45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published
○Gross / standard charges
●Discounted cash price
●Payer-specific negotiated rates
●Min / max negotiated charges
●Free, public, no login required
Procedures listed
10,201
Insurances with rates
16
CPT / HCPCS codes
5,550
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1937 | NF-GATTEX MULTIPLE ROUTE KIT 5MG | $157,755 | $110,429 | $61,524 | $143,557 | 33 |
| J3357 | USTEKINUMAB 90 MG SYRINGE | $133,456 | $93,419 | $171 | $121,445 | 38 |
| J2350 | OCRELIZUMAB 300 MG/10 ML VIAL | $99,682 | $69,777 | $58.91 | $90,711 | 38 |
| 1998 | NF-NYSTATIN POWDER | $90,309 | $63,216 | $35,221 | $82,181 | 33 |
| 26008088 | OCRELIZUMAB 300 MG/250 ML IVPB | $83,068 | $58,148 | $32,397 | $75,592 | 33 |
| 26008089 | OCRELIZUMAB 600 MG/500 ML IVPB | $83,068 | $58,148 | $32,397 | $75,592 | 33 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG VIAL | $49,253 | $34,477 | $197 | $44,820 | 38 |
| J3380 | VEDOLIZUMAB 300 MG VIAL | $43,337 | $30,336 | $21.29 | $39,436 | 38 |
| J9043 | CABAZITAXEL 60 MG/1.5 ML KIT | $42,336 | $29,635 | $191 | $38,526 | 38 |
| J3101 | TENECTEPLASE 50 MG VIAL | $38,704 | $27,093 | $135 | $35,221 | 38 |
| C1721 | ICD-DR EVERA MRI XT DR SURESCAN (TRUNK) | $37,212 | $26,048 | $14,513 | $33,863 | 33 |
| J9015 | ALDESLEUKIN 22 MILLION IU VIAL | $27,894 | $19,526 | $2,111 | $25,383 | 38 |
| 641404 | MTP FUSION KIT | $27,410 | $19,187 | $10,690 | $24,943 | 33 |
| J9039 | BLINATUMOMAB 35 MCG VIAL | $25,264 | $17,685 | $124 | $22,990 | 38 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG VIAL | $23,668 | $16,567 | $4,128 | $21,538 | 38 |
| 26007471 | ACTIVASE (ALTEPLASE) 100 MG/100 ML | $23,455 | $16,418 | $9,147 | $21,344 | 33 |
| J9354 | ADO-TRASTUZUMAB 100 MG VIAL | $19,633 | $13,743 | $34.15 | $17,866 | 38 |
| J0630 | CALCITONIN INJECTION 400 IU/ 2 ML | $18,654 | $13,058 | $2,842 | $16,975 | 38 |
| J9047 | CARFILZOMIB 60 MG VIAL | $15,360 | $10,752 | $41.11 | $13,978 | 38 |
| 641195 | MATRIX, ACTIVE 200 | $14,758 | $10,331 | $5,756 | $13,430 | 33 |
| C1786 | PACEMAKER SINGLE RATE-RESP | $12,788 | $8,952 | $4,987 | $11,637 | 33 |
| C1785 | IPG ADVISA DR MRI US MR | $12,068 | $8,448 | $4,707 | $10,982 | 33 |
| J1602 | GOLIMUMAB ARIA 50 MG/4 ML VIAL | $11,907 | $8,335 | $16.1 | $10,835 | 38 |
| C1895 | LEAD DF4 ACTIVE DC US EN (TRUNK) | $10,869 | $7,608 | $4,239 | $9,891 | 33 |
| 1971 | NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG/0.4 | $10,836 | $7,585 | $4,226 | $9,861 | 33 |
| J3358 | USTEKINUMAB 130 MG VIAL | $10,476 | $7,333 | $11.62 | $9,533 | 38 |
| J0875 | DALBAVANCIN 500 MG VIAL | $9,697 | $6,788 | $15.89 | $8,824 | 38 |
| J9041 | BORTEZOMIB 3.5 MG VIAL | $9,547 | $6,683 | $44.79 | $8,688 | 38 |
| 641055 | MATRIX, ACTIVE 100 | $9,530 | $6,671 | $3,717 | $8,672 | 33 |
| J0178 | AFLIBERCEPT 100 MG/4 ML VIAL | $9,529 | $6,670 | $916 | $8,671 | 38 |
| 26007966 | HUMULIN R * U-500 * 500 UNITS/ML | $8,856 | $6,199 | $3,454 | $8,059 | 33 |
| 641238 | TALAR IMPLANT KIT 9MM 340-0002SP | $8,824 | $6,177 | $3,441 | $8,030 | 33 |
| 640462 | MESH, SURGIMESH TINTRAE2226 | $8,650 | $6,055 | $3,374 | $7,872 | 33 |
| J2505 | NEULASTA(PEGFILGRASTIM)6MG/0.6ML SYRINGE | $8,256 | $5,779 | $3,220 | $7,513 | 33 |
| 640637 | GRAFT JACKET | $8,049 | $5,634 | $3,139 | $7,325 | 33 |
| 640694 | MESH, SURGIMESH TINTRAOK1522 | $8,002 | $5,601 | $3,121 | $7,282 | 33 |
| J7168 | KCENTRA 500 UNIT VIAL | $7,870 | $5,509 | $3,069 | $7,162 | 33 |
| 641108 | MICROMATRIX 1000MG C | $7,661 | $5,363 | $2,988 | $6,972 | 33 |
| 640791 | ESSUR BIRTH CONTROL DEVICE | $7,425 | $5,198 | $2,896 | $6,757 | 33 |
| 641317 | SUBTALAR MBA IMPLANT 10MM | $7,416 | $5,191 | $2,892 | $6,749 | 33 |
| 641146 | ACTIVE BARRIER 45 | $7,344 | $5,141 | $2,864 | $6,683 | 33 |
| J3240 | THYROGEN INTRAMUSCULAR PWDFORSOLN 1.1MG | $6,871 | $4,810 | $1,858 | $6,252 | 38 |
| 641188 | TRANSFIXATION FUSION PLATE/LFT | $6,771 | $4,740 | $2,641 | $6,162 | 33 |
| 640994 | MESH, SURGIMESH TINTRAE1522 | $6,570 | $4,599 | $2,562 | $5,979 | 33 |
| 1564 | NF-INVEGA SUSTENNA IM SUSP ER 234MG | $6,504 | $4,553 | $2,537 | $5,919 | 33 |
| 641252 | MESH PHYSIOMESH OPEN SKIRTED 20X30 C | $6,234 | $4,364 | $2,431 | $5,673 | 33 |
| C1713 | IMPLANT SMALL CANULATED | $6,055 | $4,239 | $2,361 | $5,510 | 33 |
| 641143 | MATRIX, ACTIVE 50 | $5,741 | $4,019 | $2,239 | $5,224 | 33 |
| 641208 | MICROMATRIX 500MG C | $5,678 | $3,975 | $2,214 | $5,167 | 33 |
| 8061194 | AMNION MATRIX 3 CM X 4 CM GRAFT | $5,650 | $3,955 | $2,204 | $5,142 | 33 |
Showing top 50 of 10,201 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.