45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
6,060
Insurances with rates
19
CPT / HCPCS codes
5,039
Most expensive procedures (gross)
J1413
$2,400,000
ELEVIDYS 10.0-10.4 KG 10 X 10 ML IV KIT
Gross
$3,200,000
Q2042
$1,589,186
HC CAR-POS T CELLS ADULT (KYMRIAH)
Gross
$2,118,914
C9399
$1,475,250
HC CAR-POS T CELLS (AMTAGVI)
Gross
$1,967,000
Q2054
$1,464,535
HC CAR-POS T CELLS ADULT (BREYANZI)
Gross
$1,952,713
Q2056
$1,457,681
HC CAR-POS T CELLS (CARVYKTI) 70ML
Gross
$1,943,575
Q2041
$1,440,863
HC CAR-POS T CELLS ADULT (YESCARTA)
Gross
$1,921,150
Q2055
$1,428,425
HC CAR-POS T CELLS (ABECMA)
Gross
$1,904,566
Q2053
$1,321,898
HC CAR-POS T CELLS (TECARTUS)
Gross
$1,762,530
J0225
$626,593
AMVUTTRA 25 MG/0.5ML SC SOSY
Gross
$835,457
47135
$231,602
HC LIVER ACQUISITION LIVE DONOR
Gross
$308,802
J2779
$210,000
SUSVIMO (IMPLANT 1ST FILL) 10 MG/0.1ML IZ SOLN
Gross
$280,000
J9226
$128,014
SUPPRELIN LA 50 MG SC KIT
Gross
$170,686
50300
$121,337
HC KIDNEY ACQUISITION CADAVER DNR
Gross
$161,783
8120000001
$121,337
HC LIVER ACQUISITION CADAVER DNR
Gross
$161,783
8120000003
$121,337
HC PANCREATIC ORGAN ACQUISITION
Gross
$161,783
J2777
$116,102
VABYSMO 6 MG/0.05ML IZ SOLN
Gross
$154,802
50320
$107,913
HC KIDNEY ACQUISITION LIVE DNR
Gross
$143,884
J9274
$106,365
KIMMTRAK 100 MCG/0.5ML IV SOLN
Gross
$141,820
J2778
$102,375
LUCENTIS 0.5 MG/0.05ML IZ SOSY
Gross
$136,500
J0177
$98,438
EYLEA HD 8 MG/0.07ML IZ SOLN
Gross
$131,250
J0178
$97,125
EYLEA 2 MG/0.05ML IZ SOLN
Gross
$129,500
J0179
$97,125
BEOVU 6 MG/0.05ML IZ SOLN
Gross
$129,500
8120000002
$88,092
HC SM BOWEL ORGAN ACQUISITION
Gross
$117,456
J9269
$84,392
ELZONRIS 1000 MCG/ML IV SOLN
Gross
$112,522
J1930
$79,905
SOMATULINE DEPOT 60 MG/0.2ML SC SOLN
Gross
$106,540
J2507
$76,962
KRYSTEXXA 8 MG/ML IV SOLN
Gross
$102,616
J3357
$73,088
STELARA 45 MG/0.5ML SC SOLN
Gross
$97,450
J9359
$70,936
ZYNLONTA 10 MG IV SOLR
Gross
$94,581
Q5128
$69,972
CIMERLI 0.5 MG/0.05ML IZ SOLN
Gross
$93,296
J1951
$68,608
FENSOLVI (6 MONTH) 45 MG SC KIT
Gross
$91,477
38204
$67,726
HC MANAGE RECIPIENT CELL DONOR SEARCH & ACQUISITION
Gross
$90,301
J2326
$65,625
SPINRAZA 12 MG/5ML IT SOLN
Gross
$87,500
3600000017
$64,601
HC GAMMA KNIFE
Gross
$86,135
J0202
$61,469
LEMTRADA 12 MG/1.2ML IV SOLN
Gross
$81,959
Q5124
$61,105
BYOOVIZ 0.5 MG/0.05ML IZ SOLN
Gross
$81,473
J9229
$59,244
BESPONSA 0.9 MG IV SOLR
Gross
$78,992
J9600
$58,551
PHOTOFRIN 75 MG IV SOLR
Gross
$78,068
J2781
$57,488
SYFOVRE 15 MG/0.1ML IZ SOLN
Gross
$76,650
J2782
$55,125
IZERVAY 2 MG/0.1ML IZ SOLN
Gross
$73,500
J3316
$53,699
