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
5,769
Insurances with rates
5
CPT / HCPCS codes
2,654
Most expensive procedures (gross)
J3241
$35,548
TEPROTUMUMAB 500 MG/VIAL
Gross
$61,289
J3241
$35,548
TEPROTUMUMAB 500 MG/VIAL
Gross
$61,289
J3245
$34,992
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$60,331
J3245
$34,992
TILDRAK-ASMN 100 MG/ML SYRINGE
Gross
$60,331
J9022
$27,409
ATEZOLIZUMAB 1200 MG/20ML VIAL
Gross
$47,258
J9022
$27,409
ATEZOLIZUMAB 1200 MG/20ML VIAL
Gross
$47,258
J2329
$27,064
UBLITUXIMAB-XIIY 150 MG
Gross
$46,662
J2329
$27,064
UBLITUXIMAB-XIIY 150 MG
Gross
$46,662
J9144
$24,415
DARATUM-HYALURONI-FIHJ 15ML VL
Gross
$42,095
J9144
$24,415
DARATUM-HYALURONI-FIHJ 15ML VL
Gross
$42,095
J3380
$22,801
VEDOLIZUMAB 300 MG VIAL
Gross
$39,312
J3380
$22,801
VEDOLIZUMAB 300 MG VIAL
Gross
$39,312
J2997
$21,438
ALTEPLASE 100 MG VIAL
Gross
$36,962
J2997
$21,438
ALTEPLASE 100 MG VIAL
Gross
$36,962
J2327
$21,057
SKYRIZI 600 MG/10 ML SDV
Gross
$36,304
J2327
$21,057
SKYRIZI 600 MG/10 ML SDV
Gross
$36,304
J9301
$20,981
OBIN1000-GAZYVA 1000MG/40ML
Gross
$36,173
J9301
$20,981
OBIN1000-GAZYVA 1000MG/40ML
Gross
$36,173
J3101
$20,212
TENECTEPLASE 50 MG KIT
Gross
$34,848
J3101
$20,212
TENECTEPLASE 50 MG KIT
Gross
$34,848
J9299
$18,598
NIVOLUMAB 240 MG/24 ML VIAL
Gross
$32,066
J9299
$18,598
NIVOLUMAB 240 MG/24 ML VIAL
Gross
$32,066
J1459
$16,318
IMM GLOB G(IGG)/PRO/0-50 400ML
Gross
$28,135
J1459
$16,318
IMM GLOB G(IGG)/PRO/0-50 400ML
Gross
$28,135
J2426
$16,312
INVEGA TRINZA 546 MG/1.75 ML
Gross
$28,125
J2426
$16,312
INVEGA TRINZA 546 MG/1.75 ML
Gross
$28,125
J9271
$14,085
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$24,285
J9271
$14,085
PEMBROLIZUMAB 100 MG/4 ML VIAL
Gross
$24,285
J1300
$13,242
ECULIZUMAB 300 MG/30 ML SDV
Gross
$22,831
J1300
$13,242
ECULIZUMAB 300 MG/30 ML SDV
Gross
$22,831
J0717
$13,156
CERTOLIZUMAB PEGOL 400 MG KIT
Gross
$22,682
J0717
$13,156
CERTOLIZUMAB PEGOL 400 MG KIT
Gross
$22,682
J2506
$13,029
PEGFILGRASTIM 6 MG/0.6 ML SYR
Gross
$22,463
J2506
$13,029
PEGFILGRASTIM 6 MG/0.6 ML SYR
Gross
$22,463
J2796
$12,774
ROMIPLOSTIM 500 MCG VIAL
Gross
$22,024
J2796
$12,774
ROMIPLOSTIM 500 MCG VIAL
Gross
$22,024
J9312
$11,443
RITUXIMAB 500 MG/50 ML SDV
Gross
$19,730
J9312
$11,443
RITUXIMAB 500 MG/50 ML SDV
Gross
$19,730
J2356
$10,643
TEZEPEL-EKKO 210MG/1.91ML SYR
Gross
$18,350
J2356
$10,643
TEZEPEL-EKKO 210MG/1.91ML SYR
Gross
$18,350
J2353
$10,597
OCTREOTIDE 20 MG KIT
Gross
$18,270
J2353
$10,597
OCTREOTIDE 20 MG KIT
Gross
$18,270
Q5115
$10,299
RITUXIMAB-ABBS 500MG/50ML VIAL
Gross
$17,757
Q5115
$10,299
RITUXIMAB-ABBS 500MG/50ML VIAL
Gross
$17,757
Q5111
$10,170
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$17,535
Q5111
$10,170
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$17,535
J1162
$9,709
DIGOXIN IMMUNE FAB 40 MG VIAL
Gross
$16,741
J1162
$9,709
DIGOXIN IMMUNE FAB 40 MG VIAL
Gross
$16,741
J0565
$9,257
BEZLOTOXUMAB 1000 MG/40 ML
Gross
$15,960
J0565
$9,257
BEZLOTOXUMAB 1000 MG/40 ML
Gross
$15,960
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $35,548 | $44,741 | $58,837 | 5 |
| J3241 | TEPROTUMUMAB 500 MG/VIAL | $61,289 | $35,548 | $383 | $58,837 | 9 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $34,992 | $44,042 | $57,918 | 5 |
| J3245 | TILDRAK-ASMN 100 MG/ML SYRINGE | $60,331 | $34,992 | $143 | $57,918 | 9 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML VIAL | $47,258 | $27,409 | $34,498 | $45,367 | 5 |
| J9022 | ATEZOLIZUMAB 1200 MG/20ML VIAL | $47,258 | $27,409 | $96.98 | $45,367 | 9 |
| J2329 | UBLITUXIMAB-XIIY 150 MG | $46,662 | $27,064 | $34,063 | $44,796 | 5 |
