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
1,749
Insurances with rates
5
CPT / HCPCS codes
1,687
Most expensive procedures (gross)
J9309
$39,862
NF POLATUZUAMAB J9309
Gross
$56,946
J9119
$33,324
Cemiplimab-rwlc 350 mg/7 mL vi
Gross
$47,606
J0896
$31,408
LUSPATERCEPT J0896x300
Gross
$44,868
J9228
$26,621
IPILIMUMAB YERVOY 50MG
Gross
$38,030
J9316
$24,905
PHESGO 600/600/20,000
Gross
$35,578
J9301
$22,859
GAZYVA J9301 OBINUTUZUMAB
Gross
$32,656
J9299
$20,737
NIVOLUMAB OPDIVO 240MG J9299
Gross
$29,624
J1945
$18,556
Darzalex Faspro
Gross
$26,509
J9144
$18,556
Darzalex Faspro
Gross
$26,509
J3101
$16,719
Tenecteplase (TNKase)
Gross
$23,884
J1162
$14,062
Digoxin immune fab J1162
Gross
$20,089
J1569
$13,692
GAMMAGARD 30G
Gross
$19,560
Q5115
$12,430
RITUXIMAB TRUXIMA Q5115x50
Gross
$17,757
Q5111
$12,275
Udenyca 1 mg Q5111
Gross
$17,535
J9305
$11,886
PEMETREXED ALIMTA J9305
Gross
$16,981
J9312
$11,509
RITUXAN 500MG J9312
Gross
$16,442
J0491
$11,271
SAPHNELO J0491
Gross
$16,102
22513
$10,588
KYPHO THORACIC 22513
Gross
$15,125
22514
$10,588
KYPHO LUMBAR 22514
Gross
$15,125
J2353
$10,449
SANDOSTATIN LAR DEPOT J2353x20
Gross
$14,927
J1306
$9,918
LEQVIO J1306
Gross
$14,168
J9145
$9,121
DARATUMUMAB 400MG/20ML VIAL
Gross
$13,030
32550
$8,761
Insert Pleural cath
Gross
$12,515
63650
$8,689
Implant Neurostimlator
Gross
$12,413
95811
$8,450
PSG W/CPAP/BI 95811
Gross
$12,072
74174
$7,860
CT ANG ABD PEL W W/O
Gross
$11,229
74178
$7,568
CT ABD/PLV W&W/O CON 74178
Gross
$10,812
78452
$7,529
Nuclear stress test 78452
Gross
$10,756
26735
$7,326
FX care Finger 26735
Gross
$10,465
95810
$7,192
PSG Sleep Study 95810
Gross
$10,274
J9171
$7,157
DOCETAXEL 160MG/8ML VIAL
Gross
$10,224
J2426
$6,996
Paliperidone Palmitate J2426
Gross
$9,994
22515
$6,965
KYPHO ADD ON 22515
Gross
$9,950
26765
$6,845
Open Fx distal phalange 26765
Gross
$9,779
78451
$6,602
MYOCARD PERF INH
Gross
$9,432
78608
$6,544
PET BRAIN
Gross
$9,349
74175
$6,510
CT angio Abdomen
Gross
$9,300
71552
$6,454
MRI CHEST W/W/O CONTRAST 71552
Gross
$9,220
78816
$6,376
PET WHOLE BODY
Gross
$9,109
71551
$6,329
MRI CHEST W/CONTRAST 71551
Gross
$9,042
78815
$6,238
PET SKLBS TO MIDTHIG
Gross
$8,912
78812
$6,238
PET IMAGE SKULL-THIGH
Gross
$8,912
36558
$6,217
Insert central line 36558
Gross
$8,882
36561
$6,217
Insertion of Tunnel Cath 36561
Gross
$8,882
71550
$6,206
MRI CHEST 71550
Gross
$8,865
J3111
$6,198
ROMOSUZUMAB J3111
Gross
$8,854
71275
$6,076
CT Angiochest
Gross
$8,680
Q5118
$6,011
Zirabev Q5118
Gross
$8,588
J9035
$6,011
Zirabev Q5118
Gross
$8,588
Q5135
$5,758
Inj, tyenne, 1mg x400
Gross
$8,225
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9309 | NF POLATUZUAMAB J9309 | $56,946 | $39,862 | — | — | 54 |
| J9119 | Cemiplimab-rwlc 350 mg/7 mL vi | $47,606 | $33,324 | — | — | 27 |
| J0896 | LUSPATERCEPT J0896x300 | $44,868 | $31,408 | — | — | 54 |
| J9228 | IPILIMUMAB YERVOY 50MG | $38,030 | $26,621 | — | — | 27 |
| J9316 | PHESGO 600/600/20,000 | $35,578 | $24,905 | — | — | 54 |