TRIPTODUR 22.5 MG IM SRER
Gross
$71,598
J9321
$51,976
EPKINLY 48 MG/0.8ML SC SOLN
Gross
$69,302
J0638
$51,040
ILARIS 150 MG/ML SC SOLN
Gross
$68,054
C2616
$50,649
Y-90 THERASPHERES
Gross
$67,533
J7311
$47,906
RETISERT 0.59 MG IZ IMPL
Gross
$63,875
J3241
$44,671
TEPEZZA 500 MG IV SOLR
Gross
$59,562
0398T
$41,764
HC MR GUIDED ULTRASOUND INTRACRANIAL ABLATION
Gross
$55,685
A9604
$40,332
QUADRAMET 1850 MBQ/ML IV SOLN
Gross
$53,776
J3245
$35,680
ILUMYA 100 MG/ML SC SOSY
Gross
$47,573
J7316
$31,112
JETREA 0.375 MG/0.3ML IZ SOLN
Gross
$41,482
4100000001
$30,848
HC ECMO CLN PERFUSION-ADULT 24HR
Gross
$41,131
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1413 | ELEVIDYS 10.0-10.4 KG 10 X 10 ML IV KIT | $3,200,000 | $2,400,000 | — | — | 0 |
| Q2042 | HC CAR-POS T CELLS ADULT (KYMRIAH) | $2,118,914 | $1,589,186 | $549,408 | $1,991,779 | 21 |
| C9399 | HC CAR-POS T CELLS (AMTAGVI) | $1,967,000 | $1,475,250 | $85.05 | $1,848,980 | 29 |
| Q2054 | HC CAR-POS T CELLS ADULT (BREYANZI) | $1,952,713 | $1,464,535 | $514,554 | $1,835,550 | 21 |
| Q2056 | HC CAR-POS T CELLS (CARVYKTI) 70ML | $1,943,575 | $1,457,681 | $525,710 | $1,826,961 | 21 |
| Q2041 | HC CAR-POS T CELLS ADULT (YESCARTA) | $1,921,150 | $1,440,863 | $506,423 | $1,805,881 | 21 |
| Q2055 | HC CAR-POS T CELLS (ABECMA) | $1,904,566 | $1,428,425 | $514,197 | $1,790,292 | 21 |
| Q2053 | HC CAR-POS T CELLS (TECARTUS) | $1,762,530 | $1,321,898 | $465,234 | $1,656,778 | 21 |
| J0225 | AMVUTTRA 25 MG/0.5ML SC SOSY | $835,457 | $626,593 | $4,735 | $966,600 | 49 |
| 47135 | HC LIVER ACQUISITION LIVE DONOR | $308,802 | $231,602 | $5,541 | $290,274 | 14 |
| J2779 | SUSVIMO (IMPLANT 1ST FILL) 10 MG/0.1ML IZ SOLN | $280,000 | $210,000 | $74.51 | $263,200 | 49 |
| J9226 | SUPPRELIN LA 50 MG SC KIT | $170,686 | $128,014 | $43,282 | $197,479 | 49 |
| 50300 | HC KIDNEY ACQUISITION CADAVER DNR | $161,783 | $121,337 | $80,892 | $152,076 | 14 |
| 8120000001 | HC LIVER ACQUISITION CADAVER DNR | $161,783 | $121,337 | — | — | 0 |
| 8120000003 | HC PANCREATIC ORGAN ACQUISITION | $161,783 | $121,337 | — | — | 0 |
| J2777 | VABYSMO 6 MG/0.05ML IZ SOLN | $154,802 | $116,102 | $32.76 | $145,514 | 49 |
| 50320 | HC KIDNEY ACQUISITION LIVE DNR | $143,884 | $107,913 | $2,133 | $135,251 | 14 |
| J9274 | KIMMTRAK 100 MCG/0.5ML IV SOLN | $141,820 | $106,365 | $206 | $164,082 | 49 |
| J2778 | LUCENTIS 0.5 MG/0.05ML IZ SOSY | $136,500 | $102,375 | $86.55 | $128,310 | 49 |
| J0177 | EYLEA HD 8 MG/0.07ML IZ SOLN | $131,250 | $98,438 | $304 | $123,375 | 49 |
