Polatuzumab Ved-Piiq 140 Mg Vl | $82,774 | $80,291 | — | — | 7 |
| J9334 | Efgart-Hyalu-QVFC 1008Mg/5.6Ml | $71,128 | $68,995 | — | — | 4 |
| J9334 | Efgart-Hyalu-QVFC 1008Mg/5.6Ml | $71,128 | $68,995 | — | — | 8 |
| J9316 | Pertuzu-Trastuzu 15 Ml Vial | $59,046 | $57,276 | — | — | 4 |
| J9316 | Pertuzu-Trastuzu 15 Ml Vial | $59,046 | $57,276 | — | — | 7 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $56,787 | $55,084 | — | — | 4 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $56,787 | $55,084 | — | — | 7 |
| J9042 | Brentuximab Vedotin 50 MG Vial | $52,439 | $50,867 | — | — | 4 |
| J9042 | Brentuximab Vedotin 50 MG Vial | $52,439 | $50,867 | — | — | 7 |
| J9272 | Dostarlimab-Gxly 500 Mg/10 Ml | $52,009 | $50,450 | — | — | 4 |
| J9272 | Dostarlimab-Gxly 500 Mg/10 Ml | $52,009 | $50,450 | — | — | 7 |
| J9022 | Atezolizumab 1200 Mg/20 Ml Vl | $49,741 | $48,249 | — | — | 4 |
| J9022 | Atezolizumab 1200 Mg/20 Ml Vl | $49,741 | $48,249 | — | — | 7 |
| J2329 | Ublituximab-Xiiy 150 Mg/6 Ml | $48,610 | $47,152 | — | — | 4 |
| J2329 | Ublituximab-Xiiy 150 Mg/6 Ml | $48,610 | $47,152 | — | — | 8 |
| J2327 | Risankizumab-Rzaa 600 Mg/10 Ml | $45,613 | $44,245 | — | — | 4 |
| J2327 | Risankizumab-Rzaa 600 Mg/10 Ml | $45,613 | $44,245 | — | — | 7 |
| J9144 | Daratumumab Hyaluronida 1800Mg | $45,338 | $43,978 | — | — | 4 |
| J9144 | Daratumumab Hyaluronida 1800Mg | $45,338 | $43,978 | — | — | 8 |
| J1930 | Lanreotide Acet 120MG/0.5ML Sy | $43,179 | $41,884 | — | — | 4 |
| J1930 | Lanreotide Acet 120MG/0.5ML Sy | $43,179 | $41,884 | — | — | 7 |
| J3380 | Vedolizumab 300 MG Vial | $40,293 | $39,085 | — | — | 4 |
| J3380 | Vedolizumab 300 MG Vial | $40,293 | $39,085 | — | — | 9 |
| J9228 | Ipilimumab 5 MG/ML 10 ML Vial | $39,314 | $38,135 | — | — | 4 |
| J9228 | Ipilimumab 5 MG/ML 10 ML Vial | $39,314 | $38,135 | — | — | 7 |
| J9301 | Obinutuzumab 1000 MG/40ML Vial | $37,540 | $36,414 | — | — | 4 |
| J9301 | Obinutuzumab 1000 MG/40ML Vial | $37,540 | $36,414 | — | — | 7 |
| J2323 | Natalizumab 300 MG/15 ML Vial | $37,092 | $35,979 | — | — | 4 |
| J2323 | Natalizumab 300 MG/15 ML Vial | $37,092 | $35,979 | — | — | 8 |
| J9223 | Lurbinectedin 0.1 Mg | $36,525 | $35,429 | — | — | 4 |
| J9223 | Lurbinectedin 0.1 Mg | $36,525 | $35,429 | — | — | 7 |
| J9299 | Nivolumab 240 Mg/24 Ml Vial | $34,019 | $32,999 | — | — | 4 |
| J9299 | Nivolumab 240 Mg/24 Ml Vial | $34,019 | $32,999 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 4 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 8 |
| J0741 | Cabotegravir 600 Mg/3 Ml/Rilpi | $29,956 | $29,058 | — | — | 4 |
| J0741 | Cabotegravir 600 Mg/3 Ml/Rilpi | $29,956 | $29,058 | — | — | 7 |
| J9306 | Pertuzumab 420 MG/14 ML Vial | $29,871 | $28,975 | — | — | 4 |
| J9306 | Pertuzumab 420 MG/14 ML Vial | $29,871 | $28,975 | — | — | 8 |
| J2427 | Paliperidone Palmitate 546 Mg | $28,341 | $27,491 | — | — | 4 |
| J2427 | Paliperidone Palmitate 546 Mg | $28,341 | $27,491 | — | — | 7 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $25,945 | $25,167 | — | — | 4 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $25,945 | $25,167 | — | — | 10 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 4 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 8 |
Showing top 50 of 6,109 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.