45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,208
Insurances with rates
13
CPT / HCPCS codes
1,895
Most expensive procedures (gross)
J2350
$86,126
Ocrelizumab 300 Mg/10 Ml
Gross
$88,789
J2350
$86,126
Ocrelizumab 300 Mg/10 Ml
Gross
$88,789
J3380
$37,975
Vedolizumab 300 MG Vial
Gross
$39,149
J3380
$37,975
Vedolizumab 300 MG Vial
Gross
$39,149
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J9306
$28,780
Pertuzumab 420 MG/14 ML Vial
Gross
$29,670
J9306
$28,780
Pertuzumab 420 MG/14 ML Vial
Gross
$29,670
J2353
$27,007
Octreotide (Depot) 30 MG Syr
Gross
$27,842
J2353
$27,007
Octreotide (Depot) 30 MG Syr
Gross
$27,842
J9271
$25,258
Pembrolizumab 100 MG/4 ML Vial
Gross
$26,038
J9271
$25,258
Pembrolizumab 100 MG/4 ML Vial
Gross
$26,038
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
J9173
$17,676
Durvalumab 500 Mg/10 Ml Vial
Gross
$18,222
J9173
$17,676
Durvalumab 500 Mg/10 Ml Vial
Gross
$18,222
36482
$15,281
Endoven Ther Chem Adhes 1St
Gross
$15,754
36482
$15,281
Endoven Ther Chem Adhes 1St
Gross
$15,754
J1569
$13,709
Immune Glob Gamagar 30GR/300ML
Gross
$14,132
J1569
$13,709
Immune Glob Gamagar 30GR/300ML
Gross
$14,132
J9202
$11,874
Goserelin 10.8 MG Implant
Gross
$12,241
J9202
$11,874
Goserelin 10.8 MG Implant
Gross
$12,241
J9317
$10,590
Sacituzumab Gov-HZIY 180Mg
Gross
$10,917
J9317
$10,590
Sacituzumab Gov-HZIY 180Mg
Gross
$10,917
Q5119
$10,189
Rituximab-PVVR 500Mg/50Ml Vial
Gross
$10,504
Q5119
$10,189
Rituximab-PVVR 500Mg/50Ml Vial
Gross
$10,504
Q5111
$8,657
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$8,925
Q5111
$8,657
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$8,925
74174
$8,507
CTA Abd&Pelv WWO Dye
Gross
$8,770
74174
$8,507
CTA Abd&Pelv WWO Dye
Gross
$8,770
J1602
$8,336
Golimumab 50 MG/4 ML Vial
Gross
$8,593
J1602
$8,336
Golimumab 50 MG/4 ML Vial
Gross
$8,593
74178
$8,030
CT Abd & Pelv WWO Contrast
Gross
$8,278
74178
$8,030
CT Abd & Pelv WWO Contrast
Gross
$8,278
Q5116
$7,858
Trastuzumab QYYP 420Mg Vial
Gross
$8,101
Q5116
$7,858
Trastuzumab QYYP 420Mg Vial
Gross
$8,101
Q5108
$7,806
Pegfilgrastim-Jmdb 6 Mg/0.6 Ml
Gross
$8,047
Q5108
$7,806
Pegfilgrastim-Jmdb 6 Mg/0.6 Ml
Gross
$8,047
Q5112
$7,676
Trastuzumab-Dttb 420 Mg Vial
Gross
$7,913
Q5112
$7,676
Trastuzumab-Dttb 420 Mg Vial
Gross
$7,913
74177
$7,528
CT Abd & Pelv W Contrast
Gross
$7,761
74177
$7,528
CT Abd & Pelv W Contrast
Gross
$7,761
Q5122
$7,328
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$7,555
Q5122
$7,328
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$7,555
95811
$7,272
Polysomnogram W CPap
Gross
$7,497
95811
$7,272
Polysomnogram W CPap
Gross
$7,497
J0897
$7,210
Denosumab 60 MG/ML Syringe
Gross
$7,432
J0897
$7,210
Denosumab 60 MG/ML Syringe
Gross
$7,432
J1561
$6,950
Immune Glob Gamunex 20GR/200ML
Gross
$7,165
J1561
$6,950
Immune Glob Gamunex 20GR/200ML
Gross
$7,165
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab 300 Mg/10 Ml | $88,789 | $86,126 | — | — | 6 |
| J2350 | Ocrelizumab 300 Mg/10 Ml | $88,789 | $86,126 | — | — | 10 |
| J3380 | Vedolizumab 300 MG Vial | $39,149 | $37,975 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $39,149 | $37,975 | — | — | 11 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 8 |
