45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,384
Insurances with rates
0
CPT / HCPCS codes
2,323
Most expensive procedures (gross)
J2350
$33,475
OCRELIZUMAB [300MG] VL IV
Gross
$33,475
J9022
$19,698
ATEZOLIZUMAB [1200MG] VL IV
Gross
$19,698
J1930
$18,300
LANREOTIDE [120MG] SYR
Gross
$18,300
J1944
$18,161
DARATUMUMAB HYALURONIDASE 1800MG/15ML VL
Gross
$18,161
J3101
$13,805
TENECTEPLASE INJ [50 MG] VL
Gross
$13,805
J9301
$13,698
OBINUTUZAMAB [1000MG] VL IV
Gross
$13,698
24140
$13,117
Pro Fee: Medical Epicondylectomy
Gross
$13,117
J2353
$12,066
OCTREOTIDE LAR [30MG] VL
Gross
$12,066
J9271
$11,115
PEMBROLIZUMAB [100MG/4mL] VL IV
Gross
$11,115
J9173
$11,115
Durvalumab [50MG/mL] 500 mg VL IV
Gross
$11,115
J9306
$10,584
PERTUZUMAB [420MG/14mL] VL IV
Gross
$10,584
24101
$9,683
Pro Fee: Arthrotomy
Gross
$9,683
J2406
$9,391
ORITAVANCIN [1200MG] VL IV
Gross
$9,391
52234
$9,218
Pro Fee: Cystoscopy/ Fulguration
Gross
$9,218
J1569
$8,958
IMMUNE GLOBULIN [30GM/300mL] VL IV
Gross
$8,958
J2506
$8,274
PEGFILGRASTIM AUTO INJECTOR [6MG] SYR
Gross
$8,274
C9359
$7,350
V92,CELLULAR BONE MATRIX, 5.0CC
Gross
$7,350
10180
$7,182
I&D Complex; Post-Op Wound Infection
Gross
$7,182
15273
$6,785
Apply Skin Sub Graft T/Arm/Lg Child
Gross
$6,785
J1306
$6,664
INCLISIRAN [284MG/1.5ML] VL S
Gross
$6,664
J9299
$6,523
NIVOLUMAB [100MG] VL IV
Gross
$6,523
74178
$6,506
CT Abdomen Pelvis wwo
Gross
$6,506
J0897
$6,475
DENOSUMAB [120MG/1.7mL] VL
Gross
$6,475
59510
$6,408
Pro Fee: C-Section Global Care
Gross
$6,408
J9035
$6,372
BEVACIZUMAB [400MG/16mL] VL
Gross
$6,372
74174
$6,310
CT Angio Abdomen Pelvis
Gross
$6,310
J9047
$6,279
CARFILZOMIB [10MG] VL IV
Gross
$6,279
J0840
$6,277
CROTALIDAE POLYVALENT[1GM/2ML] VL IV
Gross
$6,277
J1602
$6,192
GOLIMUMAB [50MG/4ML] VL IV
Gross
$6,192
59400
$5,805
Pro Fee: Routine OB/Global Care Vaginal
Gross
$5,805
J1568
$5,654
IMMUNE GLOBULIN G [30GM/300ML] VL
Gross
$5,654
J9033
$5,635
BENDAMUSTINE HCL [100MG] VL IV
Gross
$5,635
90378
$5,520
PALIVIZUMAB [100MG/1mL] VL
Gross
$5,520
74177
$5,497
CT Abdomen Pelvis w
Gross
$5,497
15277
$5,434
Apply Skin Graft F/N/HF/G Child
Gross
$5,434
74183
$5,351
MRI Abdomen WWO
Gross
$5,351
70543
$5,268
MRI Orbit Face Neck WWO
Gross
$5,268
44207
$5,141
Pro Fee: Laps Colectomy/Coloproctostomy
Gross
$5,141
61563
$5,137
Pro Fee: Exc Ben Tumor Cranial Bone wo
Gross
$5,137
J9217
$5,129
LEUPROLIDE ACETATE [7.5MG] KIT
Gross
$5,129
72157
$5,125
MRI Thoracic Spine WWO
Gross
$5,125
J3111
$5,112
ROMOSOZUMAB-AG [210MG/2.34mL] SYR
Gross
$5,112
70549
$5,086
MRA Neck WWO
Gross
$5,086
78452
$5,069
NM Myocardial Spect Multiple
Gross
$5,069
72156
$5,061
MRI Cervical Spine WWO
Gross
$5,061
78451
$4,999
NM Myocardial Spect Single
Gross
$4,999
74185
$4,984
MRA Abdomen WWO
Gross
$4,984
70552
$4,960
MRI Brain W
Gross
$4,960
49520
$4,933
Pro Fee: Repair Inguinal Hernia Reduc
Gross
$4,933
72147
$4,830
MRI Thoracic Spine W
Gross
$4,830
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCRELIZUMAB [300MG] VL IV | $33,475 | $33,475 | — | — | 0 |
| J9022 | ATEZOLIZUMAB [1200MG] VL IV | $19,698 | $19,698 | — | — | 0 |
| J1930 | LANREOTIDE [120MG] SYR | $18,300 | $18,300 | — | — | 0 |
| J1944 | DARATUMUMAB HYALURONIDASE 1800MG/15ML VL | $18,161 | $18,161 | — | — | 0 |
| J3101 | TENECTEPLASE INJ [50 MG] VL | $13,805 | $13,805 | — | — | 0 |
