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
5,642
Insurances with rates
16
CPT / HCPCS codes
3,732
Source MRF
Most expensive procedures (gross)
J9029
$80,745
INSTILL ADSTILADRIN, TX DOSE
Gross
$161,490
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
00173-0898-03
$46,252
Jemperli
Gross
$92,505
00024-5823-15
$45,908
INJECTION; CABAZITAXEL; 1 MG
Gross
$91,817
50242-0150-01
$41,282
Ocrevus
Gross
$82,564
50242-0105-01
$36,139
Polivy
Gross
$72,277
00003-2327-11
$35,509
Yervoy
Gross
$71,017
00003-3734-13
$30,539
Opdivo
Gross
$61,077
50242-0245-01
$26,635
Phesgo
Gross
$53,269
00310-4611-50
$24,767
Imfinzi
Gross
$49,535
00006-3026-02
$23,591
Keytruda
Gross
$47,182
00006-3026-01
$23,128
Keytruda
Gross
$46,257
00006-3026-04
$23,128
Keytruda
Gross
$46,257
69645
$22,950
EXTENSIVE REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE
Gross
$45,899
50242-0917-01
$21,848
Tecentriq
Gross
$43,696
61755-0008-01
$21,214
Libtayo
Gross
$42,427
C9765
$21,209
REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY(IES); EXCEPT TIBIAL/PE
Gross
$42,417
69643
$20,950
REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE
Gross
$41,899
69641
$20,300
COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE
Gross
$40,599
57894-0503-01
$19,945
Darzalex Faspro
Gross
$39,890
00003-3774-12
$19,468
Opdivo
Gross
$38,937
15054-1120-04
$19,124
Somatuline Depot
Gross
$38,248
50242-0053-06
$18,790
Rituxan
Gross
$37,581
C1826
$18,145
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO
Gross
$36,290
50242-0260-01
$17,756
Phesgo
Gross
$35,511
00078-0818-81
$17,641
SandoSTATIN LAR Depot
Gross
$35,282
64764-0300-20
$17,333
Entyvio
Gross
$34,666
69642
$17,175
REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH REMOVAL OF MIDDLE EAR BONE
Gross
$34,350
51144-0030-01
$16,854
Padcev
Gross
$33,708
C1815
$16,283
PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE)
Gross
$32,566
50242-0085-27
$16,170
Activase
Gross
$32,340
C1820
$16,105
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING
Gross
$32,210
00003-3756-14
$15,575
Opdivo
Gross
$31,149
66733-0958-23
$15,519
Erbitux
Gross
$31,038
50242-0070-01
$15,503
Gazyva
Gross
$31,006
00944-2658-04
$15,186
Gammagard S/D (IgA less than 1 mcg/mL)
Gross
$30,373
00944-2659-08
$15,186
INJECTION; IMMUNE GLOBULIN; INTRAVENOUS; LYOPHILIZED (E.G. POWDER); NOT OTHERWISE SPECIFIED; 500 MG
Gross
$30,373
C1767
$15,085
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE
Gross
$30,170
37218
$14,687
STENT PLACEMT ANTE CAROTID
Gross
$29,373
27759
$13,588
TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD
Gross
$27,175
00078-0825-81
$13,208
SandoSTATIN LAR Depot
Gross
$26,416
55513-0956-01
$12,653
Vectibix
Gross
$25,305
50242-0087-01
$12,578
Kadcyla
Gross
$25,156
19307
$12,465
REMOVAL OF BREAST AND UNDERARM LYMPH NODES
Gross
$24,929
0441T
$12,205
FREEZING DESTRUCTION OF NERVE IN LEG; ACCESSED THROUGH THE SKIN; USING IMAGING GUIDANCE
Gross
$24,410
27814
$11,613
TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE
Gross
$23,225
C1813
$11,505
PROSTHESIS; PENILE; INFLATABLE
Gross
$23,010
C2622
$11,503
PROSTHESIS; PENILE; NON-INFLATABLE
Gross
$23,007
22612
$11,475
FUSION OF SPINE IN LOWER BACK
Gross
$22,950
33264
$11,177
RMVL & RPLCMT DFB GEN MLT LD
Gross
$22,354
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $161,490 | $80,745 | — | — | 19 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 19 |
| 00173-0898-03 | Jemperli | $92,505 | $46,252 | — | — | 19 |
| 00024-5823-15 | INJECTION; CABAZITAXEL; 1 MG | $91,817 | $45,908 | — | — | 15 |
| 50242-0150-01 | Ocrevus | $82,564 | $41,282 | — | — | 19 |
| 50242-0105-01 | Polivy | $72,277 | $36,139 | — | — | 15 |
