45 CFR § 180 compliance
C · 70
This hospital published part 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: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
8,492
Insurances with rates
18
CPT / HCPCS codes
6,465
Most expensive procedures (gross)
Q2056
$2,163,435
Citacabtagene Autoleucel 70 Ml
Gross
$2,403,816
Q2056
$2,163,435
Citacabtagene Autoleucel 70 Ml
Gross
$2,403,816
Q2054
$2,093,010
Lisocabtagene Maraleucel
Gross
$2,325,566
Q2054
$2,093,010
Lisocabtagene Maraleucel
Gross
$2,325,566
819
$249,723
Bone Marrow Acquisition Donor
Gross
$277,470
A9513
$244,689
Radiopharm Lutetium Dot 200mci
Gross
$271,877
A9513
$244,689
Radiopharm Lutetium Dot 200mci
Gross
$271,877
A9607
$193,564
Radiopharm Plucivto 200 mci
Gross
$215,071
A9607
$193,564
Radiopharm Plucivto 200 mci
Gross
$215,071
J1823
$185,124
Inebilizumab-Cdon 100 Mg/10 Ml
Gross
$205,692
J1823
$185,124
Inebilizumab-Cdon 100 Mg/10 Ml
Gross
$205,692
J2351
$167,445
Ocrelizumab-Hyaluronidase-Ocsq
Gross
$186,049
J2351
$167,445
Ocrelizumab-Hyaluronidase-Ocsq
Gross
$186,049
J9347
$161,411
Tremelimumab-Actl 300 Mg/15 Ml
Gross
$179,345
J9347
$161,411
Tremelimumab-Actl 300 Mg/15 Ml
Gross
$179,345
812
$143,607
Kidney Acquisition
Gross
$159,563
811
$143,607
Kidney Acquisition Live Donor
Gross
$159,563
J9269
$130,474
Tagraxofusp-Erzs 1,000 Mcg/Ml
Gross
$144,971
J9269
$130,474
Tagraxofusp-Erzs 1,000 Mcg/Ml
Gross
$144,971
J2507
$116,093
Pegloticase 8 Mg/Ml Sdv
Gross
$128,992
J2507
$116,093
Pegloticase 8 Mg/Ml Sdv
Gross
$128,992
J9359
$108,250
Loncastuximab Tesirine-Lpyl
Gross
$120,277
J9359
$108,250
Loncastuximab Tesirine-Lpyl
Gross
$120,277
J9266
$103,700
Pegaspargase 3750 Unit/5 ML
Gross
$115,222
J9266
$103,700
Pegaspargase 3750 Unit/5 ML
Gross
$115,222
J9229
$91,630
Inotuzumab Ozogamicin 0.9 Mg
Gross
$101,810
J9229
$91,630
Inotuzumab Ozogamicin 0.9 Mg
Gross
$101,810
C1831
$86,580
Kit Nvg Aprevo Lvl 1
Gross
$96,200
C1831
$86,580
Kit Nvg Aprevo Lvl 1
Gross
$96,200
J2350
$80,251
Ocrelizumab 300 Mg/10 Ml
Gross
$89,167
J2350
$80,251
Ocrelizumab 300 Mg/10 Ml
Gross
$89,167
J9309
$74,150
Polatuzumab Ved-Piiq 140 Mg Vl
Gross
$82,388
J9309
$74,150
Polatuzumab Ved-Piiq 140 Mg Vl
Gross
$82,388
J3316
$73,808
Triptorelin 22.5 Mg Vial
Gross
$82,008
J3316
$73,808
Triptorelin 22.5 Mg Vial
Gross
$82,008
J0638
$72,288
Canakinumab Inj 150Mg/Ml Vial
Gross
$80,319
J0638
$72,288
Canakinumab Inj 150Mg/Ml Vial
Gross
$80,319
J3241
$66,392
Teprotumumab-Trbw 500 Mg Vial
Gross
$73,769
J3241
$66,392
Teprotumumab-Trbw 500 Mg Vial
Gross
$73,769
J9334
$64,016
Efgart-Hyalu-QVFC 1008Mg/5.6Ml
Gross
$71,128
J9334
$64,016
Efgart-Hyalu-QVFC 1008Mg/5.6Ml
Gross
$71,128
J1628
$61,764
Guselkumab 200 Mg/20 Ml Vial
Gross
$68,626
J1628
$61,764
Guselkumab 200 Mg/20 Ml Vial
Gross
$68,626
J9298
$59,922
Nivolum/Relatlim 240-80Mg 113G
Gross
$66,580
J9298
$59,922
Nivolum/Relatlim 240-80Mg 113G
Gross
$66,580
36906
$58,510
PTA Periph Dial Seg W Stent
Gross
$65,011
36906
$58,510
PTA Periph Dial Seg W Stent
Gross
$65,011
J9043
$57,563
Cabazitaxel 60 MG/1.5 ML Vial
Gross
$63,959
J9043
$57,563
Cabazitaxel 60 MG/1.5 ML Vial
Gross
$63,959
C9606
$54,193
Acute MI DES PCI
Gross
$60,214
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2056 | Citacabtagene Autoleucel 70 Ml | $2,403,816 | $2,163,435 | — | — | 0 |
| Q2056 | Citacabtagene Autoleucel 70 Ml | $2,403,816 | $2,163,435 | — | — | 7 |
| Q2054 | Lisocabtagene Maraleucel | $2,325,566 | $2,093,010 | — | — | 0 |
| Q2054 | Lisocabtagene Maraleucel | $2,325,566 | $2,093,010 | — | — | 9 |
