45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,238
Insurances with rates
0
CPT / HCPCS codes
2,146
Most expensive procedures (gross)
J3357
$74,915
STELARA 90 MG/ML SYRINGE
Gross
$74,915
J2350
$63,943
OCREVUS 300 MG/10 ML VIAL
Gross
$63,943
J3241
$59,107
TEPROTUMUMAB - TRBW 500 MG
Gross
$59,107
J9144
$38,059
Daratumumab-hyaluronidase-15mL
Gross
$38,059
J9301
$28,028
Gazyva 1,000 mg/40 mL intraven
Gross
$28,028
J9022
$27,807
Atezolizumab(Tecentriq) 840mg/
Gross
$27,807
J9299
$25,134
OPDIVO 240 MG/24 ML VIAL
Gross
$25,134
J2353
$25,129
SandoSTATIN LAR Depot 30 mg in
Gross
$25,129
J3380
$24,714
ENTYVIO SDV 300MG/5ML
Gross
$24,714
J2506
$24,519
PEGFILGASTIM 6MG/0.6ML PFS
Gross
$24,519
J9306
$24,209
Pertuzumab (Perjeta) 420mg/14m
Gross
$24,209
J9308
$23,757
CYRAMZA 500 MG/50 ML VIAL
Gross
$23,757
J9354
$22,425
Ado-trastuzumab (Kadcyla) 160m
Gross
$22,425
J9303
$21,386
Vectibix 400 mg/20 mL (20 mg/m
Gross
$21,386
J0565
$19,744
Bezlotoxumab IVPB 1,000 MG/40
Gross
$19,744
J9271
$18,571
KEYTRUDA 100 MG/4 ML VIAL
Gross
$18,571
J1950
$17,832
LEUPROLIDE ACETATE 11.25 MG SY
Gross
$17,832
J9035
$16,725
BEVACIZUMAB 400MG/16ML SDV
Gross
$16,725
Q5115
$16,636
TRUXIMA 500 MG/50 ML VIAL
Gross
$16,636
A9608
$16,574
Posluma Drug
Gross
$16,574
Q5108
$16,429
FULPHILA 6 MG/0.6 ML SYRINGE
Gross
$16,429
Q5113
$15,453
Herzuma 420 mg intravenous sol
Gross
$15,453
275
$15,411
PACEMAKER
Gross
$15,411
J2356
$15,279
Tezepelumab-ekko(Tezspire) 210
Gross
$15,279
Q5111
$15,030
Pegfilgrastim-cbqv On Body
Gross
$15,030
J9173
$14,861
Durvalumab (imfinzi) 500mg/10m
Gross
$14,861
J9309
$14,101
Polatuzumab(Polivy) 30mg/1.5ml
Gross
$14,101
J1306
$12,542
Inclisiran (Leqvio) 284 mg/1.5
Gross
$12,542
87903
$11,352
Phenosense Phenotrype GT Tissu
Gross
$11,352
J9217
$10,664
ELIGARD 45 MG SYRINGE KIT
Gross
$10,664
Q4151
$10,271
AMNIOBAND MATRIX 5x6 cm
Gross
$10,271
J1943
$10,047
ARIPiprazole IM 400 MG SUSER.V
Gross
$10,047
J1944
$10,047
Aripiprazole (Aristada) 662mg
Gross
$10,047
J9034
$9,734
BENDEKA 100 MG/4 ML VIAL
Gross
$9,734
J2182
$9,689
NUCALA 100 MG/ML SYRINGE
Gross
$9,689
J7168
$9,559
KCENTRA 1000 UNIT VIAL
Gross
$9,559
78816
$9,280
Pet/CT whole Body,TC
Gross
$9,280
J9047
$9,136
CARFIZOMIB 60MG SDV
Gross
$9,136
78815
$8,791
Pet/CT skull to Thigh,TC
Gross
$8,791
58552
$8,677
LAP VAGINAL HYSTERECT
Gross
$8,677
J9145
$8,338
DARZALEX 400 MG/20 ML VIAL
Gross
$8,338
66982
$8,200
Complex Removal of Cataract
Gross
$8,200
J9176
$7,873
Empliciti 300 mg intravenous s
Gross
$7,873
J9395
$7,630
FULVESTRANT 250MG/5ML IM SOL
Gross
$7,630
66984
$7,500
Removal of Cataract w/ins pros
Gross
$7,500
J9202
$7,499
ZOLADEX 10.8 MG IMPLANT SYRN
Gross
$7,499
59510
$7,253
OBANTEPARTUM CARE
Gross
$7,253
J1602
$7,058
SIMPONI ARIA 50MG/4 ML VIAL 50
Gross
$7,058
J0401
$7,049
ABILIFY MAINTENA ER 300 MG
Gross
$7,049
J1569
$6,638
IV GAMMAGARD SD LYOPHYLIZED
Gross
$6,638
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3357 | STELARA 90 MG/ML SYRINGE | $74,915 | $74,915 | — | — | 0 |
| J2350 | OCREVUS 300 MG/10 ML VIAL | $63,943 | $63,943 | — | — | 0 |
| J3241 | TEPROTUMUMAB - TRBW 500 MG | $59,107 | $59,107 | — | — | 0 |
| J9144 | Daratumumab-hyaluronidase-15mL | $38,059 | $38,059 | — | — | 0 |
| J9301 | Gazyva 1,000 mg/40 mL intraven | $28,028 | $28,028 | — | — | 0 |
