45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
20,227
Insurances with rates
19
CPT / HCPCS codes
10,403
Most expensive procedures (gross)
J9281
$76,731
MITOMYCIN KIT 40 MG X 240 MG
Gross
$511,537
J9281
$76,731
MITOMYCIN KIT 40 MG X 240 MG
Gross
$511,537
J1932
$66,368
LANREOTIDE SYRG 120 MG/0.5 ML120 MG
Gross
$442,453
J1932
$66,368
LANREOTIDE SYRG 120 MG/0.5 ML120 MG
Gross
$442,453
J3241
$56,852
TEPROTUMUMAB-TRBW SOLR 500 MG500 MG
Gross
$379,014
J3241
$56,852
TEPROTUMUMAB-TRBW SOLR 500 MG500 MG
Gross
$379,014
J1290
$47,843
ECALLANTIDE SOLN 10 MG/ML (1 ML)1 ML
Gross
$318,954
J1290
$47,843
ECALLANTIDE SOLN 10 MG/ML (1 ML)1 ML
Gross
$318,954
C1824
$40,950
OPTIMIZER SMART MINI IMP IPG
Gross
$273,000
C1824
$40,950
OPTIMIZER SMART MINI IMP IPG
Gross
$273,000
C1605
$37,800
PACER SYS AVEIR DUAL CHAMBER
Gross
$252,000
C1605
$37,800
PACER SYS AVEIR DUAL CHAMBER
Gross
$252,000
J2506
$36,040
PEGFILGRASTIM SYRG 6 MG/0.6 ML6 MG
Gross
$240,270
J2506
$36,040
PEGFILGRASTIM SYRG 6 MG/0.6 ML6 MG
Gross
$240,270
C1784
$31,950
GORE TAG THOR ENDOPROS 34X34X15
Gross
$213,002
C1784
$31,950
GORE TAG THOR ENDOPROS 34X34X15
Gross
$213,002
J2997
$30,541
ALTEPLASE SOLR 100 MG100 MG
Gross
$203,605
J2997
$30,541
ALTEPLASE SOLR 100 MG100 MG
Gross
$203,605
J9203
$29,311
GEMTUZUMAB OZOGAMICIN SOLR 4.5 MG (1 MG/ML INITIAL CONC)5 MG
Gross
$195,407
J9203
$29,311
GEMTUZUMAB OZOGAMICIN SOLR 4.5 MG (1 MG/ML INITIAL CONC)5 MG
Gross
$195,407
C1815
$26,523
AMS 800 AUS COMPLETE SYSTEM
Gross
$176,822
C1815
$26,523
AMS 800 AUS COMPLETE SYSTEM
Gross
$176,822
Q5127
$24,873
PEGFILGRASTIM-FPGK SYRG 6 MG/0.6 ML0 MG
Gross
$165,818
Q5127
$24,873
PEGFILGRASTIM-FPGK SYRG 6 MG/0.6 ML0 MG
Gross
$165,818
C1882
$24,336
CRTD COBALT HF MRI IS1 DF1
Gross
$162,243
C1882
$24,336
CRTD COBALT HF MRI IS1 DF1
Gross
$162,243
Q5108
$24,148
PEGFILGRASTIM-JMDB SYRG 6 MG/0.6 ML6 MG
Gross
$160,988
Q5108
$24,148
PEGFILGRASTIM-JMDB SYRG 6 MG/0.6 ML6 MG
Gross
$160,988
Q5111
$24,148
PEGFILGRASTIM-CBQV SYRG 6 MG/0.6 ML6 MG
Gross
$160,988
Q5111
$24,148
PEGFILGRASTIM-CBQV SYRG 6 MG/0.6 ML6 MG
Gross
$160,988
C1767
$23,275
INTERSTIM NEUROSTIMULATOR
Gross
$155,165
C1767
$23,275
INTERSTIM NEUROSTIMULATOR
Gross
$155,165
Q5122
$22,702
PEGFILGRASTIM-APGF SYRG 6 MG/0.6 ML6 MG
Gross
$151,348
Q5122
$22,702
PEGFILGRASTIM-APGF SYRG 6 MG/0.6 ML6 MG
Gross
$151,348
J3101
$20,953
TENECTEPLASE KIT 50 MG50 MG
Gross
$139,689
J3101
$20,953
TENECTEPLASE KIT 50 MG50 MG
Gross
$139,689
J0717
$20,820
CERTOLIZUMAB PEGOL KIT 400 MG (200 MG X 2 VIALS)200 MG
Gross
$138,803
J0717
$20,820
CERTOLIZUMAB PEGOL KIT 400 MG (200 MG X 2 VIALS)200 MG
Gross
$138,803
J0517
$19,701
BENRALIZUMAB SYRG 30 MG/ML30 MG
Gross
$131,337
J0517
$19,701
BENRALIZUMAB SYRG 30 MG/ML30 MG
Gross
$131,337
0408T
