45 CFR § 180 compliance
B · 80
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
3,830
Insurances with rates
0
CPT / HCPCS codes
1,816
Source MRF
Most expensive procedures (gross)
J2350
$25,473
OCRELIZUMAB SOLN FOR IV INFUSION 300 MG/10ML
Gross
$28,303
J9022
$17,562
ATEZOLIZUMAB IV SOLN 1200 MG/20ML
Gross
$19,513
J9144
$14,662
DARATUMUMAB-HYALURONIDASE-FIHJ INJ 1800-30000 MG-UNIT/15ML
Gross
$16,291
J9042
$13,586
BRENTUXIMAB VEDOTIN FOR IV SOLN 50 MG
Gross
$15,096
J3380
$13,516
VEDOLIZUMAB FOR IV SOLUTION 300 MG
Gross
$15,018
32994
$13,128
Hc Pr 32994 Ablate Pulm Tumor Perq Crybl
Gross
$14,587
J9228
$12,992
IPILIMUMAB SOLN FOR IV INFUSION 50 MG/10ML (5 MG/ML)
Gross
$14,436
J9223
$12,818
LURBINECTEDIN FOR IV SOLN 4 MG
Gross
$14,242
J2323
$12,800
NATALIZUMAB FOR IV INJ CONC 300 MG/15ML
Gross
$14,223
J9301
$12,727
OBINUTUZUMAB SOLN FOR IV INFUSION 1000 MG/40ML (25 MG/ML)
Gross
$14,141
J9311
$11,439
RITUXIMAB-HYALURONIDASE HUMAN INJ 1600-26800 MG-UNIT/13.4ML
Gross
$12,710
J9306
$9,437
PERTUZUMAB SOLN FOR IV INFUSION 420 MG/14ML (30 MG/ML)
Gross
$10,485
31298
$8,231
Hc Pr 31298 Nasal/sinus Ndsc W/sins Dilat
Gross
$9,146
43288
$8,132
Hc Pr 43288 Esphg Thrsc Moblj
Gross
$9,036
55874
$7,905
Hc Pr 55874 Tprnl Plmt Biodegrdabl Matrl W/img Guidance
Gross
$8,783
43287
$7,794
Hc Pr 43287 Esphg Dstl 2/3 W/laps Moblj
Gross
$8,660
J3590
$7,302
IDARUCIZUMAB IV SOLN 2.5 GM/50ML
Gross
$8,113
43286
$6,824
Hc Pr 43286 Esphg Tot W/laps Moblj
Gross
$7,582
45388
$6,615
Hc Pr 45388 Colonoscopy W/ablation
Gross
$7,350
J1162
$6,548
DIGOXIN IMMUNE FAB FOR INJ 40 MG
Gross
$7,276
J2506
$6,077
PEGFILGRASTIM SOLN PREFILLED SYRINGE 6 MG/0.6ML
Gross
$6,752
J0565
$5,783
BEZLOTOXUMAB IV SOLN 1000 MG/40ML (25 MG/ML)
Gross
$6,426
33927
$5,533
Hc Pr 33927 Impltj Tot Rplcmt Hrt Sys
Gross
$6,148
59510
$5,504
Hc Pr 59510 Total Ob/cesarean Delivery/pp Car
Gross
$6,115
Custom 3253621WWM
$5,323
Hc Or Allograft P.l.#0741531
Gross
$5,914
J9352
$5,285
TRABECTEDIN FOR INJ 1 MG
Gross
$5,872
Custom 17310001
$5,230
Hc R&b Nursery/level 3
Gross
$5,811
J9299
$5,227
NIVOLUMAB IV SOLN 100 MG/10ML
Gross
$5,807
J3101
$5,160
TENECTEPLASE FOR IV SOLN KIT 50 MG
Gross
$5,733
J2353
$5,106
OCTREOTIDE ACETATE FOR IM INJ KIT 10 MG
Gross
$5,673
21406
$5,104
Hc Ed Opn Tx Orbit Fx W/o Implant Cdm
Gross
$5,671
Custom 20610001
$5,087
Hc Intensive Care Intermediate
Gross
$5,652
Q5119
$5,042
RITUXIMAB-PVVR IV SOLN 500 MG/50ML (10 MG/ML)
Gross
$5,602
J2182
$5,005
MEPOLIZUMAB SUBCUTANEOUS SOLUTION PREF SYRINGE 100 MG/ML
Gross
$5,562
Custom 36010152
$4,995
HC OPERATING ROOM SERVICES LEVEL 7 1ST 30 MINS
Gross
$5,550
59400
$4,956
Hc Pr 59400 Total Ob/vaginal Delivery/pp Care
Gross
$5,507
J9358
$4,456
FAM-TRASTUZUMAB DERUXTECAN-NXKI FOR IV SOLN 100 MG
Gross
$4,951
Custom 36010151
$4,455
Hc Operating Room Services Level 6 1st 30 Mins