| J9022 | Atezolizumab(Tecentriq) 840mg/ | $27,807 | $27,807 | — | — | 0 |
| J9299 | OPDIVO 240 MG/24 ML VIAL | $25,134 | $25,134 | — | — | 0 |
| J2353 | SandoSTATIN LAR Depot 30 mg in | $25,129 | $25,129 | — | — | 0 |
| J3380 | ENTYVIO SDV 300MG/5ML | $24,714 | $24,714 | — | — | 0 |
| J2506 | PEGFILGASTIM 6MG/0.6ML PFS | $24,519 | $24,519 | — | — | 0 |
| J9306 | Pertuzumab (Perjeta) 420mg/14m | $24,209 | $24,209 | — | — | 0 |
| J9308 | CYRAMZA 500 MG/50 ML VIAL | $23,757 | $23,757 | — | — | 0 |
| J9354 | Ado-trastuzumab (Kadcyla) 160m | $22,425 | $22,425 | — | — | 0 |
| J9303 | Vectibix 400 mg/20 mL (20 mg/m | $21,386 | $21,386 | — | — | 0 |
| J0565 | Bezlotoxumab IVPB 1,000 MG/40 | $19,744 | $19,744 | — | — | 0 |
| J9271 | KEYTRUDA 100 MG/4 ML VIAL | $18,571 | $18,571 | — | — | 0 |
| J1950 | LEUPROLIDE ACETATE 11.25 MG SY | $17,832 | $17,832 | — | — | 0 |
| J9035 | BEVACIZUMAB 400MG/16ML SDV | $16,725 | $16,725 | — | — | 0 |
| Q5115 | TRUXIMA 500 MG/50 ML VIAL | $16,636 | $16,636 | — | — | 0 |
| A9608 | Posluma Drug | $16,574 | $16,574 | — | — | 0 |
| Q5108 | FULPHILA 6 MG/0.6 ML SYRINGE | $16,429 | $16,429 | — | — | 0 |
| Q5113 | Herzuma 420 mg intravenous sol | $15,453 | $15,453 | — | — | 0 |
| 275 | PACEMAKER | $15,411 | $15,411 | — | — | 0 |
| J2356 | Tezepelumab-ekko(Tezspire) 210 | $15,279 | $15,279 | — | — | 0 |
| Q5111 | Pegfilgrastim-cbqv On Body | $15,030 | $15,030 | — | — | 0 |
| J9173 | Durvalumab (imfinzi) 500mg/10m | $14,861 | $14,861 | — | — | 0 |
| J9309 | Polatuzumab(Polivy) 30mg/1.5ml | $14,101 | $14,101 | — | — | 0 |
| J1306 | Inclisiran (Leqvio) 284 mg/1.5 | $12,542 | $12,542 | — | — | 0 |
| 87903 | Phenosense Phenotrype GT Tissu | $11,352 | $11,352 | — | — | 0 |
| J9217 | ELIGARD 45 MG SYRINGE KIT | $10,664 | $10,664 | — | — | 0 |
| Q4151 | AMNIOBAND MATRIX 5x6 cm | $10,271 | $10,271 | — | — | 0 |
| J1943 | ARIPiprazole IM 400 MG SUSER.V | $10,047 | $10,047 | — | — | 0 |
| J1944 | Aripiprazole (Aristada) 662mg | $10,047 | $10,047 | — | — | 0 |
| J9034 | BENDEKA 100 MG/4 ML VIAL | $9,734 | $9,734 | — | — | 0 |
| J2182 | NUCALA 100 MG/ML SYRINGE | $9,689 | $9,689 | — | — | 0 |
| J7168 | KCENTRA 1000 UNIT VIAL | $9,559 | $9,559 | — | — | 0 |
| 78816 | Pet/CT whole Body,TC | $9,280 | $9,280 | — | — | 0 |
| J9047 | CARFIZOMIB 60MG SDV | $9,136 | $9,136 | — | — | 0 |
| 78815 | Pet/CT skull to Thigh,TC | $8,791 | $8,791 | — | — | 0 |
| 58552 | LAP VAGINAL HYSTERECT | $8,677 | $8,677 | — | — | 0 |
| J9145 | DARZALEX 400 MG/20 ML VIAL | $8,338 | $8,338 | — | — | 0 |
| 66982 | Complex Removal of Cataract | $8,200 | $8,200 | — | — | 0 |
| J9176 | Empliciti 300 mg intravenous s | $7,873 | $7,873 | — | — | 0 |
| J9395 | FULVESTRANT 250MG/5ML IM SOL | $7,630 | $7,630 | — | — | 0 |
| 66984 | Removal of Cataract w/ins pros | $7,500 | $7,500 | — | — | 0 |
| J9202 | ZOLADEX 10.8 MG IMPLANT SYRN | $7,499 | $7,499 | — | — | 0 |
| 59510 | OBANTEPARTUM CARE | $7,253 | $7,253 | — | — | 0 |
| J1602 | SIMPONI ARIA 50MG/4 ML VIAL 50 | $7,058 | $7,058 | — | — | 0 |
| J0401 | ABILIFY MAINTENA ER 300 MG | $7,049 | $7,049 | — | — | 0 |
| J1569 | IV GAMMAGARD SD LYOPHYLIZED | $6,638 | $6,638 | — | — | 0 |
Showing top 50 of 2,238 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.