45 CFR § 180 compliance
D · 65
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
1,412
Insurances with rates
0
CPT / HCPCS codes
1,389
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE (ACTIVASE) 100 MG/100 ML VIAL | $44,390 | $22,195 | — | — | 0 |
| C1762 | IMPLANT CONNECTIVE TISSUE 4.0ML | $31,960 | $15,980 | — | — | 0 |
| C1889 | BPH CATH BALLOON 90FRX45MM OPTILUME | $29,500 | $14,750 | — | — | 0 |
| 55873 | CRYOSURGERY OF THE PROSTA | $28,119 | $14,060 | — | — | 0 |
| C1813 | PENILE IMPLANT INFLATABL | $25,000 | $12,500 | — | — | 0 |
| C1820 | IMPLANT NEUROSTIMULATOR SYSTEM | $24,000 | $12,000 | — | — | 0 |
| C2618 | PROSTATE SEEDNET DISPOSAB | $23,957 | $11,979 | — | — | 0 |
| 90375 | RABIES IMMUNE GLOB (300IU/ML) 5ML | $17,599 | $8,800 | — | — | 0 |
| C9740 | CYSTOURETHRO W/ADDL IMPL 4TOT/1ADDITIONA | $14,250 | $7,125 | — | — | 0 |
| J1306 | LEQVIO 284MG/1.5ML SYRINGE SUV, P/F | $13,523 | $6,762 | — | — | 0 |
| C2596 | AQUABEAM HANDPIECE | $11,083 | $5,541 | — | — | 0 |
| 50590 | LITHOTRIPSY | $9,971 | $4,985 | — | — | 0 |
| C9739 | CYSTOURETHRO W/IMPLANT 1-3 MEDICARE | $8,250 | $4,125 | — | — | 0 |
| 278 | INSTAFIX IMPLANT KIT 10X10(400-3703-SP) | $6,200 | $3,100 | — | — | 0 |
| 0421T | AQUABLATION TRANSURETHRAL WATERJET | $6,000 | $3,000 | — | — | 0 |
| C1778 | TINED LEAD KIT NEUROSTIMULATOR | $6,000 | $3,000 | — | — | 0 |
| 52441 | CYSTOURETHRO W INITIAL IMPLANT | $4,250 | $2,125 | — | — | 0 |
| 75635 | CTA COMPLETE AORTA W/RUNOFF | $4,178 | $2,089 | — | — | 0 |
| 74178 | CT ABDOMEN/PELVIS W/C & W/O | $4,044 | $2,022 | — | — | 0 |
| 81162 | BRCAssure: BRCA1 and BRCA2 Comp Analysis | $4,000 | $2,000 | — | — | 0 |
| 71275 | CT PE PROTOCOL | $3,939 | $1,969 | — | — | 0 |
| E0471 | DME AUTO SERVO VENT PURCHASE | $3,900 | $1,950 | — | — | 0 |
| 95811 | SLEEP STAGING 4+ PARAMETE | $3,823 | $1,912 | — | — | 0 |
| 78452 | NM STRESS TEST MYOCARDIAL PERFUSION | $3,790 | $1,895 | — | — | 0 |
| C1763 | PELVIC SOFT BIOMESH | $3,769 | $1,885 | — | — | 0 |
| L8606 | TEGRESS IMPLANT & SYRINGE | $3,664 | $1,832 | — | — | 0 |
| 71552 | MRI CHEST W/C & W/O | $3,560 | $1,780 | — | — | 0 |
| 95810 | SLEEP STAGING 4 OR MORE P | $3,505 | $1,752 | — | — | 0 |
| 64561 | LEAD IMPLANTATION | $3,500 | $1,750 | — | — | 0 |
| 64590 | GENERATOR IMPLANTATION OR REPLACEMENT | $3,500 | $1,750 | — | — | 0 |
| 74177 | CT ABDOMEN/PELVIS W/C | $3,370 | $1,685 | — | — | 0 |
| 14061 | TIS TRSFR 10.1-30.0SQCM | $3,186 | $1,593 | — | — | 0 |
| 74183 | MRI ABDOMEN W/C & W/O | $3,134 | $1,567 | — | — | 0 |
| J0897 | DENOSUMAB (PROLIA) 60 MG/ML INJ | $3,102 | $1,551 | — | — | 0 |
| 70543 | MRI NECK W/C & W/O | $3,073 | $1,537 | — | — | 0 |
| 66170 | TRABECULECTOMY | $3,068 | $1,534 | — | — | 0 |
| 72157 | MRI T-SPINE W/C & W/O | $3,060 | $1,530 | — | — | 0 |
| J0585 | BOTULINUM (BOTOX) TOXIN TYPE A 100U/VIAL | $3,032 | $1,516 | — | — | 0 |
| 72148 | MRI L-SPINE W/O | $3,012 | $1,506 | — | — | 0 |
| 70553 | MRI BRAIN W/C & W/O | $2,994 | $1,497 | — | — | 0 |
| 67917 | EXTENSIVE (TARSAL STRIP) | $2,987 | $1,494 | — | — | 0 |
| 72158 | MRI L-SPINE W/C & W/O | $2,907 | $1,454 | — | — | 0 |
| 72141 | MRI C-SPINE W/O | $2,907 | $1,453 | — | — | 0 |
| 72142 | MRI C-SPINE W/C | $2,907 | $1,453 | — | — | 0 |
| 72197 | MRI PELVIS W/C & W/O | $2,870 | $1,435 | — | — | 0 |
| 51040 | CYSTOCYSTOM W/DRAINAGE | $2,863 | $1,431 | — | — | 0 |
| 72156 | MRI C-SPINE W/C & W/O | $2,806 | $1,403 | — | — | 0 |
| J9280 | MITOMYCIN 40MG/40ML SOLUTION (OR ONLY) | $2,750 | $1,375 | — | — | 0 |
| 95783 | SLEEP TITRATION <6YRS OLD | $2,674 | $1,337 | — | — | 0 |
| 70549 | MRA NECK W/C & W/O | $2,653 | $1,326 | — | — | 0 |
Showing top 50 of 1,412 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.