Gross
$4,950
J9145
$4,368
DARATUMUMAB IV SOLN 400 MG/20ML
Gross
$4,854
C9482
$4,245
SOTALOL HCL INJ 150 MG/10ML (15 MG/ML)
Gross
$4,717
0191T
$4,158
Hc Or Istent
Gross
$4,620
44180
$4,059
Hc Pr 44180 Laparoscopy Enterolysis
Gross
$4,510
81162
$4,029
HC BRCA1&BRCA2 FULL SEQ ANALYS/FULL DUP/DEL ANALYS (RL)
Gross
$4,477
Custom 3253689WWM
$4,028
Hc Or Graft 8 Layer 13x15
Gross
$4,476
58575
$4,019
Hc Pr 58575 Laps Tot Hyst Resj Mal
Gross
$4,466
Custom 3253637WWM
$3,961
Hc Or Allograft Btb 17817000
Gross
$4,401
Custom 3253630WWM
$3,961
Hc Or Allograft Pl
Gross
$4,401
J0897
$3,947
DENOSUMAB INJ 120 MG/1.7ML
Gross
$4,385
Custom 20610002
$3,918
Hc Intensive Care Intermediate W/telemetry
Gross
$4,353
Custom 36010150
$3,915
Hc Operating Room Services Level 5 1st 30 Mins
Gross
$4,350
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCRELIZUMAB SOLN FOR IV INFUSION 300 MG/10ML | $28,303 | $25,473 | $26,888 | $27,737 | 0 |
| J9022 | ATEZOLIZUMAB IV SOLN 1200 MG/20ML | $19,513 | $17,562 | $18,538 | $19,123 | 0 |
| J9144 | DARATUMUMAB-HYALURONIDASE-FIHJ INJ 1800-30000 MG-UNIT/15ML | $16,291 | $14,662 | $15,477 | $15,965 | 0 |
| J9042 | BRENTUXIMAB VEDOTIN FOR IV SOLN 50 MG | $15,096 | $13,586 | $14,341 | $14,794 | 0 |
| J3380 | VEDOLIZUMAB FOR IV SOLUTION 300 MG | $15,018 | $13,516 | $14,267 | $14,718 | 0 |
| 32994 | Hc Pr 32994 Ablate Pulm Tumor Perq Crybl | $14,587 | $13,128 | $845 | $14,149 | 0 |
| J9228 | IPILIMUMAB SOLN FOR IV INFUSION 50 MG/10ML (5 MG/ML) | $14,436 | $12,992 | $13,714 | $14,147 | 0 |
| J9223 | LURBINECTEDIN FOR IV SOLN 4 MG | $14,242 | $12,818 | $13,530 | $13,958 | 0 |
| J2323 | NATALIZUMAB FOR IV INJ CONC 300 MG/15ML | $14,223 | $12,800 | $13,511 | $13,938 | 0 |
| J9301 | OBINUTUZUMAB SOLN FOR IV INFUSION 1000 MG/40ML (25 MG/ML) | $14,141 | $12,727 | $13,434 | $13,858 | 0 |
| J9311 | RITUXIMAB-HYALURONIDASE HUMAN INJ 1600-26800 MG-UNIT/13.4ML | $12,710 | $11,439 | $12,074 | $12,456 | 0 |
| J9306 | PERTUZUMAB SOLN FOR IV INFUSION 420 MG/14ML (30 MG/ML) | $10,485 | $9,437 | $9,961 | $10,275 | 0 |
| 31298 | Hc Pr 31298 Nasal/sinus Ndsc W/sins Dilat | $9,146 | $8,231 | $503 | $8,872 | 0 |
| 43288 | Hc Pr 43288 Esphg Thrsc Moblj | $9,036 | $8,132 | $7,288 | $8,765 | 0 |
| 55874 | Hc Pr 55874 Tprnl Plmt Biodegrdabl Matrl W/img Guidance | $8,783 | $7,905 | $319 | $8,520 | 0 |
| 43287 | Hc Pr 43287 Esphg Dstl 2/3 W/laps Moblj | $8,660 | $7,794 | $6,902 | $8,400 | 0 |
| J3590 | IDARUCIZUMAB IV SOLN 2.5 GM/50ML | $8,113 | $7,302 | $7,708 | $7,951 | 0 |
| 43286 | Hc Pr 43286 Esphg Tot W/laps Moblj | $7,582 | $6,824 | $6,207 | $7,355 | 0 |
| 45388 | Hc Pr 45388 Colonoscopy W/ablation | $7,350 | $6,615 | $525 | $7,130 | 0 |
| J1162 | DIGOXIN IMMUNE FAB FOR INJ 40 MG | $7,276 | $6,548 | $6,912 | $7,131 | 0 |
| J2506 | PEGFILGRASTIM SOLN PREFILLED SYRINGE 6 MG/0.6ML | $6,752 | $6,077 | $6,414 | $6,617 | 0 |