$18,601
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVN
Gross
$124,007
0408T
$18,601
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVN
Gross
$124,007
C1722
$18,024
COBALT VR MRI SURESCAN
Gross
$120,157
C1722
$18,024
COBALT VR MRI SURESCAN
Gross
$120,157
Q4116
$17,536
ALLDERM RESTORE LG PERF MED
Gross
$116,907
Q4116
$17,536
ALLDERM RESTORE LG PERF MED
Gross
$116,907
C2621
$16,854
BI V PACEMAKER
Gross
$112,362
C2621
$16,854
BI V PACEMAKER
Gross
$112,362
J7182
$16,751
ANTIHEMOPHIL FVIIIFULL LENGTH SOLR 3000 (+/-) UNIT2694 IU
Gross
$111,672
J7182
$16,751
ANTIHEMOPHIL FVIIIFULL LENGTH SOLR 3000 (+/-) UNIT2694 IU
Gross
$111,672
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9281 | MITOMYCIN KIT 40 MG X 240 MG | $511,537 | $76,731 | $71,615 | $511,537 | 8 |
| J9281 | MITOMYCIN KIT 40 MG X 240 MG | $511,537 | $76,731 | $284 | $460,383 | 25 |
| J1932 | LANREOTIDE SYRG 120 MG/0.5 ML120 MG | $442,453 | $66,368 | $61,943 | $442,453 | 8 |
| J1932 | LANREOTIDE SYRG 120 MG/0.5 ML120 MG | $442,453 | $66,368 | $79,642 | $398,208 | 9 |
| J3241 | TEPROTUMUMAB-TRBW SOLR 500 MG500 MG | $379,014 | $56,852 | $53,062 | $379,014 | 8 |
| J3241 | TEPROTUMUMAB-TRBW SOLR 500 MG500 MG | $379,014 | $56,852 | $311 | $341,113 | 25 |
| J1290 | ECALLANTIDE SOLN 10 MG/ML (1 ML)1 ML | $318,954 | $47,843 | $44,654 | $318,954 | 8 |
| J1290 | ECALLANTIDE SOLN 10 MG/ML (1 ML)1 ML | $318,954 | $47,843 | $521 | $287,059 | 25 |
| C1824 | OPTIMIZER SMART MINI IMP IPG | $273,000 | $40,950 | $40,950 | $273,000 | 12 |
| C1824 | OPTIMIZER SMART MINI IMP IPG | $273,000 | $40,950 | $46,410 | $245,700 | 14 |
| C1605 | PACER SYS AVEIR DUAL CHAMBER | $252,000 | $37,800 | $37,800 | $252,000 | 12 |
| C1605 | PACER SYS AVEIR DUAL CHAMBER | $252,000 | $37,800 | $42,840 | $226,800 | 14 |
| J2506 | PEGFILGRASTIM SYRG 6 MG/0.6 ML6 MG | $240,270 | $36,040 | $33,638 | $240,270 | 8 |
| J2506 | PEGFILGRASTIM SYRG 6 MG/0.6 ML6 MG | $240,270 | $36,040 | $43,249 | $216,243 | 9 |
| C1784 | GORE TAG THOR ENDOPROS 34X34X15 | $213,002 | $31,950 | $31,950 | $213,002 | 12 |
| C1784 | GORE TAG THOR ENDOPROS 34X34X15 | $213,002 | $31,950 | $36,210 | $191,702 | 14 |
| J2997 | ALTEPLASE SOLR 100 MG100 MG | $203,605 | $30,541 | $28,505 | $203,605 | 8 |
| J2997 | ALTEPLASE SOLR 100 MG100 MG | $203,605 | $30,541 | $80.57 | $183,245 | 25 |
| J9203 | GEMTUZUMAB OZOGAMICIN SOLR 4.5 MG (1 MG/ML INITIAL CONC)5 MG | $195,407 | $29,311 | $27,357 | $195,407 | 8 |
| J9203 | GEMTUZUMAB OZOGAMICIN SOLR 4.5 MG (1 MG/ML INITIAL CONC)5 MG | $195,407 | $29,311 | $213 | $175,866 | 25 |
| C1815 | AMS 800 AUS COMPLETE SYSTEM | $176,822 | $26,523 | $26,523 | $176,822 | 12 |
| C1815 | AMS 800 AUS COMPLETE SYSTEM | $176,822 | $26,523 | $30,060 | $159,140 | 14 |
