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
2,355
Insurances with rates
2
CPT / HCPCS codes
2,308
Source MRF
Most expensive procedures (gross)
C1767
$17,175
NEUROSTIMULATOR IPG INTERSTIM II 3058
Gross
$28,625
95972
$17,175
NEUROSTIMULATOR IPG INTERSTIM II 3058
Gross
$28,625
27415
$15,767
FEM HCON LAT FS/A RT
Gross
$26,278
J2997
$12,672
ALTEPLASE(ACTIVASE)(TPA)INJ 100MG SDV
Gross
$21,120
J3380
$12,479
ENTYVIO(VEDOLIZUMAB)300MG SDV
Gross
$20,798
J3101
$11,948
TNKASE(TENECTEPLASE)50MG KIT
Gross
$19,913
C1820
$10,314
RECHARGEABLE FULL IMPLANT PACKAGE
Gross
$17,190
C1889
$9,384
ORTHOSPACE INSPACE US
Gross
$15,640
47531
$6,763
CHOLANGIOGRAM T-TUBE EXISTING ACCESS
Gross
$11,271
C1734
$5,520
AUGMENT BONE GRAFT KIT 3.0CC
Gross
$9,200
J1162
$5,502
DIGIFAB(DIGOXIN IMMUNE)INJ 40MG VIAL
Gross
$9,170
36555
$5,263
INSERTION OF CENTRAL LINE; < 5 YEARS OLD
Gross
$8,771
27087
$5,206
REMOVE FOREIGN BODY; DEEP; HIP
Gross
$8,677
C1778
$5,123
LEAD SNS INTERSTIM 33CM 3889
Gross
$8,538
26765
$5,095
TREAT FINGER/THUMB FRACTURE; OPEN; EACH
Gross
$8,492
J1568
$5,029
IMMUNE GLOBULIN(IVIG)IV 20GM
Gross
$8,381
36558
$4,988
INSERT CENTRAL VENOUS CATH; TUNNELED
Gross
$8,314
59409
$4,823
VAGINAL DELIVERY
Gross
$8,039
59414
$4,823
DELIVERY OF PLACENTA
Gross
$8,039
C1762
$4,692
5CC BIO4 VIABLE BONE MATRIX-ORTHO
Gross
$7,820
J0840
$4,605
CROFAB(SNAKE ANTIVENOM) CHARGE PER VIAL
Gross
$7,675
36556
$4,564
INSERTION OF CENTRAL LINE
Gross
$7,606
26951
$4,514
AMPUTATION THUMB/FINGER
Gross
$7,524
30310
$4,361
REMOVAL OF NASAL FOREIGN BODY
Gross
$7,268
23333
$4,359
REMOVE FOREIGN BODY; DEEP ;SHOULDER
Gross
$7,265
24201
$4,359
REMOVE FOREIGN BODY; DEEP; ARM
Gross
$7,265
27086
$4,359
REMOVE FOREIGN BODY; SOFT TISSUE; HIP
Gross
$7,265
J2407
$4,176
ORBACTIV(ORITAVANCIN)INJ 400MG SDV X3
Gross
$6,960
J3111
$3,785
EVENITY(ROMOSOZUMAB)105MG PFS 2PK,SINGLE DOSE CONTAINER DRUGS
Gross
$6,309
38222
$3,780
BONE MARROW BIOPSY & ASPIRATION
Gross
$6,300
C1776
$3,572
PERFORM REV INSERT SZ 1/2 36M DIA +0
Gross
$5,954
64624
$3,236
IOVERA - LT DEEP NERVE DESTRUCTION,LEFT SIDE
Gross
$5,393
C1728
$2,995
BALLOON CATHETER-MAMMOSITE 2456
Gross
$4,992
19083
$2,991
US BIOPSY LT W IMAGING 1 LESION,LEFT SIDE
Gross
$4,985
19083
$2,991
US BIOPSY RT W IMAGING 1 LESION,RIGHT SIDE
Gross
$4,985
20220
$2,991
CT BIOPSY BONE, SUP CORE 2OF2
Gross