| 819 | Bone Marrow Acquisition Donor | $277,470 | $249,723 | — | — | 5 |
| A9513 | Radiopharm Lutetium Dot 200mci | $271,877 | $244,689 | — | — | 0 |
| A9513 | Radiopharm Lutetium Dot 200mci | $271,877 | $244,689 | — | — | 7 |
| A9607 | Radiopharm Plucivto 200 mci | $215,071 | $193,564 | — | — | 0 |
| A9607 | Radiopharm Plucivto 200 mci | $215,071 | $193,564 | — | — | 11 |
| J1823 | Inebilizumab-Cdon 100 Mg/10 Ml | $205,692 | $185,124 | — | — | 0 |
| J1823 | Inebilizumab-Cdon 100 Mg/10 Ml | $205,692 | $185,124 | — | — | 9 |
| J2351 | Ocrelizumab-Hyaluronidase-Ocsq | $186,049 | $167,445 | — | — | 0 |
| J2351 | Ocrelizumab-Hyaluronidase-Ocsq | $186,049 | $167,445 | — | — | 11 |
| J9347 | Tremelimumab-Actl 300 Mg/15 Ml | $179,345 | $161,411 | — | — | 0 |
| J9347 | Tremelimumab-Actl 300 Mg/15 Ml | $179,345 | $161,411 | — | — | 10 |
| 812 | Kidney Acquisition | $159,563 | $143,607 | — | — | 5 |
| 811 | Kidney Acquisition Live Donor | $159,563 | $143,607 | — | — | 5 |
| J9269 | Tagraxofusp-Erzs 1,000 Mcg/Ml | $144,971 | $130,474 | — | — | 0 |
| J9269 | Tagraxofusp-Erzs 1,000 Mcg/Ml | $144,971 | $130,474 | — | — | 9 |
| J2507 | Pegloticase 8 Mg/Ml Sdv | $128,992 | $116,093 | — | — | 0 |
| J2507 | Pegloticase 8 Mg/Ml Sdv | $128,992 | $116,093 | — | — | 9 |
| J9359 | Loncastuximab Tesirine-Lpyl | $120,277 | $108,250 | — | — | 0 |
| J9359 | Loncastuximab Tesirine-Lpyl | $120,277 | $108,250 | — | — | 11 |
| J9266 | Pegaspargase 3750 Unit/5 ML | $115,222 | $103,700 | — | — | 0 |
| J9266 | Pegaspargase 3750 Unit/5 ML | $115,222 | $103,700 | — | — | 12 |
| J9229 | Inotuzumab Ozogamicin 0.9 Mg | $101,810 | $91,630 | — | — | 0 |
| J9229 | Inotuzumab Ozogamicin 0.9 Mg | $101,810 | $91,630 | — | — | 10 |
| C1831 | Kit Nvg Aprevo Lvl 1 | $96,200 | $86,580 | — | — | 0 |
| C1831 | Kit Nvg Aprevo Lvl 1 | $96,200 | $86,580 | — | — | 6 |
| J2350 | Ocrelizumab 300 Mg/10 Ml | $89,167 | $80,251 | — | — | 0 |
| J2350 | Ocrelizumab 300 Mg/10 Ml | $89,167 | $80,251 | — | — | 14 |
| J9309 | Polatuzumab Ved-Piiq 140 Mg Vl | $82,388 | $74,150 | — | — | 0 |
| J9309 | Polatuzumab Ved-Piiq 140 Mg Vl | $82,388 | $74,150 | — | — | 13 |
| J3316 | Triptorelin 22.5 Mg Vial | $82,008 | $73,808 | — | — | 0 |
| J3316 | Triptorelin 22.5 Mg Vial | $82,008 | $73,808 | — | — | 9 |
| J0638 | Canakinumab Inj 150Mg/Ml Vial | $80,319 | $72,288 | — | — | 0 |
| J0638 | Canakinumab Inj 150Mg/Ml Vial | $80,319 | $72,288 | — | — | 11 |
| J3241 | Teprotumumab-Trbw 500 Mg Vial | $73,769 | $66,392 | — | — | 0 |
| J3241 | Teprotumumab-Trbw 500 Mg Vial | $73,769 | $66,392 | — | — | 9 |
| J9334 | Efgart-Hyalu-QVFC 1008Mg/5.6Ml | $71,128 | $64,016 | — | — | 0 |
| J9334 | Efgart-Hyalu-QVFC 1008Mg/5.6Ml | $71,128 | $64,016 | — | — | 9 |
| J1628 | Guselkumab 200 Mg/20 Ml Vial | $68,626 | $61,764 | — | — | 0 |
| J1628 | Guselkumab 200 Mg/20 Ml Vial | $68,626 | $61,764 | — | — | 9 |
| J9298 | Nivolum/Relatlim 240-80Mg 113G | $66,580 | $59,922 | — | — | 0 |
| J9298 | Nivolum/Relatlim 240-80Mg 113G | $66,580 | $59,922 | — | — | 11 |
| 36906 | PTA Periph Dial Seg W Stent | $65,011 | $58,510 | — | — | 0 |
| 36906 | PTA Periph Dial Seg W Stent | $65,011 | $58,510 | — | — | 9 |
| J9043 | Cabazitaxel 60 MG/1.5 ML Vial | $63,959 | $57,563 | — | — | 0 |
| J9043 | Cabazitaxel 60 MG/1.5 ML Vial | $63,959 | $57,563 | — | — | 10 |
| C9606 | Acute MI DES PCI | $60,214 | $54,193 | — | — | 0 |
Showing top 50 of 8,492 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.