| Q5127 | PEGFILGRASTIM-FPGK SYRG 6 MG/0.6 ML0 MG | $165,818 | $24,873 | $23,214 | $165,818 | 8 |
| Q5127 | PEGFILGRASTIM-FPGK SYRG 6 MG/0.6 ML0 MG | $165,818 | $24,873 | $29,847 | $149,236 | 9 |
| C1882 | CRTD COBALT HF MRI IS1 DF1 | $162,243 | $24,336 | $24,336 | $162,243 | 12 |
| C1882 | CRTD COBALT HF MRI IS1 DF1 | $162,243 | $24,336 | $27,581 | $146,019 | 14 |
| Q5108 | PEGFILGRASTIM-JMDB SYRG 6 MG/0.6 ML6 MG | $160,988 | $24,148 | $40,247 | $160,988 | 6 |
| Q5108 | PEGFILGRASTIM-JMDB SYRG 6 MG/0.6 ML6 MG | $160,988 | $24,148 | $112 | $167,428 | 25 |
| Q5111 | PEGFILGRASTIM-CBQV SYRG 6 MG/0.6 ML6 MG | $160,988 | $24,148 | $22,538 | $160,988 | 8 |
| Q5111 | PEGFILGRASTIM-CBQV SYRG 6 MG/0.6 ML6 MG | $160,988 | $24,148 | $154 | $144,889 | 25 |
| C1767 | INTERSTIM NEUROSTIMULATOR | $155,165 | $23,275 | $23,275 | $155,165 | 12 |
| C1767 | INTERSTIM NEUROSTIMULATOR | $155,165 | $23,275 | $26,378 | $139,648 | 14 |
| Q5122 | PEGFILGRASTIM-APGF SYRG 6 MG/0.6 ML6 MG | $151,348 | $22,702 | $21,189 | $151,348 | 8 |
| Q5122 | PEGFILGRASTIM-APGF SYRG 6 MG/0.6 ML6 MG | $151,348 | $22,702 | $73.66 | $136,213 | 25 |
| J3101 | TENECTEPLASE KIT 50 MG50 MG | $139,689 | $20,953 | $19,556 | $139,689 | 8 |
| J3101 | TENECTEPLASE KIT 50 MG50 MG | $139,689 | $20,953 | $146 | $125,720 | 25 |
| J0717 | CERTOLIZUMAB PEGOL KIT 400 MG (200 MG X 2 VIALS)200 MG | $138,803 | $20,820 | $19,432 | $138,803 | 8 |
| J0717 | CERTOLIZUMAB PEGOL KIT 400 MG (200 MG X 2 VIALS)200 MG | $138,803 | $20,820 | $3.96 | $124,923 | 25 |
| J0517 | BENRALIZUMAB SYRG 30 MG/ML30 MG | $131,337 | $19,701 | $18,387 | $131,337 | 8 |
| J0517 | BENRALIZUMAB SYRG 30 MG/ML30 MG | $131,337 | $19,701 | $156 | $118,204 | 25 |
| 0408T | INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVN | $124,007 | $18,601 | $31,002 | $124,007 | 6 |
| 0408T | INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVN | $124,007 | $18,601 | $3,326 | $199,776 | 27 |
| C1722 | COBALT VR MRI SURESCAN | $120,157 | $18,024 | $18,024 | $120,157 | 12 |
| C1722 | COBALT VR MRI SURESCAN | $120,157 | $18,024 | $20,427 | $108,141 | 14 |
| Q4116 | ALLDERM RESTORE LG PERF MED | $116,907 | $17,536 | $17,536 | $116,907 | 12 |
| Q4116 | ALLDERM RESTORE LG PERF MED | $116,907 | $17,536 | $35.15 | $105,216 | 14 |
| C2621 | BI V PACEMAKER | $112,362 | $16,854 | $16,854 | $112,362 | 12 |
| C2621 | BI V PACEMAKER | $112,362 | $16,854 | $19,101 | $101,125 | 14 |
| J7182 | ANTIHEMOPHIL FVIIIFULL LENGTH SOLR 3000 (+/-) UNIT2694 IU | $111,672 | $16,751 | $15,634 | $111,672 | 8 |
| J7182 | ANTIHEMOPHIL FVIIIFULL LENGTH SOLR 3000 (+/-) UNIT2694 IU | $111,672 | $16,751 | $1.27 | $100,505 | 25 |
Showing top 50 of 20,227 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.