$4,985
32408
$2,991
CT BIOPSY CHEST CORE
Gross
$4,985
49406
$2,991
CT DRAINAGE ABD
Gross
$4,985
49180
$2,991
CT BIOPSY ABD CORE 2OF2
Gross
$4,985
L8699
$2,949
IMPLANT SUBTALAR 8MM 04-0008
Gross
$4,915
J1602
$2,879
SIMPONI ARIA(GOLIMUMAB)IVPB
Gross
$4,798
54150
$2,854
CIRCUMCISION
Gross
$4,757
12037
$2,731
LAYER CLOSURE WOUNDS OVER 30.0 CM
Gross
$4,551
12047
$2,731
REPAIR SIMPLE OVER 30.0
Gross
$4,551
Q4100
$2,706
SKIN SUBST STRATTICE PORCINE 1010002,SKIN SUBSTITUTE
Gross
$4,510
J0897
$2,701
PROLIA(DENOSUMAB)INJ 60MG/ML PFS
Gross
$4,501
32556
$2,590
INSERT CATH PLEURA W/O IMAGE
Gross
$4,316
43233
$2,590
EGD FLEXIBLE W /DILATION 30 MM OR >
Gross
$4,316
11044
$2,587
DEBRIDE BONEFIRST 20SQ CM OR <
Gross
$4,311
55100
$2,587
I&D ABSCESS; SCROTAL WALL
Gross
$4,311
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1767 | NEUROSTIMULATOR IPG INTERSTIM II 3058 | $28,625 | $17,175 | — | — | 0 |
| 95972 | NEUROSTIMULATOR IPG INTERSTIM II 3058 | $28,625 | $17,175 | — | — | 1 |
| 27415 | FEM HCON LAT FS/A RT | $26,278 | $15,767 | — | — | 1 |
| J2997 | ALTEPLASE(ACTIVASE)(TPA)INJ 100MG SDV | $21,120 | $12,672 | — | — | 1 |
| J3380 | ENTYVIO(VEDOLIZUMAB)300MG SDV | $20,798 | $12,479 | — | — | 1 |
| J3101 | TNKASE(TENECTEPLASE)50MG KIT | $19,913 | $11,948 | — | — | 1 |
| C1820 | RECHARGEABLE FULL IMPLANT PACKAGE | $17,190 | $10,314 | — | — | 0 |
| C1889 | ORTHOSPACE INSPACE US | $15,640 | $9,384 | — | — | 0 |
| 47531 | CHOLANGIOGRAM T-TUBE EXISTING ACCESS | $11,271 | $6,763 | — | — | 1 |
| C1734 | AUGMENT BONE GRAFT KIT 3.0CC | $9,200 | $5,520 | — | — | 0 |
| J1162 | DIGIFAB(DIGOXIN IMMUNE)INJ 40MG VIAL | $9,170 | $5,502 | — | — | 1 |
| 36555 | INSERTION OF CENTRAL LINE; < 5 YEARS OLD | $8,771 | $5,263 | — | — | 2 |
| 27087 | REMOVE FOREIGN BODY; DEEP; HIP | $8,677 | $5,206 | — | — | 2 |
| C1778 | LEAD SNS INTERSTIM 33CM 3889 | $8,538 | $5,123 | — | — | 0 |
| 26765 | TREAT FINGER/THUMB FRACTURE; OPEN; EACH | $8,492 | $5,095 | — | — | 3 |
| J1568 | IMMUNE GLOBULIN(IVIG)IV 20GM | $8,381 | $5,029 | — | — | 1 |
| 36558 | INSERT CENTRAL VENOUS CATH; TUNNELED | $8,314 | $4,988 | — | — | 2 |
| 59409 | VAGINAL DELIVERY | $8,039 | $4,823 | — | — | 2 |
| 59414 | DELIVERY OF PLACENTA | $8,039 | $4,823 | — | — | 2 |
| C1762 | 5CC BIO4 VIABLE BONE MATRIX-ORTHO | $7,820 | $4,692 | — | — | 0 |
