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
5,346
Insurances with rates
1
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
21823670
$31,207
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$62,415
23178358
$27,128
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$54,256
23178358{2}
$27,128
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$54,256
2151770
$11,552
INJECTION, TENECTEPLASE, 1 MG
Gross
$23,103
16941579
$9,671
INJECTION, TENECTEPLASE, 1 MG
Gross
$19,342
22649432
$9,108
AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (ROTARY WING)
Gross
$18,216
16804338
$8,688
AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING)
Gross
$17,375
22858825
$7,623
INJECTION, ADALIMUMAB, 1 MG
Gross
$15,246
22880176
$7,567
HYPERRAB 300 UNIT/ML VIAL
Gross
$15,134
16249788
$6,556
Treatment of broken finger at midportion or part near hand
Gross
$13,111
21773979
$6,377
INJECTION, ARIPIPRAZOLE (ABILIFY MAINTENA), 1 MG
Gross
$12,754
21773979{2}
$6,377
INJECTION, ARIPIPRAZOLE (ABILIFY MAINTENA), 1 MG
Gross
$12,754
21621718
$6,075
Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion vari
Gross
$12,149
23276096
$5,268
INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT S
Gross
$10,535
16250546
$5,114
Drainage of abscess of breast
Gross
$10,228
2505469
$4,985
Electro or thermal destruction of cervix
Gross
$9,969
6021170
$4,985
Treatment of miscarriage during first trimester
Gross
$9,969
2913893
$4,922
Biopsy of growth of external female genitals, first growth
Gross
$9,844
16249757
$4,477
Exploration of wound of abdomen, back, or flank
Gross
$8,954
16249976
$4,466
Extensive or complicated repair of surface wound reopening
Gross
$8,932
16250614
$4,403
Treatment of broken shin bone at lower weight bearing joint
Gross
$8,805
929992
$4,262
Closed treatment of broken bone separating nose airways
Gross
$8,523
16250695
$4,245
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
Gross
$8,489
932027
$4,240
Removal of sperm duct
Gross
$8,479
870597
$4,207
INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG
Gross
$8,413
16804257
$4,106
ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION
Gross
$8,211
16804258
$4,106
ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - GENERAL CLASSIFICATION
Gross
$8,211
16804259
$4,106
ROOM & BOARD - OTHER - STERILE ENVIRONMENT
Gross
$8,211
16804270
$4,106
ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION
Gross
$8,211
16804271
$4,106
ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - GENERAL CLASSIFICATION
Gross
$8,211
16250612
$4,080
Closed treatment of middle part of broken shin bone with manipulation
Gross
$8,159
16250751
$4,080
Closed treatment of broken thigh bone at midportion with manipulation
Gross
$8,159
16250753
$4,080
Closed treatment of inside portion of shin bone at ankle with manipulation
Gross
$8,159
16250549
$4,075
Amputation of finger or thumb with direct closure
Gross
$8,149
16250608
$4,075
Partial removal of finger bone at end of finger
Gross
$8,149
16250650
$4,065
Initial inpatient hospital critical care of newborn per day (28 days or younger)
Gross
$8,130
16249764
$3,968
Closed treatment of broken bone separating nose airways
Gross
$7,936
16250745
$3,968
Closed treatment of broken nose bone with placement of stabilizing device
Gross
$7,936
1653769
$3,944
INJECTION, FOMEPIZOLE, 15 MG
Gross
$7,888
8516666
$3,827
Removal of foreskin (28 days or younger)
Gross
$7,653
1787770
$3,811
CT scan of abdomen and pelvis before and after contrast
Gross
$7,622
16250548
$3,808
Reattachment of part of cutoff finger
Gross
$7,615
869696
$3,751
INJECTION, TERIPARATIDE, 10 MCG
Gross
$7,502
1141772
$3,737
CT scan of abdomen and pelvis before and after contrast
Gross
$7,474
17215508
$3,713
INJECTION, FERUMOXYTOL, FOR TREATMENT OF IRON DEFICIENCY ANEMIA, 1 MG (NON-ESRD USE)
Gross
$7,426
16249907
$3,693
Simple destruction of growth of external female genitals
Gross
$7,386
16250630
$3,693
Destruction of multiple growths of penis
Gross
$7,386
2913911
$3,555
Biopsy of cervix using an endoscope with loop electrode
Gross
$7,109
854542
$3,540
MRI scan of blood vessels of neck before and after contrast
Gross
$7,079
931857
$3,535
Removal of foreskin using clamp or device
Gross
$7,069
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 21823670 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $62,415 | $31,207 | — | — | 1 |
| 23178358 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $54,256 | $27,128 | — | — | 1 |
| 23178358{2} | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $54,256 | $27,128 | — | — | 1 |
| 2151770 | INJECTION, TENECTEPLASE, 1 MG | $23,103 | $11,552 | — | — | 1 |
