45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
10,551
Insurances with rates
2
CPT / HCPCS codes
8,980
Most expensive procedures (gross)
J9226
$93,838
SUPPRELIN LA 50 MG (65 MCG/DAY) IMPLANT KIT [91426]
Gross
$156,397
J0202
$57,020
LEMTRADA 12 MG/1.2 ML INTRAVENOUS SOLN [127557]
Gross
$95,034
J2507
$56,691
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLN [108958]
Gross
$94,484
63655
$45,521
LAMI PRIOR IMPLANT NEUROELECTRODES
Gross
$75,868
64590
$45,521
INSRT/REDO PERPH/SAC/GAS NEUROGEN
Gross
$75,868
J9229
$44,026
INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) INTRAVENOUS SOLR [138459]
Gross
$73,377
J9274
$40,115
TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLN [152604]
Gross
$66,858
J7311
$37,670
FLUOCINOLONE 0.59 MG INTRAVITREAL IMPL [38567]
Gross
$62,783
J9309
$34,735
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLR [144062]
Gross
$57,892
J0257
$33,840
ALPHA-1 PROTEINASE INHIB.(HUM) 1 GRAM/50 ML (2 %) INTRAVENOUS SOLN [108371]
Gross
$56,400
J1290
$32,910
ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLN [104899]
Gross
$54,850
C1823
$30,600
REMEDE IMPL GENERATOR PULSE PG
Gross
$51,000
J9321
$30,599
EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLN [157061]
Gross
$50,998
C2624
$30,006
SYS SENSOR/DELV PA CARDIOMEMS
Gross
$50,010
C1824
$30,006
GENERATOR IPG CARDIAC OPTIMIZER SMART
Gross
$50,010
0624
$30,006
VALVE AORTIC NEO2 ACURATE SM - CLINICAL
Gross
$50,010
C1822
$29,655
KIT IMPL SENZA IPG
Gross
$49,425
64596
$28,346
INS/RPLCMT PRQ ELTRD RA PN 1
Gross
$47,244
J9015
$28,179
ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLR [4422]
Gross
$46,965
J3357
$27,564
USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRG [105173]
Gross
$45,941
C1722
$25,875
ICD INVENTRA PROMRI 7 VRT DX
Gross
$43,125
J3285
$25,212
TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN [23976]
Gross
$42,020
63685
$24,062
INSRT/REDO SPINE N GENERATOR
Gross
$40,103
C1840
$22,875
LENS MAG TELESCOPE 2.7X
Gross
$38,125
J9042
$22,378
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLR [112510]
Gross
$37,297
J1744
$22,072
ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRG [112531]
Gross
$36,787
64628
$21,249
TRML DSTRJ IOS BVN 1ST 2 L/S
Gross
$35,415
J9022
$21,000
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLN [134000]
Gross
$35,000
J1640
$20,618
HEMIN 350 MG INTRAVENOUS SOLR [137871]
Gross
$34,364
C1772
$20,541
PUMP SYNCHROMED II 40ML
Gross
$34,235
J9153
$20,196
DAUNORUBICIN-CYTARABINE LIPOS 44-100 MG INTRAVENOUS SOLR [138443]
Gross
$33,660
C1602
$20,080
FILLER BONE VOID CERAMENT G 10CC
Gross
$33,467
J9119
$19,796
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLN [142058]
Gross
$32,993
J2327
$19,416
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLN [153831]
Gross
$32,360
J9203
$19,306
GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) INTRAVENOUS SOLR [138502]
Gross
$32,176
J9144
$19,192
DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLN [147077]
Gross
$31,987
C1882
$18,819
DEFIB VIVA XT CRT-D QUAD
Gross
$31,366
52353
$18,681
CYSTOURETERO W/LITHOTRIPSY
Gross
$31,136
50590
$18,406
LITHOTRIPSY
Gross
$30,677
C1721
$18,150
ICD ELLIPSE DR-36 W/ADPTR
Gross
$30,250
E0749
$18,003
IMPL STIM BONE SPINAL
Gross
$30,005
C1820
$18,003
NEUROSTIM RESTORE ADVANCED
Gross
$30,005
C1827
$17,550
LEAD VIVISTIM PAIRED VNS 2MM
Gross
$29,250
J3380
$17,160
VEDOLIZUMAB 300 MG INTRAVENOUS SOLR [125447]
Gross
$28,600
J9228
$16,894
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLN [110549]
Gross
$28,157
C9610
$16,673
CATH BALN AGENT 2.25X12MM
Gross
$27,788
C9047
$16,319
CAPLACIZUMAB-YHDP 11 MG INJECTION KIT [143190]
Gross
$27,199
J9301
$16,319
OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLN [123548]
Gross
$27,198
J2323
$16,255
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLN [37461]
Gross
$27,091
J9217
$16,189
LEUPROLIDE (4 MONTH) 30 MG INTRAMUSC SYKT [14849]
Gross
$26,982
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9226 | SUPPRELIN LA 50 MG (65 MCG/DAY) IMPLANT KIT [91426] | $156,397 | $93,838 | — | — | 1 |
| J0202 | LEMTRADA 12 MG/1.2 ML INTRAVENOUS SOLN [127557] | $95,034 | $57,020 | — | — | 1 |
| J2507 | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLN [108958] | $94,484 | $56,691 | — | — | 1 |
