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
2,104
Insurances with rates
9
CPT / HCPCS codes
2,046
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9364 | PERMACOL MESH 28X40 | $51,154 | $51,154 | — | — | 4 |
| J2507 | KRYSTEXXA 8MG/ NS 250 ML | $36,761 | $36,761 | — | — | 17 |
| C1767 | PULSE GENERATOR IV | $27,338 | $27,338 | — | — | 4 |
| Q4110 | PRIMATRIX AG 8CMX12CM | $19,683 | $19,683 | — | — | 14 |
| J2327 | RISANKIZUMAB (SKYRIZI) 600MG/10ML SDV | $18,215 | $18,215 | — | — | 34 |
| C1764 | RECORDER EVENT, CARDIAC REVEAL | $16,570 | $16,570 | — | — | 4 |
| J2997 | ALTEPLASE (ACTIVASE) 100MG SDV | $15,841 | $15,841 | — | — | 34 |
| J3101 | TENECTEPLASE (TNKASE) 50MG SDV | $14,935 | $14,935 | — | — | 17 |
| 320 | ..ANGIOPLAS, TRANS BALLOON RENAL/VISCERA | $14,278 | $14,278 | — | — | 4 |
| 33285 | INSERT SQ CARDIAC RHY MONITOR, INCL PROG | $13,782 | $13,782 | — | — | 17 |
| 323 | ..ANGIO, CERVICOCEREBRAL CATH w/VESL | $12,907 | $12,907 | — | — | 11 |
| C1747 | URETEROSCOPE DISP | $12,600 | $12,600 | — | — | 4 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $11,258 | $11,258 | — | — | 16 |
| 75726 | ANGIO, VISCERAL, SELECT OR SUPRASE | $11,000 | $11,000 | — | — | 17 |
| Q4180 | REVITA CLEAR 6X8 | $10,800 | $10,800 | — | — | 14 |
| 53850 | TUMT (TRANSURETHRAL MICROWAVE THERAPY) | $10,667 | $10,667 | — | — | 17 |
| A9548 | NM INDIUM III PENETATE, PER 0.5 MCI | $9,981 | $9,981 | — | — | 42 |
| Q4145 | EPIFIX PARTICULATE 160.0MG | $9,918 | $9,918 | — | — | 4 |
| 15120 | SPLIT AUTOGRAFT FAC/NCK/HND/FT/GEN | $9,660 | $9,660 | — | — | 15 |
| 15273 | APPLY SKIN SUB GRAFT TRUNK/ARM/LEG 100CM | $9,660 | $9,660 | — | — | 17 |
| 36475 | ..ENDOVENOUS ABL THER VEIN EXT 1ST DISC. | $9,100 | $9,100 | — | — | 15 |
| 75741 | ANGIO, PULMONARY, UNLATERAL | $9,073 | $9,073 | — | — | 17 |
| 75893 | VENOUS SAMPLING THRU CATH w/wo ANGIOGRAP | $9,073 | $9,073 | — | — | 17 |
| 75831 | VENOGRAM RENAL UNILAT | $9,073 | $9,073 | — | — | 17 |
| A2007 | RESTRATA, PER SQ CM | $9,000 | $9,000 | — | — | 42 |
| Q4133 | GRAFIX 5X5CM | $8,610 | $8,610 | — | — | 14 |
| J9312 | riTUXimab (RITUXAN) 500MG/50ML SDV | $8,456 | $8,456 | — | — | 34 |
| Q4107 | OR GRAFT JACKET | $8,430 | $8,430 | — | — | 14 |
| 81162 | BRCA 1/2 FULL GENE ANALYSIS | $8,400 | $8,400 | — | — | 16 |
| J1162 | DIGOXIN IMMUNE FAB (DIGIFAB) 40MG SDV | $7,960 | $7,960 | — | — | 17 |
| C2625 | ALTEPLASE (ACTIVASE-TPA) 50MG SDV | $7,920 | $7,920 | — | — | 17 |
| J0597 | C1 ESTERASE INHIBITOR(BERINERT) | $7,689 | $7,689 | — | — | 17 |
| 81408 | ..ARPKD, FULL GENE ANALYSIS (DISC) | $7,478 | $7,478 | — | — | 16 |
| C1874 | STENT, COATED/COV W/DEL SYS | $7,193 | $7,193 | — | — | 12 |
| 10180 | INCISION & DRAINAGE, COMPL, POST OP INFE | $6,868 | $6,868 | — | — | 15 |
| J0565 | BEZLOTOXUMAB (ZINPLAVA) 1000MG SDV | $6,840 | $6,840 | — | — | 15 |
| A9572 | NM INDIUM 111 OCTREOSCAN Dose | $6,785 | $6,785 | — | — | 14 |
| C1726 | CATH, BAL DIL, NON-VASCULAR | $6,720 | $6,720 | — | — | 20 |
| 15100 | SPLIT AUTOGRAFT TRUNK/ARMS/LEGS | $6,690 | $6,690 | — | — | 15 |
| C2623 | CATH, TRANSLUMIN, DRUG-COAT | $6,600 | $6,600 | — | — | 8 |
| 35207 | REPAIR BLOOD VESSEL HAND, FINGER | $6,484 | $6,484 | — | — | 15 |
| 90375 | RABIES IMMUNE GLOB 1500 INT UNIT/5ML SDV | $6,124 | $6,124 | — | — | 17 |
| J7402 | SINUVA SINUS IMPLANT 1350MCG | $6,120 | $6,120 | — | — | 17 |
| 15115 | EPIDERMAL AUTOGRAFT, FACE/HANDS/FEET | $5,909 | $5,909 | — | — | 15 |
| 15277 | APPLY SKIN SUB GRAFT FACE/HANDS 100CM | $5,909 | $5,909 | — | — | 17 |
| 15275 | APPLY SKIN SUB GRAFT FACE/HANDS 25CM | $5,909 | $5,909 | — | — | 17 |
| 15002 | WOUND PREP TRNK/ARM/LEG | $5,909 | $5,909 | — | — | 17 |
| C5273 | APPLY LOW SK SUB GRF TRUN/ARM 100 CM | $5,909 | $5,909 | — | — | 5 |
| 15271 | APPLY SKIN SUB GRAFT TRUNK/ARM/LEG 25CM | $5,909 | $5,909 | — | — | 17 |
| J1306 | INCLISIRAN (LEQVIO) 284MG/1.5ML SYRINGE | $5,850 | $5,850 | — | — | 34 |
Showing top 50 of 2,104 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.