| J9306 | Pertuzumab 420 MG/14 ML Vial | $29,670 | $28,780 | — | — | 6 |
| J9306 | Pertuzumab 420 MG/14 ML Vial | $29,670 | $28,780 | — | — | 6 |
| J2353 | Octreotide (Depot) 30 MG Syr | $27,842 | $27,007 | — | — | 6 |
| J2353 | Octreotide (Depot) 30 MG Syr | $27,842 | $27,007 | — | — | 6 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $26,038 | $25,258 | — | — | 6 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $26,038 | $25,258 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 6 |
| J9173 | Durvalumab 500 Mg/10 Ml Vial | $18,222 | $17,676 | — | — | 6 |
| J9173 | Durvalumab 500 Mg/10 Ml Vial | $18,222 | $17,676 | — | — | 6 |
| 36482 | Endoven Ther Chem Adhes 1St | $15,754 | $15,281 | — | — | 6 |
| 36482 | Endoven Ther Chem Adhes 1St | $15,754 | $15,281 | — | — | 6 |
| J1569 | Immune Glob Gamagar 30GR/300ML | $14,132 | $13,709 | — | — | 6 |
| J1569 | Immune Glob Gamagar 30GR/300ML | $14,132 | $13,709 | — | — | 6 |
| J9202 | Goserelin 10.8 MG Implant | $12,241 | $11,874 | — | — | 6 |
| J9202 | Goserelin 10.8 MG Implant | $12,241 | $11,874 | — | — | 6 |
| J9317 | Sacituzumab Gov-HZIY 180Mg | $10,917 | $10,590 | — | — | 6 |
| J9317 | Sacituzumab Gov-HZIY 180Mg | $10,917 | $10,590 | — | — | 6 |
| Q5119 | Rituximab-PVVR 500Mg/50Ml Vial | $10,504 | $10,189 | — | — | 6 |
| Q5119 | Rituximab-PVVR 500Mg/50Ml Vial | $10,504 | $10,189 | — | — | 8 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $8,770 | $8,507 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $8,770 | $8,507 | — | — | 8 |
| J1602 | Golimumab 50 MG/4 ML Vial | $8,593 | $8,336 | — | — | 6 |
| J1602 | Golimumab 50 MG/4 ML Vial | $8,593 | $8,336 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $8,278 | $8,030 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $8,278 | $8,030 | — | — | 9 |
| Q5116 | Trastuzumab QYYP 420Mg Vial | $8,101 | $7,858 | — | — | 6 |
| Q5116 | Trastuzumab QYYP 420Mg Vial | $8,101 | $7,858 | — | — | 6 |
| Q5108 | Pegfilgrastim-Jmdb 6 Mg/0.6 Ml | $8,047 | $7,806 | — | — | 6 |
| Q5108 | Pegfilgrastim-Jmdb 6 Mg/0.6 Ml | $8,047 | $7,806 | — | — | 8 |
| Q5112 | Trastuzumab-Dttb 420 Mg Vial | $7,913 | $7,676 | — | — | 6 |
| Q5112 | Trastuzumab-Dttb 420 Mg Vial | $7,913 | $7,676 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $7,761 | $7,528 | — | — | 7 |
| 74177 | CT Abd & Pelv W Contrast | $7,761 | $7,528 | — | — | 13 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $7,555 | $7,328 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $7,555 | $7,328 | — | — | 8 |
| 95811 | Polysomnogram W CPap | $7,497 | $7,272 | — | — | 6 |
| 95811 | Polysomnogram W CPap | $7,497 | $7,272 | — | — | 9 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,432 | $7,210 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,432 | $7,210 | — | — | 6 |
| J1561 | Immune Glob Gamunex 20GR/200ML | $7,165 | $6,950 | — | — | 6 |
| J1561 | Immune Glob Gamunex 20GR/200ML | $7,165 | $6,950 | — | — | 6 |
Showing top 50 of 2,208 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.