| 63655 | LAMI PRIOR IMPLANT NEUROELECTRODES | $75,868 | $45,521 | — | — | 2 |
| 64590 | INSRT/REDO PERPH/SAC/GAS NEUROGEN | $75,868 | $45,521 | — | — | 2 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) INTRAVENOUS SOLR [138459] | $73,377 | $44,026 | — | — | 1 |
| J9274 | TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLN [152604] | $66,858 | $40,115 | — | — | 1 |
| J7311 | FLUOCINOLONE 0.59 MG INTRAVITREAL IMPL [38567] | $62,783 | $37,670 | — | — | 1 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLR [144062] | $57,892 | $34,735 | — | — | 1 |
| J0257 | ALPHA-1 PROTEINASE INHIB.(HUM) 1 GRAM/50 ML (2 %) INTRAVENOUS SOLN [108371] | $56,400 | $33,840 | — | — | 1 |
| J1290 | ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLN [104899] | $54,850 | $32,910 | — | — | 1 |
| C1823 | REMEDE IMPL GENERATOR PULSE PG | $51,000 | $30,600 | — | — | 1 |
| J9321 | EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLN [157061] | $50,998 | $30,599 | — | — | 1 |
| C2624 | SYS SENSOR/DELV PA CARDIOMEMS | $50,010 | $30,006 | — | — | 1 |
| C1824 | GENERATOR IPG CARDIAC OPTIMIZER SMART | $50,010 | $30,006 | — | — | 1 |
| 0624 | VALVE AORTIC NEO2 ACURATE SM - CLINICAL | $50,010 | $30,006 | — | — | 1 |
| C1822 | KIT IMPL SENZA IPG | $49,425 | $29,655 | — | — | 1 |
| 64596 | INS/RPLCMT PRQ ELTRD RA PN 1 | $47,244 | $28,346 | — | — | 2 |
| J9015 | ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLR [4422] | $46,965 | $28,179 | — | — | 1 |
| J3357 | USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRG [105173] | $45,941 | $27,564 | — | — | 1 |
| C1722 | ICD INVENTRA PROMRI 7 VRT DX | $43,125 | $25,875 | — | — | 1 |
| J3285 | TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN [23976] | $42,020 | $25,212 | — | — | 1 |
| 63685 | INSRT/REDO SPINE N GENERATOR | $40,103 | $24,062 | — | — | 2 |
| C1840 | LENS MAG TELESCOPE 2.7X | $38,125 | $22,875 | — | — | 1 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLR [112510] | $37,297 | $22,378 | — | — | 1 |
| J1744 | ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRG [112531] | $36,787 | $22,072 | — | — | 1 |
| 64628 | TRML DSTRJ IOS BVN 1ST 2 L/S | $35,415 | $21,249 | — | — | 2 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLN [134000] | $35,000 | $21,000 | — | — | 1 |
| J1640 | HEMIN 350 MG INTRAVENOUS SOLR [137871] | $34,364 | $20,618 | — | — | 1 |
| C1772 | PUMP SYNCHROMED II 40ML | $34,235 | $20,541 | — | — | 1 |
| J9153 | DAUNORUBICIN-CYTARABINE LIPOS 44-100 MG INTRAVENOUS SOLR [138443] | $33,660 | $20,196 | — | — | 1 |
| C1602 | FILLER BONE VOID CERAMENT G 10CC | $33,467 | $20,080 | — | — | 1 |
| J9119 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLN [142058] | $32,993 | $19,796 | — | — | 1 |
| J2327 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLN [153831] | $32,360 | $19,416 | — | — | 1 |
| J9203 | GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) INTRAVENOUS SOLR [138502] | $32,176 | $19,306 | — | — | 1 |
| J9144 | DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLN [147077] | $31,987 | $19,192 | — | — | 1 |
| C1882 | DEFIB VIVA XT CRT-D QUAD | $31,366 | $18,819 | — | — | 2 |
| 52353 | CYSTOURETERO W/LITHOTRIPSY | $31,136 | $18,681 | — | — | 2 |
| 50590 | LITHOTRIPSY | $30,677 | $18,406 | — | — | 2 |
| C1721 | ICD ELLIPSE DR-36 W/ADPTR | $30,250 | $18,150 | — | — | 1 |
| E0749 | IMPL STIM BONE SPINAL | $30,005 | $18,003 | — | — | 1 |
| C1820 | NEUROSTIM RESTORE ADVANCED | $30,005 | $18,003 | — | — | 2 |
| C1827 | LEAD VIVISTIM PAIRED VNS 2MM | $29,250 | $17,550 | — | — | 1 |
| J3380 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLR [125447] | $28,600 | $17,160 | — | — | 1 |
| J9228 | IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLN [110549] | $28,157 | $16,894 | — | — | 1 |
| C9610 | CATH BALN AGENT 2.25X12MM | $27,788 | $16,673 | — | — | 1 |
| C9047 | CAPLACIZUMAB-YHDP 11 MG INJECTION KIT [143190] | $27,199 | $16,319 | — | — | 1 |
| J9301 | OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLN [123548] | $27,198 | $16,319 | — | — | 1 |
| J2323 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLN [37461] | $27,091 | $16,255 | — | — | 1 |
| J9217 | LEUPROLIDE (4 MONTH) 30 MG INTRAMUSC SYKT [14849] | $26,982 | $16,189 | — | — | 1 |
Showing top 50 of 10,551 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.