| J0178 | EYLEA 2 MG/0.05ML IZ SOLN | $129,500 | $97,125 | $751 | $121,730 | 49 |
| J0179 | BEOVU 6 MG/0.05ML IZ SOLN | $129,500 | $97,125 | $329 | $121,730 | 49 |
| 8120000002 | HC SM BOWEL ORGAN ACQUISITION | $117,456 | $88,092 | — | — | 0 |
| J9269 | ELZONRIS 1000 MCG/ML IV SOLN | $112,522 | $84,392 | $331 | $130,185 | 49 |
| J1930 | SOMATULINE DEPOT 60 MG/0.2ML SC SOLN | $106,540 | $79,905 | $34.83 | $100,148 | 49 |
| J2507 | KRYSTEXXA 8 MG/ML IV SOLN | $102,616 | $76,962 | $3,457 | $118,724 | 49 |
| J3357 | STELARA 45 MG/0.5ML SC SOLN | $97,450 | $73,088 | $150 | $91,603 | 49 |
| J9359 | ZYNLONTA 10 MG IV SOLR | $94,581 | $70,936 | $206 | $109,428 | 49 |
| Q5128 | CIMERLI 0.5 MG/0.05ML IZ SOLN | $93,296 | $69,972 | $82.18 | $87,698 | 49 |
| J1951 | FENSOLVI (6 MONTH) 45 MG SC KIT | $91,477 | $68,608 | $133 | $85,988 | 49 |
| 38204 | HC MANAGE RECIPIENT CELL DONOR SEARCH & ACQUISITION | $90,301 | $67,726 | $423 | $84,883 | 13 |
| J2326 | SPINRAZA 12 MG/5ML IT SOLN | $87,500 | $65,625 | $1,148 | $101,235 | 49 |
| 3600000017 | HC GAMMA KNIFE | $86,135 | $64,601 | — | — | 0 |
| J0202 | LEMTRADA 12 MG/1.2ML IV SOLN | $81,959 | $61,469 | $2,319 | $94,824 | 49 |
| Q5124 | BYOOVIZ 0.5 MG/0.05ML IZ SOLN | $81,473 | $61,105 | $59.04 | $76,585 | 49 |
| J9229 | BESPONSA 0.9 MG IV SOLR | $78,992 | $59,244 | $2,563 | $91,391 | 49 |
| J9600 | PHOTOFRIN 75 MG IV SOLR | $78,068 | $58,551 | $21,190 | $90,322 | 48 |
| J2781 | SYFOVRE 15 MG/0.1ML IZ SOLN | $76,650 | $57,488 | $135 | $72,051 | 49 |
| J2782 | IZERVAY 2 MG/0.1ML IZ SOLN | $73,500 | $55,125 | $101 | $69,090 | 49 |
| J3316 | TRIPTODUR 22.5 MG IM SRER | $71,598 | $53,699 | $3,584 | $67,302 | 49 |
| J9321 | EPKINLY 48 MG/0.8ML SC SOLN | $69,302 | $51,976 | $52.88 | $65,143 | 49 |
| J0638 | ILARIS 150 MG/ML SC SOLN | $68,054 | $51,040 | $134 | $63,970 | 49 |
| C2616 | Y-90 THERASPHERES | $67,533 | $50,649 | $9,165 | $63,481 | 49 |
| J7311 | RETISERT 0.59 MG IZ IMPL | $63,875 | $47,906 | $323 | $73,902 | 49 |
| J3241 | TEPEZZA 500 MG IV SOLR | $59,562 | $44,671 | $341 | $68,911 | 49 |
| 0398T | HC MR GUIDED ULTRASOUND INTRACRANIAL ABLATION | $55,685 | $41,764 | $1,754 | $68,499 | 36 |
| A9604 | QUADRAMET 1850 MBQ/ML IV SOLN | $53,776 | $40,332 | $775 | $50,550 | 49 |
| J3245 | ILUMYA 100 MG/ML SC SOSY | $47,573 | $35,680 | $120 | $44,719 | 49 |
| J7316 | JETREA 0.375 MG/0.3ML IZ SOLN | $41,482 | $31,112 | $996 | $38,993 | 37 |
| 4100000001 | HC ECMO CLN PERFUSION-ADULT 24HR | $41,131 | $30,848 | — | — | 0 |
Showing top 50 of 6,060 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.