45 CFR § 180 compliance
C · 70
This hospital published part 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
17,251
Insurances with rates
13
CPT / HCPCS codes
9,777
Source MRF
Most expensive procedures (gross)
6332423
$784,329
PEG-ELECTROLYTE 4L LIQ
Gross
$1,439,136
6332423
$784,329
PEG-ELECTROLYTE 4L LIQ
Gross
$1,439,136
J9347
$96,923
TRE-ACTL300MG/15MLSDVJWTB
Gross
$177,840
J9347
$96,923
TRE-ACTL300MG/15MLSDVJWTB
Gross
$177,840
J9228
$71,313
IPILIMUM200MG/40MLSDVJWTB
Gross
$130,849
J9228
$71,313
IPILIMUM200MG/40MLSDVJWTB
Gross
$130,849
J2350
$51,297
OCRELIZ 300MG/10MLSDVJWTB
Gross
$94,123
J2350
$51,297
OCRELIZ 300MG/10MLSDVJWTB
Gross
$94,123
J3357
$50,369
USTEKINUMAB 90MG SYG JWTB
Gross
$92,420
J3357
$50,369
USTEKINUMAB 90MG SYG JWTB
Gross
$92,420
C1882
$44,769
ICD NOT S/D 14761X-16237
Gross
$82,145
C1882
$44,769
ICD NOT S/D 14761X-16237
Gross
$82,145
C1721
$40,699
ICD DUAL 13419X-14761
Gross
$74,677
C1721
$40,699
ICD DUAL 13419X-14761
Gross
$74,677
C1722
$40,699
ICD SINGLE 13419X-14761
Gross
$74,677
C1722
$40,699
ICD SINGLE 13419X-14761
Gross
$74,677
C9364
$40,699
PERMACO20X30 13419X-14761
Gross
$74,677
C9364
$40,699
PERMACO20X30 13419X-14761
Gross
$74,677
J9309
$37,278
POLA VE-PI140/20MLSDVJWTB
Gross
$68,400
J9309
$37,278
POLA VE-PI140/20MLSDVJWTB
Gross
$68,400
J3241
$37,029
TEPRO-TRBW500MGLYOSDVJWTB
Gross
$67,944
J3241
$37,029
TEPRO-TRBW500MGLYOSDVJWTB
Gross
$67,944
J9334
$36,105
E-A QVFC180-2K/M5.6SDJWTB
Gross
$66,247
J9334
$36,105
E-A QVFC180-2K/M5.6SDJWTB
Gross
$66,247
J9043
$35,684
CABAZIT 60MG/1.5MLSDVJWTB
Gross
$65,476
J9043
$35,684
CABAZIT 60MG/1.5MLSDVJWTB
Gross
$65,476
C1820
$33,637
NEURSTM RECH 11090X-12199
Gross
$61,719
C1820
$33,637
NEURSTM RECH 11090X-12199
Gross
$61,719
C1767
$30,578
NEURSTM NREC 10082X-11090
Gross
$56,106
C1767
$30,578
NEURSTM NREC 10082X-11090
Gross
$56,106
C1772
$30,578
INF PUMP PRG 10082X-11090
Gross
$56,106
C1772
$30,578
INF PUMP PRG 10082X-11090
Gross
$56,106
C1781
$30,578
MESH IMP 10082X-11090
Gross
$56,106
C1781
$30,578
MESH IMP 10082X-11090
Gross
$56,106
C1874
$30,578
STENT COV W 10082X-11090
Gross
$56,106
C1874
$30,578
STENT COV W 10082X-11090
Gross
$56,106
J3245
$30,343
TILDRAK 100MG/1ML PFSJWTB
Gross
$55,676
J3245
$30,343
TILDRAK 100MG/1ML PFSJWTB
Gross
$55,676
J1628
$26,076
GUSELKUM 100MG/1MLPFSJWTB
Gross
$47,845
J1628
$26,076
GUSELKUM 100MG/1MLPFSJWTB
Gross
$47,845
J9272
$25,770
DOS-GXLY500MG/10MLSDVJWTB
Gross
$47,285
J9272
$25,770
DOS-GXLY500MG/10MLSDVJWTB
Gross
$47,285
C1763
$25,763
CONN TIS NHUM 7755X-10082
Gross
$47,271
C1763
$25,763
CONN TIS NHUM 7755X-10082
Gross
$47,271
37227
$22,972
REVAS FEM POP STENT ATHER
Gross
$42,151
37227
$22,972
REVAS FEM POP STENT ATHER
Gross
$42,151
J9119
$22,615
CEM-RWLC 350MG/7MLSDVJWTB
Gross
$41,496
J9119
$22,615
CEM-RWLC 350MG/7MLSDVJWTB
Gross
$41,496
J9022
$22,070
ATEZOL 60MG/ML20MLINJJWTB
Gross
$40,496
J9022
$22,070
ATEZOL 60MG/ML20MLINJJWTB
Gross
$40,496
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6332423 | PEG-ELECTROLYTE 4L LIQ | $1,439,136 | $784,329 | $1,108,135 | $1,410,353 | 6 |
| 6332423 | PEG-ELECTROLYTE 4L LIQ | $1,439,136 | $784,329 | $705,177 | $1,439,136 | 12 |
| J9347 | TRE-ACTL300MG/15MLSDVJWTB | $177,840 | $96,923 | $136,937 | $174,283 | 6 |
| J9347 | TRE-ACTL300MG/15MLSDVJWTB | $177,840 | $96,923 | $87,142 | $177,840 | 12 |
| J9228 | IPILIMUM200MG/40MLSDVJWTB | $130,849 | $71,313 | $100,754 | $128,232 | 6 |
| J9228 | IPILIMUM200MG/40MLSDVJWTB | $130,849 | $71,313 | $194 | $128,232 | 31 |
| J2350 | OCRELIZ 300MG/10MLSDVJWTB | $94,123 | $51,297 | $72,475 | $92,241 | 6 |
