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
12,159
Insurances with rates
11
CPT / HCPCS codes
9,594
Source MRF
Most expensive procedures (gross)
J1670
$529,625
IG TETANUS 250U SYRNTB
Gross
$795,233
J1670
$529,625
IG TETANUS 250U SYRNTB
Gross
$795,233
J3357
$95,133
USTEKINUMAB 90MG SYGTB
Gross
$142,842
J3357
$95,133
USTEKINUMAB 90MG SYGTB
Gross
$142,842
A9543
$29,980
Y90 IBRITUMMAB TX TO 40MC
Gross
$45,015
A9543
$29,800
Y90 IBRITUMMAB TX TO 40MC
Gross
$44,745
J2353
$22,558
OCTREOTIDE 30MG DEP KITTB
Gross
$33,872
J2353
$22,558
OCTREOTIDE 30MG DEP KITTB
Gross
$33,872
J3101
$20,295
TENECTEPLASE 50MG INJTB
Gross
$30,472
J3101
$20,295
TENECTEPLASE 50MG INJTB
Gross
$30,472
J2506
$18,166
PEGFILGRASTIM 6MG INJTB
Gross
$27,276
J2506
$18,166
PEGFILGRASTIM 6MG INJTB
Gross
$27,276
C1778
$17,820
LEAD NEUROSTIM7755X-10082
Gross
$26,757
C1778
$17,820
LEAD NEUROSTIM7755X-10082
Gross
$26,757
300105039
$16,362
SURGERY LEVEL 5 1ST 30MIN
Gross
$24,567
300105039
$16,362
SURGERY LEVEL 5 1ST 30MIN
Gross
$24,567
27041
$15,929
BIOPSY PELVIS/HIP DEEP
Gross
$23,918
22510
$14,043
VERTEBROPL INJ C/T W IMAG
Gross
$21,085
J0896
$13,160
LUSPA-AAMT25MG/0.5MLSDVTB
Gross
$19,759
J0896
$13,160
LUSPA-AAMT25MG/0.5MLSDVTB
Gross
$19,759
70549
$12,993
MR ANGIO NECK WO W CON
Gross
$19,509
70546
$12,859
MR ANGIO HEAD WO W CON
Gross
$19,308
73225
$12,828
MR ANGIO UPP EXTR WO CON
Gross
$19,261
73725
$12,828
MR ANGIO LOWER EXTR W CON
Gross
$19,261
300105037
$12,570
SURGERY LEVEL 4 1ST 30MIN
Gross
$18,874
300105037
$12,570
SURGERY LEVEL 4 1ST 30MIN
Gross
$18,874
74262
$12,363
CT VIRTUAL COLON DIAG W
Gross
$18,563
Q5111
$11,817
PEGF-CBQV 6MG/0.6MLPFAITB
Gross
$17,744
Q5111
$11,817
PEGF-CBQV 6MG/0.6MLPFAITB
Gross
$17,744
70496
$11,570
CT ANGIO HEAD W CON
Gross
$17,373
300505853
$11,422
KIT/PACK DISP 5965X-7755
Gross
$17,150
300505853
$11,422
KIT/PACK DISP 5965X-7755
Gross
$17,150
J0897
$11,258
DENOSUM 120MG/1.7ML INJTB
Gross
$16,904
J0897
$11,258
DENOSUM 120MG/1.7ML INJTB
Gross
$16,904
J1306
$11,258
INCLISIR 284MG/1.5MLPFSTB
Gross
$16,904
J1306
$11,258
INCLISIR 284MG/1.5MLPFSTB
Gross
$16,904
90375
$11,104
RAB IG 300IU/ML 5MLSDVTB
Gross
$16,672
90375
$11,104
RAB IG 300IU/ML 5MLSDVTB
Gross
$16,672
71552
$10,625
MR CHEST WO AND W CON
Gross
$15,954
100104892
$10,617
ROOM ICU GENERAL
Gross
$15,941
Q4196
$10,543
PURAPLY AM 6X9 4588X-5965
Gross
$15,831
Q4196
$10,543
PURAPLY AM 6X9 4588X-5965
Gross
$15,831
77047
$10,247
MR BREAST WO CON BIL
Gross
$15,386
C8906
$10,247
MR BREAST W CON BIL
Gross
$15,386
C8908
$10,247
MR BREAST WO AND W CON BI
Gross
$15,386
70498
$10,218
CT ANGIO NECK W CON
Gross
$15,342
70336
$9,862
MR TMJ(S) UNI OR BIL
Gross
$14,808
Q5130
$9,790
PEGF-PBBK6MG/0.6MLPFSTB
Gross
$14,700
Q5130
$9,790
PEGF-PBBK6MG/0.6MLPFSTB
Gross
$14,700
78804
$9,745
NM TMR LOCL WB PLNR 2+DYS
Gross
$14,632
| 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 12,159 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.