| J0565 | BEZLOTOXUMAB IV SOLN 1000 MG/40ML (25 MG/ML) | $6,426 | $5,783 | $6,104 | $6,297 | 0 |
| 33927 | Hc Pr 33927 Impltj Tot Rplcmt Hrt Sys | $6,148 | $5,533 | $4,915 | $5,964 | 0 |
| 59510 | Hc Pr 59510 Total Ob/cesarean Delivery/pp Car | $6,115 | $5,504 | $5,249 | $5,932 | 0 |
| Custom 3253621WWM | Hc Or Allograft P.l.#0741531 | $5,914 | $5,323 | $5,618 | $5,796 | 0 |
| J9352 | TRABECTEDIN FOR INJ 1 MG | $5,872 | $5,285 | $5,579 | $5,755 | 0 |
| Custom 17310001 | Hc R&b Nursery/level 3 | $5,811 | $5,230 | $5,520 | $5,695 | 0 |
| J9299 | NIVOLUMAB IV SOLN 100 MG/10ML | $5,807 | $5,227 | $5,517 | $5,691 | 0 |
| J3101 | TENECTEPLASE FOR IV SOLN KIT 50 MG | $5,733 | $5,160 | $5,446 | $5,618 | 0 |
| J2353 | OCTREOTIDE ACETATE FOR IM INJ KIT 10 MG | $5,673 | $5,106 | $5,390 | $5,560 | 0 |
| 21406 | Hc Ed Opn Tx Orbit Fx W/o Implant Cdm | $5,671 | $5,104 | $5,387 | $5,558 | 0 |
| Custom 20610001 | Hc Intensive Care Intermediate | $5,652 | $5,087 | $5,369 | $5,539 | 0 |
| Q5119 | RITUXIMAB-PVVR IV SOLN 500 MG/50ML (10 MG/ML) | $5,602 | $5,042 | $5,322 | $5,490 | 0 |
| J2182 | MEPOLIZUMAB SUBCUTANEOUS SOLUTION PREF SYRINGE 100 MG/ML | $5,562 | $5,005 | $5,283 | $5,450 | 0 |
| Custom 36010152 | HC OPERATING ROOM SERVICES LEVEL 7 1ST 30 MINS | $5,550 | $4,995 | $5,273 | $5,439 | 0 |
| 59400 | Hc Pr 59400 Total Ob/vaginal Delivery/pp Care | $5,507 | $4,956 | $4,744 | $5,342 | 0 |
| J9358 | FAM-TRASTUZUMAB DERUXTECAN-NXKI FOR IV SOLN 100 MG | $4,951 | $4,456 | $4,704 | $4,852 | 0 |
| Custom 36010151 | Hc Operating Room Services Level 6 1st 30 Mins | $4,950 | $4,455 | $4,703 | $4,851 | 0 |
| J9145 | DARATUMUMAB IV SOLN 400 MG/20ML | $4,854 | $4,368 | $4,611 | $4,757 | 0 |
| C9482 | SOTALOL HCL INJ 150 MG/10ML (15 MG/ML) | $4,717 | $4,245 | $4,481 | $4,623 | 0 |
| 0191T | Hc Or Istent | $4,620 | $4,158 | $4,389 | $4,528 | 0 |
| 44180 | Hc Pr 44180 Laparoscopy Enterolysis | $4,510 | $4,059 | $1,812 | $4,375 | 0 |
| 81162 | HC BRCA1&BRCA2 FULL SEQ ANALYS/FULL DUP/DEL ANALYS (RL) | $4,477 | $4,029 | $4,253 | $4,387 | 0 |
| Custom 3253689WWM | Hc Or Graft 8 Layer 13x15 | $4,476 | $4,028 | $4,252 | $4,386 | 0 |
| 58575 | Hc Pr 58575 Laps Tot Hyst Resj Mal | $4,466 | $4,019 | $3,809 | $4,332 | 0 |
| Custom 3253637WWM | Hc Or Allograft Btb 17817000 | $4,401 | $3,961 | $4,181 | $4,313 | 0 |
| Custom 3253630WWM | Hc Or Allograft Pl | $4,401 | $3,961 | $4,181 | $4,313 | 0 |
| J0897 | DENOSUMAB INJ 120 MG/1.7ML | $4,385 | $3,947 | $4,166 | $4,298 | 0 |
| Custom 20610002 | Hc Intensive Care Intermediate W/telemetry | $4,353 | $3,918 | $4,135 | $4,266 | 0 |
| Custom 36010150 | Hc Operating Room Services Level 5 1st 30 Mins | $4,350 | $3,915 | $4,133 | $4,263 | 0 |
Showing top 50 of 3,830 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.