| J9301 | GAZYVA J9301 OBINUTUZUMAB | $32,656 | $22,859 | — | — | 54 |
| J9299 | NIVOLUMAB OPDIVO 240MG J9299 | $29,624 | $20,737 | — | — | 54 |
| J1945 | Darzalex Faspro | $26,509 | $18,556 | — | — | 54 |
| J9144 | Darzalex Faspro | $26,509 | $18,556 | — | — | 54 |
| J3101 | Tenecteplase (TNKase) | $23,884 | $16,719 | — | — | 54 |
| J1162 | Digoxin immune fab J1162 | $20,089 | $14,062 | — | — | 27 |
| J1569 | GAMMAGARD 30G | $19,560 | $13,692 | — | — | 54 |
| Q5115 | RITUXIMAB TRUXIMA Q5115x50 | $17,757 | $12,430 | — | — | 27 |
| Q5111 | Udenyca 1 mg Q5111 | $17,535 | $12,275 | — | — | 54 |
| J9305 | PEMETREXED ALIMTA J9305 | $16,981 | $11,886 | — | — | 81 |
| J9312 | RITUXAN 500MG J9312 | $16,442 | $11,509 | — | — | 54 |
| J0491 | SAPHNELO J0491 | $16,102 | $11,271 | — | — | 54 |
| 22513 | KYPHO THORACIC 22513 | $15,125 | $10,588 | — | — | 27 |
| 22514 | KYPHO LUMBAR 22514 | $15,125 | $10,588 | — | — | 27 |
| J2353 | SANDOSTATIN LAR DEPOT J2353x20 | $14,927 | $10,449 | — | — | 27 |
| J1306 | LEQVIO J1306 | $14,168 | $9,918 | — | — | 27 |
| J9145 | DARATUMUMAB 400MG/20ML VIAL | $13,030 | $9,121 | — | — | 27 |
| 32550 | Insert Pleural cath | $12,515 | $8,761 | — | — | 27 |
| 63650 | Implant Neurostimlator | $12,413 | $8,689 | — | — | 27 |
| 95811 | PSG W/CPAP/BI 95811 | $12,072 | $8,450 | — | — | 27 |
| 74174 | CT ANG ABD PEL W W/O | $11,229 | $7,860 | — | — | 27 |
| 74178 | CT ABD/PLV W&W/O CON 74178 | $10,812 | $7,568 | — | — | 27 |
| 78452 | Nuclear stress test 78452 | $10,756 | $7,529 | — | — | 27 |
| 26735 | FX care Finger 26735 | $10,465 | $7,326 | — | — | 27 |
| 95810 | PSG Sleep Study 95810 | $10,274 | $7,192 | — | — | 27 |
| J9171 | DOCETAXEL 160MG/8ML VIAL | $10,224 | $7,157 | — | — | 27 |
| J2426 | Paliperidone Palmitate J2426 | $9,994 | $6,996 | — | — | 27 |
| 22515 | KYPHO ADD ON 22515 | $9,950 | $6,965 | — | — | 27 |
| 26765 | Open Fx distal phalange 26765 | $9,779 | $6,845 | — | — | 27 |
| 78451 | MYOCARD PERF INH | $9,432 | $6,602 | — | — | 27 |
| 78608 | PET BRAIN | $9,349 | $6,544 | — | — | 27 |
| 74175 | CT angio Abdomen | $9,300 | $6,510 | — | — | 27 |
| 71552 | MRI CHEST W/W/O CONTRAST 71552 | $9,220 | $6,454 | — | — | 27 |
| 78816 | PET WHOLE BODY | $9,109 | $6,376 | — | — | 27 |
| 71551 | MRI CHEST W/CONTRAST 71551 | $9,042 | $6,329 | — | — | 27 |
| 78815 | PET SKLBS TO MIDTHIG | $8,912 | $6,238 | — | — | 27 |
| 78812 | PET IMAGE SKULL-THIGH | $8,912 | $6,238 | — | — | 27 |
| 36558 | Insert central line 36558 | $8,882 | $6,217 | — | — | 27 |
| 36561 | Insertion of Tunnel Cath 36561 | $8,882 | $6,217 | — | — | 27 |
| 71550 | MRI CHEST 71550 | $8,865 | $6,206 | — | — | 27 |
| J3111 | ROMOSUZUMAB J3111 | $8,854 | $6,198 | — | — | 54 |
| 71275 | CT Angiochest | $8,680 | $6,076 | — | — | 27 |
| Q5118 | Zirabev Q5118 | $8,588 | $6,011 | — | — | 27 |
| J9035 | Zirabev Q5118 | $8,588 | $6,011 | — | — | 27 |
| Q5135 | Inj, tyenne, 1mg x400 | $8,225 | $5,758 | — | — | 27 |
Showing top 50 of 1,749 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.