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
10,829
Insurances with rates
11
CPT / HCPCS codes
9,594
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1670 | IG TETANUS 250U SYRNTB | $795,233 | $529,625 | $430,460 | $779,329 | 17 |
| J1670 | IG TETANUS 250U SYRNTB | $795,233 | $529,625 | $205,727 | $779,329 | 26 |
| J3357 | USTEKINUMAB 90MG SYGTB | $142,842 | $95,133 | $77,320 | $139,985 | 17 |
| J3357 | USTEKINUMAB 90MG SYGTB | $142,842 | $95,133 | $36,953 | $139,985 | 26 |
| A9543 | Y90 IBRITUMMAB TX TO 40MC | $45,015 | $29,980 | $11,645 | $44,115 | 26 |
| A9543 | Y90 IBRITUMMAB TX TO 40MC | $44,745 | $29,800 | $24,220 | $43,850 | 17 |
| J2353 | OCTREOTIDE 30MG DEP KITTB | $33,872 | $22,558 | $18,335 | $33,194 | 17 |
| J2353 | OCTREOTIDE 30MG DEP KITTB | $33,872 | $22,558 | $8,763 | $33,194 | 26 |
| J3101 | TENECTEPLASE 50MG INJTB | $30,472 | $20,295 | $16,495 | $29,863 | 17 |
| J3101 | TENECTEPLASE 50MG INJTB | $30,472 | $20,295 | $7,883 | $29,863 | 26 |
| J2506 | PEGFILGRASTIM 6MG INJTB | $27,276 | $18,166 | $14,765 | $26,731 | 17 |
| J2506 | PEGFILGRASTIM 6MG INJTB | $27,276 | $18,166 | $7,056 | $26,731 | 26 |
| C1778 | LEAD NEUROSTIM7755X-10082 | $26,757 | $17,820 | $14,484 | $26,222 | 17 |
| C1778 | LEAD NEUROSTIM7755X-10082 | $26,757 | $17,820 | $6,922 | $26,222 | 26 |
| 300105039 | SURGERY LEVEL 5 1ST 30MIN | $24,567 | $16,362 | $13,298 | $24,076 | 17 |
| 300105039 | SURGERY LEVEL 5 1ST 30MIN | $24,567 | $16,362 | $6,355 | $24,076 | 26 |
| 27041 | BIOPSY PELVIS/HIP DEEP | $23,918 | $15,929 | $12,947 | $23,440 | 17 |
| 22510 | VERTEBROPL INJ C/T W IMAG | $21,085 | $14,043 | $11,413 | $20,663 | 17 |
| J0896 | LUSPA-AAMT25MG/0.5MLSDVTB | $19,759 | $13,160 | $10,696 | $19,364 | 17 |
| J0896 | LUSPA-AAMT25MG/0.5MLSDVTB | $19,759 | $13,160 | $5,112 | $19,364 | 26 |
| 70549 | MR ANGIO NECK WO W CON | $19,509 | $12,993 | $10,560 | $19,119 | 17 |
| 70546 | MR ANGIO HEAD WO W CON | $19,308 | $12,859 | $10,451 | $18,922 | 17 |
| 73225 | MR ANGIO UPP EXTR WO CON | $19,261 | $12,828 | $10,426 | $18,876 | 17 |
| 73725 | MR ANGIO LOWER EXTR W CON | $19,261 | $12,828 | $10,426 | $18,876 | 17 |
| 300105037 | SURGERY LEVEL 4 1ST 30MIN | $18,874 | $12,570 | $10,217 | $18,497 | 17 |
| 300105037 | SURGERY LEVEL 4 1ST 30MIN | $18,874 | $12,570 | $4,883 | $18,497 | 26 |
| 74262 | CT VIRTUAL COLON DIAG W | $18,563 | $12,363 | $10,048 | $18,192 | 17 |
| Q5111 | PEGF-CBQV 6MG/0.6MLPFAITB | $17,744 | $11,817 | $9,605 | $17,389 | 17 |
| Q5111 | PEGF-CBQV 6MG/0.6MLPFAITB | $17,744 | $11,817 | $4,590 | $17,389 | 26 |
| 70496 | CT ANGIO HEAD W CON | $17,373 | $11,570 | $9,404 | $17,026 | 17 |
| 300505853 | KIT/PACK DISP 5965X-7755 | $17,150 | $11,422 | $9,283 | $16,807 | 17 |
| 300505853 | KIT/PACK DISP 5965X-7755 | $17,150 | $11,422 | $4,437 | $16,807 | 26 |
| J0897 | DENOSUM 120MG/1.7ML INJTB | $16,904 | $11,258 | $9,150 | $16,566 | 17 |
| J0897 | DENOSUM 120MG/1.7ML INJTB | $16,904 | $11,258 | $4,373 | $16,566 | 26 |
| J1306 | INCLISIR 284MG/1.5MLPFSTB | $16,904 | $11,258 | $9,150 | $16,566 | 17 |
| J1306 | INCLISIR 284MG/1.5MLPFSTB | $16,904 | $11,258 | $4,373 | $16,566 | 26 |
| 90375 | RAB IG 300IU/ML 5MLSDVTB | $16,672 | $11,104 | $9,025 | $16,339 | 17 |
| 90375 | RAB IG 300IU/ML 5MLSDVTB | $16,672 | $11,104 | $4,313 | $16,339 | 26 |
| 71552 | MR CHEST WO AND W CON | $15,954 | $10,625 | $8,636 | $15,635 | 17 |
| 100104892 | ROOM ICU GENERAL | $15,941 | $10,617 | $8,629 | $15,622 | 26 |
| Q4196 | PURAPLY AM 6X9 4588X-5965 | $15,831 | $10,543 | $8,569 | $15,514 | 17 |
| Q4196 | PURAPLY AM 6X9 4588X-5965 | $15,831 | $10,543 | $104 | $15,514 | 31 |
| 77047 | MR BREAST WO CON BIL | $15,386 | $10,247 | $8,328 | $15,078 | 17 |
| C8906 | MR BREAST W CON BIL | $15,386 | $10,247 | $8,328 | $15,078 | 17 |
| C8908 | MR BREAST WO AND W CON BI | $15,386 | $10,247 | $8,328 | $15,078 | 17 |
| 70498 | CT ANGIO NECK W CON | $15,342 | $10,218 | $8,305 | $15,035 | 17 |
| 70336 | MR TMJ(S) UNI OR BIL | $14,808 | $9,862 | $8,016 | $14,512 | 17 |
| Q5130 | PEGF-PBBK6MG/0.6MLPFSTB | $14,700 | $9,790 | $7,957 | $14,406 | 17 |
| Q5130 | PEGF-PBBK6MG/0.6MLPFSTB | $14,700 | $9,790 | $3,803 | $14,406 | 26 |
| 78804 | NM TMR LOCL WB PLNR 2+DYS | $14,632 | $9,745 | $7,920 | $14,339 | 17 |
Showing top 50 of 10,829 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.