| J0840 | CROFAB(SNAKE ANTIVENOM) CHARGE PER VIAL | $7,675 | $4,605 | — | — | 1 |
| 36556 | INSERTION OF CENTRAL LINE | $7,606 | $4,564 | — | — | 2 |
| 26951 | AMPUTATION THUMB/FINGER | $7,524 | $4,514 | — | — | 2 |
| 30310 | REMOVAL OF NASAL FOREIGN BODY | $7,268 | $4,361 | — | — | 2 |
| 23333 | REMOVE FOREIGN BODY; DEEP ;SHOULDER | $7,265 | $4,359 | — | — | 2 |
| 24201 | REMOVE FOREIGN BODY; DEEP; ARM | $7,265 | $4,359 | — | — | 2 |
| 27086 | REMOVE FOREIGN BODY; SOFT TISSUE; HIP | $7,265 | $4,359 | — | — | 2 |
| J2407 | ORBACTIV(ORITAVANCIN)INJ 400MG SDV X3 | $6,960 | $4,176 | — | — | 1 |
| J3111 | EVENITY(ROMOSOZUMAB)105MG PFS 2PK,SINGLE DOSE CONTAINER DRUGS | $6,309 | $3,785 | — | — | 1 |
| 38222 | BONE MARROW BIOPSY & ASPIRATION | $6,300 | $3,780 | — | — | 3 |
| C1776 | PERFORM REV INSERT SZ 1/2 36M DIA +0 | $5,954 | $3,572 | — | — | 0 |
| 64624 | IOVERA - LT DEEP NERVE DESTRUCTION,LEFT SIDE | $5,393 | $3,236 | — | — | 2 |
| C1728 | BALLOON CATHETER-MAMMOSITE 2456 | $4,992 | $2,995 | — | — | 0 |
| 19083 | US BIOPSY LT W IMAGING 1 LESION,LEFT SIDE | $4,985 | $2,991 | — | — | 1 |
| 19083 | US BIOPSY RT W IMAGING 1 LESION,RIGHT SIDE | $4,985 | $2,991 | — | — | 1 |
| 20220 | CT BIOPSY BONE, SUP CORE 2OF2 | $4,985 | $2,991 | — | — | 1 |
| 32408 | CT BIOPSY CHEST CORE | $4,985 | $2,991 | — | — | 1 |
| 49406 | CT DRAINAGE ABD | $4,985 | $2,991 | — | — | 1 |
| 49180 | CT BIOPSY ABD CORE 2OF2 | $4,985 | $2,991 | — | — | 1 |
| L8699 | IMPLANT SUBTALAR 8MM 04-0008 | $4,915 | $2,949 | — | — | 0 |
| J1602 | SIMPONI ARIA(GOLIMUMAB)IVPB | $4,798 | $2,879 | — | — | 1 |
| 54150 | CIRCUMCISION | $4,757 | $2,854 | — | — | 1 |
| 12037 | LAYER CLOSURE WOUNDS OVER 30.0 CM | $4,551 | $2,731 | — | — | 2 |
| 12047 | REPAIR SIMPLE OVER 30.0 | $4,551 | $2,731 | — | — | 2 |
| Q4100 | SKIN SUBST STRATTICE PORCINE 1010002,SKIN SUBSTITUTE | $4,510 | $2,706 | — | — | 0 |
| J0897 | PROLIA(DENOSUMAB)INJ 60MG/ML PFS | $4,501 | $2,701 | — | — | 1 |
| 32556 | INSERT CATH PLEURA W/O IMAGE | $4,316 | $2,590 | — | — | 2 |
| 43233 | EGD FLEXIBLE W /DILATION 30 MM OR > | $4,316 | $2,590 | — | — | 2 |
| 11044 | DEBRIDE BONEFIRST 20SQ CM OR < | $4,311 | $2,587 | — | — | 2 |
| 55100 | I&D ABSCESS; SCROTAL WALL | $4,311 | $2,587 | — | — | 2 |
Showing top 50 of 2,355 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.