45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●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
11,008
Insurances with rates
29
CPT / HCPCS codes
5,989
Most expensive procedures (gross)
J2350
$118,892
INJECTION; OCRELIZUMAB; 1 MG
Gross
$148,615
50242-0150-01
$118,892
Ocrevus
Gross
$148,615
J2507
$86,465
INJECTION; PEGLOTICASE; 1 MG
Gross
$108,081
75987-0080-10
$84,438
Krystexxa
Gross
$105,548
75987008010
$67,105
Krystexxa
Gross
$83,882
42747-0304-01
$64,101
Crysvita
Gross
$80,126
57894006103
$63,641
Stelara PFS
Gross
$79,551
00074-5015-01
$61,240
Skyrizi 600MG/10ML
Gross
$76,551
50242015001
$56,777
Ocrevus
Gross
$70,972
57894006003
$40,094
Stelara PFS
Gross
$50,117
57894-0060-03
$40,094
Stelara PFS
Gross
$50,117
33264
$39,163
RMVL & RPLCMT DFB GEN MLT LD
Gross
$48,954
50633-0110-11
$36,841
INJECTION; CROTALIDAE POLYVALENT IMMUNE FAB (OVINE); UP TO 1 GRAM
Gross
$46,051
00074347303
$35,322
Lupron Depot
Gross
$44,153
44206-0439-40
$32,221
Privigen
Gross
$40,276
42747030401
$32,050
Crysvita
Gross
$40,063
55292070254
$29,990
Panhematin
Gross
$37,488
33240
$28,239
INSRT PULSE GEN W/SINGL LEAD
Gross
$35,299
2780009400CMH
$28,000
Impella CP Pump Set
Gross
$35,000
2780008852CMH
$27,554
Matric Thick 20Cmx30Cm
Gross
$34,442
92933
$27,352
PRQ TRLML C ATHRC ST ANGIOP1
Gross
$34,190
50242-0053-06
$27,058
Rituxan
Gross
$33,823
J9312
$27,058
INJECTION; RITUXIMAB; 10 MG
Gross
$33,823
J3380
$26,957
INJECTION; VEDOLIZUMAB; 1 MG
Gross
$33,696
64764-0300-20
$26,957
Entyvio
Gross
$33,696
33230
$26,894
INSRT PULSE GEN W/DUAL LEADS
Gross
$33,618
C1734
$26,264
ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE)
Gross
$32,830
C9602
$26,049
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY; WITH DRUG ELUTING INTRACORONARY STENT; WITH CORONARY
Gross
$32,561
25810
$25,991
FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE
Gross
$32,489
50242008527
$25,345
Activase
Gross
$31,681
64764030020
$24,960
Entyvio
Gross
$31,200
63833-0825-02
$24,604
Berinert
Gross
$30,756
33249
$24,434
INSJ/RPLCMT DEFIB W/LEAD(S)
Gross
$30,543
Q5115
$24,352
INJECTION; RITUXIMAB-ABBS; BIOSIMILAR; (TRUXIMA) 10 MG
Gross
$30,440
63459-0104-50
$24,352
Truxima
Gross
$30,440
2780008395CMH
$24,067
Neurostimulator Interstim
Gross
$30,084
J3101
$23,896
INJECTION; TENECTEPLASE; 1 MG
Gross
$29,870
50242-0037-06
$23,896
INJECTION; TENECTEPLASE; 1 MG
Gross
$29,870
J1602
$23,031
INJECTION; GOLIMUMAB; 1 MG; FOR INTRAVENOUS USE
Gross
$28,788
C9607
$22,730
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY AR
Gross
$28,412
37221
$22,481
INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL
Gross
$28,101
50242012047
$21,887
TNKase
Gross
$27,359
C1815
$21,526
PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE)
Gross
$26,907
33977
$21,449
REMOVE VENTRICULAR DEVICE
Gross
$26,812
42747020301
$21,367
Crysvita
Gross
$26,709
C1813
$20,920
PROSTHESIS; PENILE; INFLATABLE
Gross
$26,150
00069-0249-01
$20,644
Ruxience
Gross
$25,805
0238T
$20,560
TRLUML PERIP ATHRC ILIAC ART
Gross
$25,701
64406000801
$19,702
Tysabri
Gross
$24,628
76125-0150-10
$19,603
Kedrab
Gross
$24,503
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | INJECTION; OCRELIZUMAB; 1 MG | $148,615 | $118,892 | — | — | 10 |
| 50242-0150-01 | Ocrevus | $148,615 | $118,892 | — | — | 9 |
| J2507 | INJECTION; PEGLOTICASE; 1 MG | $108,081 | $86,465 | — | — | 9 |
| 75987-0080-10 | Krystexxa | $105,548 | $84,438 | — | — | 9 |
| 75987008010 | Krystexxa | $83,882 | $67,105 | — | — | 9 |