| 00003-2327-11 | Yervoy | $71,017 | $35,509 | — | — | 19 |
| 00003-3734-13 | Opdivo | $61,077 | $30,539 | — | — | 19 |
| 50242-0245-01 | Phesgo | $53,269 | $26,635 | — | — | 15 |
| 00310-4611-50 | Imfinzi | $49,535 | $24,767 | — | — | 15 |
| 00006-3026-02 | Keytruda | $47,182 | $23,591 | — | — | 19 |
| 00006-3026-01 | Keytruda | $46,257 | $23,128 | — | — | 19 |
| 00006-3026-04 | Keytruda | $46,257 | $23,128 | — | — | 19 |
| 69645 | EXTENSIVE REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE | $45,899 | $22,950 | — | — | 15 |
| 50242-0917-01 | Tecentriq | $43,696 | $21,848 | — | — | 19 |
| 61755-0008-01 | Libtayo | $42,427 | $21,214 | — | — | 15 |
| C9765 | REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY(IES); EXCEPT TIBIAL/PE | $42,417 | $21,209 | — | — | 15 |
| 69643 | REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE | $41,899 | $20,950 | — | — | 15 |
| 69641 | COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE | $40,599 | $20,300 | — | — | 15 |
| 57894-0503-01 | Darzalex Faspro | $39,890 | $19,945 | — | — | 19 |
| 00003-3774-12 | Opdivo | $38,937 | $19,468 | — | — | 19 |
| 15054-1120-04 | Somatuline Depot | $38,248 | $19,124 | — | — | 19 |
| 50242-0053-06 | Rituxan | $37,581 | $18,790 | — | — | 15 |
| C1826 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO | $36,290 | $18,145 | — | — | 1 |
| 50242-0260-01 | Phesgo | $35,511 | $17,756 | — | — | 15 |
| 00078-0818-81 | SandoSTATIN LAR Depot | $35,282 | $17,641 | — | — | 15 |
| 64764-0300-20 | Entyvio | $34,666 | $17,333 | — | — | 15 |
| 69642 | REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH REMOVAL OF MIDDLE EAR BONE | $34,350 | $17,175 | — | — | 15 |
| 51144-0030-01 | Padcev | $33,708 | $16,854 | — | — | 19 |
| C1815 | PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE) | $32,566 | $16,283 | — | — | 1 |
| 50242-0085-27 | Activase | $32,340 | $16,170 | — | — | 19 |
| C1820 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING | $32,210 | $16,105 | — | — | 1 |
| 00003-3756-14 | Opdivo | $31,149 | $15,575 | — | — | 19 |
| 66733-0958-23 | Erbitux | $31,038 | $15,519 | — | — | 15 |
| 50242-0070-01 | Gazyva | $31,006 | $15,503 | — | — | 19 |
| 00944-2658-04 | Gammagard S/D (IgA less than 1 mcg/mL) | $30,373 | $15,186 | — | — | 15 |
| 00944-2659-08 | INJECTION; IMMUNE GLOBULIN; INTRAVENOUS; LYOPHILIZED (E.G. POWDER); NOT OTHERWISE SPECIFIED; 500 MG | $30,373 | $15,186 | — | — | 15 |
| C1767 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE | $30,170 | $15,085 | — | — | 1 |
| 37218 | STENT PLACEMT ANTE CAROTID | $29,373 | $14,687 | — | — | 17 |
| 27759 | TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD | $27,175 | $13,588 | — | — | 15 |
| 00078-0825-81 | SandoSTATIN LAR Depot | $26,416 | $13,208 | — | — | 15 |
| 55513-0956-01 | Vectibix | $25,305 | $12,653 | — | — | 19 |
| 50242-0087-01 | Kadcyla | $25,156 | $12,578 | — | — | 15 |
| 19307 | REMOVAL OF BREAST AND UNDERARM LYMPH NODES | $24,929 | $12,465 | — | — | 15 |
| 0441T | FREEZING DESTRUCTION OF NERVE IN LEG; ACCESSED THROUGH THE SKIN; USING IMAGING GUIDANCE | $24,410 | $12,205 | — | — | 15 |
| 27814 | TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE | $23,225 | $11,613 | — | — | 15 |
| C1813 | PROSTHESIS; PENILE; INFLATABLE | $23,010 | $11,505 | — | — | 1 |
| C2622 | PROSTHESIS; PENILE; NON-INFLATABLE | $23,007 | $11,503 | — | — | 1 |
| 22612 | FUSION OF SPINE IN LOWER BACK | $22,950 | $11,475 | — | — | 20 |
| 33264 | RMVL & RPLCMT DFB GEN MLT LD | $22,354 | $11,177 | — | — | 20 |
Showing top 50 of 5,642 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.