| J2329 | UBLITUXIMAB-XIIY 150 MG | $46,662 | $27,064 | $14,932 | $44,796 | 8 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $42,095 | $24,415 | $30,729 | $40,411 | 5 |
| J9144 | DARATUM-HYALURONI-FIHJ 15ML VL | $42,095 | $24,415 | $57.49 | $40,411 | 9 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $39,312 | $22,801 | $28,697 | $37,739 | 5 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $39,312 | $22,801 | $22.96 | $37,739 | 9 |
| J2997 | ALTEPLASE 100 MG VIAL | $36,962 | $21,438 | $26,982 | $35,483 | 5 |
| J2997 | ALTEPLASE 100 MG VIAL | $36,962 | $21,438 | $99.23 | $35,483 | 9 |
| J2327 | SKYRIZI 600 MG/10 ML SDV | $36,304 | $21,057 | $26,502 | $34,852 | 5 |
| J2327 | SKYRIZI 600 MG/10 ML SDV | $36,304 | $21,057 | $11,617 | $34,852 | 8 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $20,981 | $26,407 | $34,726 | 5 |
| J9301 | OBIN1000-GAZYVA 1000MG/40ML | $36,173 | $20,981 | $81.6 | $34,726 | 9 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $20,212 | $25,439 | $33,455 | 5 |
| J3101 | TENECTEPLASE 50 MG KIT | $34,848 | $20,212 | $176 | $33,455 | 9 |
| J9299 | NIVOLUMAB 240 MG/24 ML VIAL | $32,066 | $18,598 | $23,408 | $30,783 | 5 |
| J9299 | NIVOLUMAB 240 MG/24 ML VIAL | $32,066 | $18,598 | $35.1 | $30,783 | 9 |
| J1459 | IMM GLOB G(IGG)/PRO/0-50 400ML | $28,135 | $16,318 | $20,539 | $27,010 | 5 |
| J1459 | IMM GLOB G(IGG)/PRO/0-50 400ML | $28,135 | $16,318 | $53.35 | $27,010 | 9 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $16,312 | $20,531 | $27,000 | 5 |
| J2426 | INVEGA TRINZA 546 MG/1.75 ML | $28,125 | $16,312 | $15.99 | $27,000 | 9 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $14,085 | $17,728 | $23,313 | 5 |
| J9271 | PEMBROLIZUMAB 100 MG/4 ML VIAL | $24,285 | $14,085 | $64.39 | $23,313 | 9 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $13,242 | $16,666 | $21,917 | 5 |
| J1300 | ECULIZUMAB 300 MG/30 ML SDV | $22,831 | $13,242 | $7,306 | $21,917 | 8 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $13,156 | $16,558 | $21,775 | 5 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG KIT | $22,682 | $13,156 | $4.32 | $21,775 | 9 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SYR | $22,463 | $13,029 | $16,398 | $21,564 | 5 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SYR | $22,463 | $13,029 | $7,188 | $21,564 | 8 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $12,774 | $16,078 | $21,143 | 5 |
| J2796 | ROMIPLOSTIM 500 MCG VIAL | $22,024 | $12,774 | $7,048 | $21,143 | 8 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $11,443 | $14,403 | $18,941 | 5 |
| J9312 | RITUXIMAB 500 MG/50 ML SDV | $19,730 | $11,443 | $82.92 | $18,941 | 9 |
| J2356 | TEZEPEL-EKKO 210MG/1.91ML SYR | $18,350 | $10,643 | $13,395 | $17,616 | 5 |
| J2356 | TEZEPEL-EKKO 210MG/1.91ML SYR | $18,350 | $10,643 | $5,872 | $17,616 | 8 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $10,597 | $13,337 | $17,539 | 5 |
| J2353 | OCTREOTIDE 20 MG KIT | $18,270 | $10,597 | $222 | $17,539 | 9 |
| Q5115 | RITUXIMAB-ABBS 500MG/50ML VIAL | $17,757 | $10,299 | $12,962 | $17,046 | 5 |
| Q5115 | RITUXIMAB-ABBS 500MG/50ML VIAL | $17,757 | $10,299 | $33.34 | $17,046 | 9 |
| Q5111 | PEGFILGRASTIM 6MG/0.6ML SYR | $17,535 | $10,170 | $12,801 | $16,834 | 5 |
| Q5111 | PEGFILGRASTIM 6MG/0.6ML SYR | $17,535 | $10,170 | $177 | $16,834 | 9 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $16,741 | $9,709 | $12,221 | $16,071 | 5 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $16,741 | $9,709 | $5,357 | $16,071 | 9 |
| J0565 | BEZLOTOXUMAB 1000 MG/40 ML | $15,960 | $9,257 | $11,651 | $15,322 | 5 |
| J0565 | BEZLOTOXUMAB 1000 MG/40 ML | $15,960 | $9,257 | $43.25 | $15,322 | 9 |
Showing top 50 of 5,769 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.