| 16941579 | INJECTION, TENECTEPLASE, 1 MG | $19,342 | $9,671 | — | — | 1 |
| 22649432 | AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (ROTARY WING) | $18,216 | $9,108 | — | — | 1 |
| 16804338 | AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING) | $17,375 | $8,688 | — | — | 1 |
| 22858825 | INJECTION, ADALIMUMAB, 1 MG | $15,246 | $7,623 | — | — | 1 |
| 22880176 | HYPERRAB 300 UNIT/ML VIAL | $15,134 | $7,567 | — | — | 1 |
| 16249788 | Treatment of broken finger at midportion or part near hand | $13,111 | $6,556 | — | — | 2 |
| 21773979 | INJECTION, ARIPIPRAZOLE (ABILIFY MAINTENA), 1 MG | $12,754 | $6,377 | — | — | 1 |
| 21773979{2} | INJECTION, ARIPIPRAZOLE (ABILIFY MAINTENA), 1 MG | $12,754 | $6,377 | — | — | 1 |
| 21621718 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion vari | $12,149 | $6,075 | — | — | 1 |
| 23276096 | INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT S | $10,535 | $5,268 | — | — | 1 |
| 16250546 | Drainage of abscess of breast | $10,228 | $5,114 | — | — | 2 |
| 2505469 | Electro or thermal destruction of cervix | $9,969 | $4,985 | — | — | 2 |
| 6021170 | Treatment of miscarriage during first trimester | $9,969 | $4,985 | — | — | 2 |
| 2913893 | Biopsy of growth of external female genitals, first growth | $9,844 | $4,922 | — | — | 2 |
| 16249757 | Exploration of wound of abdomen, back, or flank | $8,954 | $4,477 | — | — | 2 |
| 16249976 | Extensive or complicated repair of surface wound reopening | $8,932 | $4,466 | — | — | 2 |
| 16250614 | Treatment of broken shin bone at lower weight bearing joint | $8,805 | $4,403 | — | — | 2 |
| 929992 | Closed treatment of broken bone separating nose airways | $8,523 | $4,262 | — | — | 2 |
| 16250695 | Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm | $8,489 | $4,245 | — | — | 2 |
| 932027 | Removal of sperm duct | $8,479 | $4,240 | — | — | 2 |
| 870597 | INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG | $8,413 | $4,207 | — | — | 1 |
| 16804257 | ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION | $8,211 | $4,106 | — | — | 1 |
| 16804258 | ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - GENERAL CLASSIFICATION | $8,211 | $4,106 | — | — | 1 |
| 16804259 | ROOM & BOARD - OTHER - STERILE ENVIRONMENT | $8,211 | $4,106 | — | — | 1 |
| 16804270 | ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION | $8,211 | $4,106 | — | — | 1 |
| 16804271 | ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - GENERAL CLASSIFICATION | $8,211 | $4,106 | — | — | 1 |
| 16250612 | Closed treatment of middle part of broken shin bone with manipulation | $8,159 | $4,080 | — | — | 2 |
| 16250751 | Closed treatment of broken thigh bone at midportion with manipulation | $8,159 | $4,080 | — | — | 2 |
| 16250753 | Closed treatment of inside portion of shin bone at ankle with manipulation | $8,159 | $4,080 | — | — | 2 |
| 16250549 | Amputation of finger or thumb with direct closure | $8,149 | $4,075 | — | — | 2 |
| 16250608 | Partial removal of finger bone at end of finger | $8,149 | $4,075 | — | — | 2 |
| 16250650 | Initial inpatient hospital critical care of newborn per day (28 days or younger) | $8,130 | $4,065 | — | — | 1 |
| 16249764 | Closed treatment of broken bone separating nose airways | $7,936 | $3,968 | — | — | 2 |
| 16250745 | Closed treatment of broken nose bone with placement of stabilizing device | $7,936 | $3,968 | — | — | 2 |
| 1653769 | INJECTION, FOMEPIZOLE, 15 MG | $7,888 | $3,944 | — | — | 1 |
| 8516666 | Removal of foreskin (28 days or younger) | $7,653 | $3,827 | — | — | 2 |
| 1787770 | CT scan of abdomen and pelvis before and after contrast | $7,622 | $3,811 | — | — | 1 |
| 16250548 | Reattachment of part of cutoff finger | $7,615 | $3,808 | — | — | 2 |
| 869696 | INJECTION, TERIPARATIDE, 10 MCG | $7,502 | $3,751 | — | — | 1 |
| 1141772 | CT scan of abdomen and pelvis before and after contrast | $7,474 | $3,737 | — | — | 1 |
| 17215508 | INJECTION, FERUMOXYTOL, FOR TREATMENT OF IRON DEFICIENCY ANEMIA, 1 MG (NON-ESRD USE) | $7,426 | $3,713 | — | — | 1 |
| 16249907 | Simple destruction of growth of external female genitals | $7,386 | $3,693 | — | — | 2 |
| 16250630 | Destruction of multiple growths of penis | $7,386 | $3,693 | — | — | 2 |
| 2913911 | Biopsy of cervix using an endoscope with loop electrode | $7,109 | $3,555 | — | — | 2 |
| 854542 | MRI scan of blood vessels of neck before and after contrast | $7,079 | $3,540 | — | — | 1 |
| 931857 | Removal of foreskin using clamp or device | $7,069 | $3,535 | — | — | 2 |
Showing top 50 of 5,346 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.