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
1,233
Insurances with rates
4
CPT / HCPCS codes
1,210
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | Activase (alteplase) Inj 100 mg | $23,233 | $16,263 | — | — | 5 |
| J3101 | Tnkase (tenecteplace) Inj 50 mg | $16,418 | $11,492 | — | — | 5 |
| J0897 | Prolia (denosumab) Inj 60 mg | $6,501 | $4,551 | — | — | 5 |
| 81211 | BRCA 1 AND 2 | $5,069 | $3,548 | — | — | 5 |
| 10140 | I&D HEMATOMA | $3,265 | $2,286 | — | — | 5 |
| Q4101 | APLIGRAF | $3,237 | $2,266 | — | — | 5 |
| J1439 | Injectafer (ferric carboxyma) Inj 750 mg | $3,164 | $2,215 | — | — | 5 |
| 65235 | REMOVAL OF FOREIGN BODY | $2,864 | $2,005 | — | — | 5 |
| 11044 | DEBRIDE SK SUB TIS MS BON | $2,626 | $1,838 | — | — | 5 |
| 74174 | CTA ABD AND PELVIS W CONTRAST | $2,250 | $1,575 | — | — | 5 |
| 73706 | CTA LEG BILATERAL | $2,214 | $1,550 | — | — | 5 |
| 43255 | EGD WITH CONTROL OF BLEEDING | $2,213 | $1,549 | — | — | 5 |
| 59409 | VAGINAL DELIVERY | $2,167 | $1,517 | — | — | 5 |
| 70496 | CTA HEAD | $2,094 | $1,466 | — | — | 5 |
| 45382 | COLONOSCOPY WITH CONTROL OF BLEEDING | $2,010 | $1,407 | — | — | 5 |
| Q4160 | NUSHIELD 2X3 CM | $1,988 | $1,391 | — | — | 5 |
| 74175 | CTA ABDOMINAL AORTA W/CONTRAST | $1,950 | $1,365 | — | — | 5 |
| 72191 | CTA PELVIS W/CONTRAST | $1,950 | $1,365 | — | — | 5 |
| 36556 | CENTRAL LINE/NON-TUNNELED | $1,912 | $1,338 | — | — | 5 |
| J0585 | Botulinum Toxin Type A - NF | $1,900 | $1,330 | — | — | 5 |
| 43236 | UPPER GI SCOPE W/SUBMUC INJ | $1,760 | $1,232 | — | — | 5 |
| 36569 | INSERTION OF PICC LINE W/OUT IMAGING | $1,750 | $1,225 | — | — | 5 |
| 36573 | INSERTION OF 0PICC WITH IMAGING | $1,750 | $1,225 | — | — | 5 |
| 71270 | CT ABDOMEN/PELVIS W & WO CONTRAST | $1,692 | $1,184 | — | — | 5 |
| 72194 | CT PELVIS W&W/O CONTRAST | $1,692 | $1,184 | — | — | 5 |
| 74160 | CT ABDOMEN W CONTRAST | $1,688 | $1,182 | — | — | 5 |
| 72193 | CT PELVIS W CONTRAST | $1,688 | $1,182 | — | — | 5 |
| 73206 | CTA UPPER EXT W/CONTRAST | $1,673 | $1,171 | — | — | 5 |
| Q4282 | CYGNUS DUAL 4x4 16 UNITS | $1,619 | $1,133 | — | — | 4 |
| 15271 | APP OF SKIN PRODUCT LEGS TRUNK ARMS 25SQ | $1,600 | $1,120 | — | — | 5 |
| M0243 | REGEN-COV ANTIBODIES ADMIN | $1,575 | $1,103 | — | — | 4 |
| Q4159 | AFFINITY 6.25 CM 7 UNITS | $1,575 | $1,103 | — | — | 5 |
| 88374 | FISH | $1,554 | $1,088 | — | — | 5 |
| 75635 | CTA AORTA W/RUNOFFS | $1,550 | $1,085 | — | — | 5 |
| 70498 | CTA NECK W/CONTRAST | $1,550 | $1,085 | — | — | 5 |
| 71275 | CTA PULMONARY ANGIOGRAM | $1,550 | $1,085 | — | — | 5 |
| 11047 | DEBRIDE BONE EACH ADDITIONAL 20 CM | $1,514 | $1,060 | — | — | 5 |
| 27550 | CLOSED TX KNEE DISLOCATION | $1,502 | $1,052 | — | — | 5 |
| 74150 | CT ABDOMEN W/O CONTRAST | $1,499 | $1,049 | — | — | 5 |
| 72192 | CT PELVIS W/O CONTRAST | $1,499 | $1,049 | — | — | 5 |
| 11604 | EXC MALIG LES 3.1TO 4.0CM | $1,427 | $999 | — | — | 5 |
| 73701 | CT LOWER EXT LT W CONT,Left side | $1,371 | $960 | — | — | 5 |
| 70481 | CT ORBITS W/CONTRAST | $1,371 | $960 | — | — | 5 |
| 73201 | CT UPPER EXT LT W CONT,Left side | $1,371 | $960 | — | — | 5 |
| 70470 | CT HEAD BRAIN W AND WO CONTRAST | $1,369 | $959 | — | — | 5 |
| 70491 | CT SOFT TISSUE NECK WITH CONTRAST | $1,369 | $959 | — | — | 5 |
| 70492 | CT SOFT TISSUE NECK W/O & W CONTRAST | $1,369 | $959 | — | — | 5 |
| 72129 | CT THORACIC SPINE W CONTRAST | $1,369 | $959 | — | — | 5 |
| 72126 | CT CERVICAL SPINE W CONTRAST | $1,369 | $958 | — | — | 5 |
| 72132 | CT L-SPINE W/ CONTRAST | $1,355 | $948 | — | — | 5 |
Showing top 50 of 1,233 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.