| 42747-0304-01 | Crysvita | $80,126 | $64,101 | — | — | 9 |
| 57894006103 | Stelara PFS | $79,551 | $63,641 | — | — | 0 |
| 00074-5015-01 | Skyrizi 600MG/10ML | $76,551 | $61,240 | — | — | 9 |
| 50242015001 | Ocrevus | $70,972 | $56,777 | — | — | 9 |
| 57894006003 | Stelara PFS | $50,117 | $40,094 | — | — | 0 |
| 57894-0060-03 | Stelara PFS | $50,117 | $40,094 | — | — | 0 |
| 33264 | RMVL & RPLCMT DFB GEN MLT LD | $48,954 | $39,163 | — | — | 9 |
| 50633-0110-11 | INJECTION; CROTALIDAE POLYVALENT IMMUNE FAB (OVINE); UP TO 1 GRAM | $46,051 | $36,841 | — | — | 9 |
| 00074347303 | Lupron Depot | $44,153 | $35,322 | — | — | 9 |
| 44206-0439-40 | Privigen | $40,276 | $32,221 | — | — | 9 |
| 42747030401 | Crysvita | $40,063 | $32,050 | — | — | 9 |
| 55292070254 | Panhematin | $37,488 | $29,990 | — | — | 9 |
| 33240 | INSRT PULSE GEN W/SINGL LEAD | $35,299 | $28,239 | — | — | 9 |
| 2780009400CMH | Impella CP Pump Set | $35,000 | $28,000 | — | — | 0 |
| 2780008852CMH | Matric Thick 20Cmx30Cm | $34,442 | $27,554 | — | — | 0 |
| 92933 | PRQ TRLML C ATHRC ST ANGIOP1 | $34,190 | $27,352 | — | — | 9 |
| 50242-0053-06 | Rituxan | $33,823 | $27,058 | — | — | 9 |
| J9312 | INJECTION; RITUXIMAB; 10 MG | $33,823 | $27,058 | — | — | 10 |
| J3380 | INJECTION; VEDOLIZUMAB; 1 MG | $33,696 | $26,957 | — | — | 10 |
| 64764-0300-20 | Entyvio | $33,696 | $26,957 | — | — | 9 |
| 33230 | INSRT PULSE GEN W/DUAL LEADS | $33,618 | $26,894 | — | — | 9 |
| C1734 | ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE) | $32,830 | $26,264 | — | — | 0 |
| C9602 | PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY; WITH DRUG ELUTING INTRACORONARY STENT; WITH CORONARY | $32,561 | $26,049 | — | — | 9 |
| 25810 | FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE | $32,489 | $25,991 | — | — | 11 |
| 50242008527 | Activase | $31,681 | $25,345 | — | — | 9 |
| 64764030020 | Entyvio | $31,200 | $24,960 | — | — | 9 |
| 63833-0825-02 | Berinert | $30,756 | $24,604 | — | — | 9 |
| 33249 | INSJ/RPLCMT DEFIB W/LEAD(S) | $30,543 | $24,434 | — | — | 9 |
| Q5115 | INJECTION; RITUXIMAB-ABBS; BIOSIMILAR; (TRUXIMA) 10 MG | $30,440 | $24,352 | — | — | 10 |
| 63459-0104-50 | Truxima | $30,440 | $24,352 | — | — | 9 |
| 2780008395CMH | Neurostimulator Interstim | $30,084 | $24,067 | — | — | 0 |
| J3101 | INJECTION; TENECTEPLASE; 1 MG | $29,870 | $23,896 | — | — | 9 |
| 50242-0037-06 | INJECTION; TENECTEPLASE; 1 MG | $29,870 | $23,896 | — | — | 9 |
| J1602 | INJECTION; GOLIMUMAB; 1 MG; FOR INTRAVENOUS USE | $28,788 | $23,031 | — | — | 9 |
| C9607 | PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY AR | $28,412 | $22,730 | — | — | 10 |
| 37221 | INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL | $28,101 | $22,481 | — | — | 1 |
| 50242012047 | TNKase | $27,359 | $21,887 | — | — | 9 |
| C1815 | PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE) | $26,907 | $21,526 | — | — | 0 |
| 33977 | REMOVE VENTRICULAR DEVICE | $26,812 | $21,449 | — | — | 9 |
| 42747020301 | Crysvita | $26,709 | $21,367 | — | — | 9 |
| C1813 | PROSTHESIS; PENILE; INFLATABLE | $26,150 | $20,920 | — | — | 0 |
| 00069-0249-01 | Ruxience | $25,805 | $20,644 | — | — | 9 |
| 0238T | TRLUML PERIP ATHRC ILIAC ART | $25,701 | $20,560 | — | — | 9 |
| 64406000801 | Tysabri | $24,628 | $19,702 | — | — | 9 |
| 76125-0150-10 | Kedrab | $24,503 | $19,603 | — | — | 9 |
Showing top 50 of 11,008 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.