| J2350 | OCRELIZ 300MG/10MLSDVJWTB | $94,123 | $51,297 | $63.29 | $92,241 | 31 |
| J3357 | USTEKINUMAB 90MG SYG JWTB | $92,420 | $50,369 | $71,163 | $90,572 | 6 |
| J3357 | USTEKINUMAB 90MG SYG JWTB | $92,420 | $50,369 | $207 | $90,572 | 31 |
| C1882 | ICD NOT S/D 14761X-16237 | $82,145 | $44,769 | $20,536 | $80,502 | 15 |
| C1882 | ICD NOT S/D 14761X-16237 | $82,145 | $44,769 | $20,536 | $80,502 | 18 |
| C1721 | ICD DUAL 13419X-14761 | $74,677 | $40,699 | $18,669 | $73,183 | 15 |
| C1721 | ICD DUAL 13419X-14761 | $74,677 | $40,699 | $18,669 | $73,183 | 18 |
| C1722 | ICD SINGLE 13419X-14761 | $74,677 | $40,699 | $18,669 | $73,183 | 15 |
| C1722 | ICD SINGLE 13419X-14761 | $74,677 | $40,699 | $18,669 | $73,183 | 18 |
| C9364 | PERMACO20X30 13419X-14761 | $74,677 | $40,699 | $18,669 | $73,183 | 15 |
| C9364 | PERMACO20X30 13419X-14761 | $74,677 | $40,699 | $14.14 | $73,183 | 20 |
| J9309 | POLA VE-PI140/20MLSDVJWTB | $68,400 | $37,278 | $52,668 | $67,032 | 6 |
| J9309 | POLA VE-PI140/20MLSDVJWTB | $68,400 | $37,278 | $144 | $67,032 | 31 |
| J3241 | TEPRO-TRBW500MGLYOSDVJWTB | $67,944 | $37,029 | $52,317 | $66,585 | 6 |
| J3241 | TEPRO-TRBW500MGLYOSDVJWTB | $67,944 | $37,029 | $381 | $66,585 | 31 |
| J9334 | E-A QVFC180-2K/M5.6SDJWTB | $66,247 | $36,105 | $51,010 | $64,922 | 6 |
| J9334 | E-A QVFC180-2K/M5.6SDJWTB | $66,247 | $36,105 | $32,461 | $66,247 | 12 |
| J9043 | CABAZIT 60MG/1.5MLSDVJWTB | $65,476 | $35,684 | $50,417 | $64,166 | 6 |
| J9043 | CABAZIT 60MG/1.5MLSDVJWTB | $65,476 | $35,684 | $241 | $64,166 | 31 |
| C1820 | NEURSTM RECH 11090X-12199 | $61,719 | $33,637 | $15,430 | $60,485 | 15 |
| C1820 | NEURSTM RECH 11090X-12199 | $61,719 | $33,637 | $15,430 | $60,485 | 18 |
| C1767 | NEURSTM NREC 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 15 |
| C1767 | NEURSTM NREC 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 18 |
| C1772 | INF PUMP PRG 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 15 |
| C1772 | INF PUMP PRG 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 18 |
| C1781 | MESH IMP 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 15 |
| C1781 | MESH IMP 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 18 |
| C1874 | STENT COV W 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 15 |
| C1874 | STENT COV W 10082X-11090 | $56,106 | $30,578 | $14,027 | $54,984 | 18 |
| J3245 | TILDRAK 100MG/1ML PFSJWTB | $55,676 | $30,343 | $42,871 | $54,562 | 6 |
| J3245 | TILDRAK 100MG/1ML PFSJWTB | $55,676 | $30,343 | $134 | $54,562 | 31 |
| J1628 | GUSELKUM 100MG/1MLPFSJWTB | $47,845 | $26,076 | $36,841 | $46,888 | 6 |
| J1628 | GUSELKUM 100MG/1MLPFSJWTB | $47,845 | $26,076 | $79.35 | $46,888 | 31 |
| J9272 | DOS-GXLY500MG/10MLSDVJWTB | $47,285 | $25,770 | $36,409 | $46,339 | 6 |
| J9272 | DOS-GXLY500MG/10MLSDVJWTB | $47,285 | $25,770 | $23,170 | $47,285 | 12 |
| C1763 | CONN TIS NHUM 7755X-10082 | $47,271 | $25,763 | $11,818 | $46,326 | 15 |
| C1763 | CONN TIS NHUM 7755X-10082 | $47,271 | $25,763 | $11,818 | $46,326 | 18 |
| 37227 | REVAS FEM POP STENT ATHER | $42,151 | $22,972 | $32,456 | $41,308 | 6 |
| 37227 | REVAS FEM POP STENT ATHER | $42,151 | $22,972 | $633 | $43,621 | 33 |
| J9119 | CEM-RWLC 350MG/7MLSDVJWTB | $41,496 | $22,615 | $31,952 | $40,666 | 6 |
| J9119 | CEM-RWLC 350MG/7MLSDVJWTB | $41,496 | $22,615 | $30.42 | $40,666 | 31 |
| J9022 | ATEZOL 60MG/ML20MLINJJWTB | $40,496 | $22,070 | $31,182 | $39,686 | 6 |
| J9022 | ATEZOL 60MG/ML20MLINJJWTB | $40,496 | $22,070 | $96.48 | $39,686 | 31 |
Showing top 50 of 17,251 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.