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
1,922
Insurances with rates
1
CPT / HCPCS codes
1,882
Source MRF
Most expensive procedures (gross)
J0129
$34,664
ORENCIA (ABATACEPT)250MG/NS 100ML
Gross
$40,781
J2997
$15,003
TPA-ACTIVASE (ALTEPLASE) 100MG INJ
Gross
$17,650
C1781
$11,140
MESH VICRYL 12X12 VWML
Gross
$13,106
C1776
$10,442
HIP JOINT 51MM
Gross
$12,285
300
$10,211
VASCULAR LA
Gross
$12,013
J3101
$9,955
TNKASE (TENECTEPLASE) 50MG KIT
Gross
$11,712
20822
$7,963
RPLJ DGT EXCLUDE THUMB SUBL TDN COMP AMP
Gross
$9,368
S0122
$7,716
REPRONEX (MENOTROPINS) 75U INJ
Gross
$9,078
36475
$7,285
ENDOVENOUS RADIO FREQUENCY ABLATION 1ST
Gross
$8,571
36478
$7,285
LASER ABLATION 1ST VEIN
Gross
$8,571
J1745
$7,268
REMICADE (INFLIXIMAB) 100MG/20ML INJ
Gross
$8,551
70553
$5,999
MRI BRAIN W & W/O
Gross
$7,058
70543
$5,952
MRI SOFT TISSUE NECK W W/O CONTRAST
Gross
$7,002
14300
$5,688
ADJACENT TISSUE TRANSFER MORE THAN 30SQC
Gross
$6,692
72158
$5,666
MRI LUMBAR SPINE W & W/O
Gross
$6,666
73720
$5,585
MRI LOWER EXTREMITY NON JOINT W&W/O
Gross
$6,571
26121
$5,585
RELEASE OF PALMAR CONTRACTIVE
Gross
$6,571
72197
$5,441
MRI PELVIS W & W/O CONTRAST
Gross
$6,401
J2799
$5,437
UZEDY (RISPERIDONE) 100MG SYRINGE
Gross
$6,396
J3380
$5,392
ENTYVIO (VEDOLIZUMAB) 300MG INJ
Gross
$6,344
14061
$5,339
ADJACENT TISSUE DEFECT 10.1 TO 30.0 SQCM
Gross
$6,281
J1162
$5,303
DIGIBIND (DIGOXIN IMMUNE FAB) INJ
Gross
$6,239
J2993
$5,249
RETAVASE KIT
Gross
$6,175
C1726
$5,032
X-VIEW ROUND OMS-XB1
Gross
$5,920
90675
$4,795
RABIES VACCINE
Gross
$5,641
73723
$4,661
MRI LOWER EXTREMITY W& W/O CONTRAST
Gross
$5,483
360
$4,659
OPERATING ROOM-FIRST HALF H
Gross
$5,481
72156
$4,649
MRI CERVICAL W & W/O
Gross
$5,469
14060
$4,618
ADJACENT TISSUE TRANSFER 1OSQCM EYELIDS
Gross
$5,433
71552
$4,601
MRI CHEST W & W/O CONTRAST
Gross
$5,413
J0630
$4,432
MIACALCIN (CALCITONIN SAL)400IU/2ML INJ
Gross
$5,214
J1944
$4,432
ARISTADA (ARIPOPRAZOLE) 882MG INJ
Gross
$5,214
74181
$4,312
MRI ABDOMEN WO
Gross
$5,073
J0840
$4,281
CROFAB (ANTIVENIN CROTALIDAE PO) 1GM INJ
Gross
$5,036
72146
$4,254
MRI THORACIC SPINE W/O SC
Gross
$5,005
72141
$4,228
MRI CERVICAL WO
Gross
$4,974
72195
$4,181
MRI PELVIS W/O
Gross
$4,919
73721
$4,169
MRI ANY JOINT LOWER EXTREMITY WO
Gross
$4,905
81162
$4,155
BRCASSURE BRCA1 AND BRCA2 COMP ANALYSIS
Gross
$4,888
70551
$4,123
MRI BRAIN W/O CONTRAST
Gross
$4,850
14041
$4,123
ADJACENT TISSUE DEFECT 10.1 TO 30.0 SQCM
Gross
$4,850
36558
$4,056
INSERTION OF CENTRAL LINE
Gross
$4,772
C9003
$4,039
SYNAGIS (PALIVIZUMAB)100MG INJ
Gross
$4,752
72148
$4,000
MRI BASIC LUMBAR W/O CONTRAST
Gross
$4,706
73220
$3,998
MRI UPPER EXTREMITY OTH/ THN JOINC-/C+
Gross
$4,704
81420
$3,995
MATERNIT21 PLUS CORE
Gross
$4,700
70552
$3,794
MRI BRAIN W CONTRAST
Gross
$4,464
36571
$3,756
INS PR PICC LINE > 5YEARS W SUB PORT
Gross
$4,419
36570
$3,756
INS PR PICC LINE < 5YEARS W SUB PORT
Gross
$4,419
14040
$3,737
ADJACENT TISSUE TRANSFER FOREHEAD CKS 10
Gross
$4,397
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J0129 | ORENCIA (ABATACEPT)250MG/NS 100ML | $40,781 | $34,664 | — | — | 1 |
| J2997 | TPA-ACTIVASE (ALTEPLASE) 100MG INJ | $17,650 | $15,003 | — | — | 1 |
| C1781 | MESH VICRYL 12X12 VWML | $13,106 | $11,140 | — | — | 1 |
| C1776 | HIP JOINT 51MM | $12,285 | $10,442 | — | — | 1 |
| 300 | VASCULAR LA | $12,013 | $10,211 | — | — | 1 |