| J9301 | OBINUTUZAMAB [1000MG] VL IV | $13,698 | $13,698 | — | — | 0 |
| 24140 | Pro Fee: Medical Epicondylectomy | $13,117 | $13,117 | — | — | 0 |
| J2353 | OCTREOTIDE LAR [30MG] VL | $12,066 | $12,066 | — | — | 0 |
| J9271 | PEMBROLIZUMAB [100MG/4mL] VL IV | $11,115 | $11,115 | — | — | 0 |
| J9173 | Durvalumab [50MG/mL] 500 mg VL IV | $11,115 | $11,115 | — | — | 0 |
| J9306 | PERTUZUMAB [420MG/14mL] VL IV | $10,584 | $10,584 | — | — | 0 |
| 24101 | Pro Fee: Arthrotomy | $9,683 | $9,683 | — | — | 0 |
| J2406 | ORITAVANCIN [1200MG] VL IV | $9,391 | $9,391 | — | — | 0 |
| 52234 | Pro Fee: Cystoscopy/ Fulguration | $9,218 | $9,218 | — | — | 0 |
| J1569 | IMMUNE GLOBULIN [30GM/300mL] VL IV | $8,958 | $8,958 | — | — | 0 |
| J2506 | PEGFILGRASTIM AUTO INJECTOR [6MG] SYR | $8,274 | $8,274 | — | — | 0 |
| C9359 | V92,CELLULAR BONE MATRIX, 5.0CC | $7,350 | $7,350 | — | — | 0 |
| 10180 | I&D Complex; Post-Op Wound Infection | $7,182 | $7,182 | — | — | 0 |
| 15273 | Apply Skin Sub Graft T/Arm/Lg Child | $6,785 | $6,785 | — | — | 0 |
| J1306 | INCLISIRAN [284MG/1.5ML] VL S | $6,664 | $6,664 | — | — | 0 |
| J9299 | NIVOLUMAB [100MG] VL IV | $6,523 | $6,523 | — | — | 0 |
| 74178 | CT Abdomen Pelvis wwo | $6,506 | $6,506 | — | — | 0 |
| J0897 | DENOSUMAB [120MG/1.7mL] VL | $6,475 | $6,475 | — | — | 0 |
| 59510 | Pro Fee: C-Section Global Care | $6,408 | $6,408 | — | — | 0 |
| J9035 | BEVACIZUMAB [400MG/16mL] VL | $6,372 | $6,372 | — | — | 0 |
| 74174 | CT Angio Abdomen Pelvis | $6,310 | $6,310 | — | — | 0 |
| J9047 | CARFILZOMIB [10MG] VL IV | $6,279 | $6,279 | — | — | 0 |
| J0840 | CROTALIDAE POLYVALENT[1GM/2ML] VL IV | $6,277 | $6,277 | — | — | 0 |
| J1602 | GOLIMUMAB [50MG/4ML] VL IV | $6,192 | $6,192 | — | — | 0 |
| 59400 | Pro Fee: Routine OB/Global Care Vaginal | $5,805 | $5,805 | — | — | 0 |
| J1568 | IMMUNE GLOBULIN G [30GM/300ML] VL | $5,654 | $5,654 | — | — | 0 |
| J9033 | BENDAMUSTINE HCL [100MG] VL IV | $5,635 | $5,635 | — | — | 0 |
| 90378 | PALIVIZUMAB [100MG/1mL] VL | $5,520 | $5,520 | — | — | 0 |
| 74177 | CT Abdomen Pelvis w | $5,497 | $5,497 | — | — | 0 |
| 15277 | Apply Skin Graft F/N/HF/G Child | $5,434 | $5,434 | — | — | 0 |
| 74183 | MRI Abdomen WWO | $5,351 | $5,351 | — | — | 0 |
| 70543 | MRI Orbit Face Neck WWO | $5,268 | $5,268 | — | — | 0 |
| 44207 | Pro Fee: Laps Colectomy/Coloproctostomy | $5,141 | $5,141 | — | — | 0 |
| 61563 | Pro Fee: Exc Ben Tumor Cranial Bone wo | $5,137 | $5,137 | — | — | 0 |
| J9217 | LEUPROLIDE ACETATE [7.5MG] KIT | $5,129 | $5,129 | — | — | 0 |
| 72157 | MRI Thoracic Spine WWO | $5,125 | $5,125 | — | — | 0 |
| J3111 | ROMOSOZUMAB-AG [210MG/2.34mL] SYR | $5,112 | $5,112 | — | — | 0 |
| 70549 | MRA Neck WWO | $5,086 | $5,086 | — | — | 0 |
| 78452 | NM Myocardial Spect Multiple | $5,069 | $5,069 | — | — | 0 |
| 72156 | MRI Cervical Spine WWO | $5,061 | $5,061 | — | — | 0 |
| 78451 | NM Myocardial Spect Single | $4,999 | $4,999 | — | — | 0 |
| 74185 | MRA Abdomen WWO | $4,984 | $4,984 | — | — | 0 |
| 70552 | MRI Brain W | $4,960 | $4,960 | — | — | 0 |
| 49520 | Pro Fee: Repair Inguinal Hernia Reduc | $4,933 | $4,933 | — | — | 0 |
| 72147 | MRI Thoracic Spine W | $4,830 | $4,830 | — | — | 0 |
Showing top 50 of 2,384 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.