| J3101 | TNKASE (TENECTEPLASE) 50MG KIT | $11,712 | $9,955 | — | — | 1 |
| 20822 | RPLJ DGT EXCLUDE THUMB SUBL TDN COMP AMP | $9,368 | $7,963 | — | — | 1 |
| S0122 | REPRONEX (MENOTROPINS) 75U INJ | $9,078 | $7,716 | — | — | 1 |
| 36475 | ENDOVENOUS RADIO FREQUENCY ABLATION 1ST | $8,571 | $7,285 | — | — | 1 |
| 36478 | LASER ABLATION 1ST VEIN | $8,571 | $7,285 | — | — | 1 |
| J1745 | REMICADE (INFLIXIMAB) 100MG/20ML INJ | $8,551 | $7,268 | — | — | 1 |
| 70553 | MRI BRAIN W & W/O | $7,058 | $5,999 | — | — | 1 |
| 70543 | MRI SOFT TISSUE NECK W W/O CONTRAST | $7,002 | $5,952 | — | — | 1 |
| 14300 | ADJACENT TISSUE TRANSFER MORE THAN 30SQC | $6,692 | $5,688 | — | — | 1 |
| 72158 | MRI LUMBAR SPINE W & W/O | $6,666 | $5,666 | — | — | 1 |
| 73720 | MRI LOWER EXTREMITY NON JOINT W&W/O | $6,571 | $5,585 | — | — | 1 |
| 26121 | RELEASE OF PALMAR CONTRACTIVE | $6,571 | $5,585 | — | — | 1 |
| 72197 | MRI PELVIS W & W/O CONTRAST | $6,401 | $5,441 | — | — | 1 |
| J2799 | UZEDY (RISPERIDONE) 100MG SYRINGE | $6,396 | $5,437 | — | — | 1 |
| J3380 | ENTYVIO (VEDOLIZUMAB) 300MG INJ | $6,344 | $5,392 | — | — | 1 |
| 14061 | ADJACENT TISSUE DEFECT 10.1 TO 30.0 SQCM | $6,281 | $5,339 | — | — | 1 |
| J1162 | DIGIBIND (DIGOXIN IMMUNE FAB) INJ | $6,239 | $5,303 | — | — | 1 |
| J2993 | RETAVASE KIT | $6,175 | $5,249 | — | — | 1 |
| C1726 | X-VIEW ROUND OMS-XB1 | $5,920 | $5,032 | — | — | 1 |
| 90675 | RABIES VACCINE | $5,641 | $4,795 | — | — | 1 |
| 73723 | MRI LOWER EXTREMITY W& W/O CONTRAST | $5,483 | $4,661 | — | — | 1 |
| 360 | OPERATING ROOM-FIRST HALF H | $5,481 | $4,659 | — | — | 1 |
| 72156 | MRI CERVICAL W & W/O | $5,469 | $4,649 | — | — | 1 |
| 14060 | ADJACENT TISSUE TRANSFER 1OSQCM EYELIDS | $5,433 | $4,618 | — | — | 1 |
| 71552 | MRI CHEST W & W/O CONTRAST | $5,413 | $4,601 | — | — | 1 |
| J0630 | MIACALCIN (CALCITONIN SAL)400IU/2ML INJ | $5,214 | $4,432 | — | — | 1 |
| J1944 | ARISTADA (ARIPOPRAZOLE) 882MG INJ | $5,214 | $4,432 | — | — | 1 |
| 74181 | MRI ABDOMEN WO | $5,073 | $4,312 | — | — | 1 |
| J0840 | CROFAB (ANTIVENIN CROTALIDAE PO) 1GM INJ | $5,036 | $4,281 | — | — | 1 |
| 72146 | MRI THORACIC SPINE W/O SC | $5,005 | $4,254 | — | — | 1 |
| 72141 | MRI CERVICAL WO | $4,974 | $4,228 | — | — | 1 |
| 72195 | MRI PELVIS W/O | $4,919 | $4,181 | — | — | 1 |
| 73721 | MRI ANY JOINT LOWER EXTREMITY WO | $4,905 | $4,169 | — | — | 1 |
| 81162 | BRCASSURE BRCA1 AND BRCA2 COMP ANALYSIS | $4,888 | $4,155 | — | — | 1 |
| 70551 | MRI BRAIN W/O CONTRAST | $4,850 | $4,123 | — | — | 1 |
| 14041 | ADJACENT TISSUE DEFECT 10.1 TO 30.0 SQCM | $4,850 | $4,123 | — | — | 1 |
| 36558 | INSERTION OF CENTRAL LINE | $4,772 | $4,056 | — | — | 1 |
| C9003 | SYNAGIS (PALIVIZUMAB)100MG INJ | $4,752 | $4,039 | — | — | 1 |
| 72148 | MRI BASIC LUMBAR W/O CONTRAST | $4,706 | $4,000 | — | — | 1 |
| 73220 | MRI UPPER EXTREMITY OTH/ THN JOINC-/C+ | $4,704 | $3,998 | — | — | 1 |
| 81420 | MATERNIT21 PLUS CORE | $4,700 | $3,995 | — | — | 1 |
| 70552 | MRI BRAIN W CONTRAST | $4,464 | $3,794 | — | — | 1 |
| 36571 | INS PR PICC LINE > 5YEARS W SUB PORT | $4,419 | $3,756 | — | — | 1 |
| 36570 | INS PR PICC LINE < 5YEARS W SUB PORT | $4,419 | $3,756 | — | — | 1 |
| 14040 | ADJACENT TISSUE TRANSFER FOREHEAD CKS 10 | $4,397 | $3,737 | — | — | 1 |
Showing top 50 of 1,922 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.