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
1,727
Insurances with rates
2
CPT / HCPCS codes
1,679
Source MRF
Most expensive procedures (gross)
J3245
$13,600
tildrakizumab (ILumya) PFS 100mg
Gross
$18,133
J3380
$8,832
Entyvio 300mg Vial
Gross
$11,776
J2997
$8,018
alteplase (Activase) 100mg vial
Gross
$10,690
J3101
$7,446
tenecteplase 50 mg
Gross
$9,928
59812
$5,664
TREATMENT OF MISCARRIAGE ANY TRIMESTER
Gross
$7,552
20985
$5,119
ORTHO ALIGN SURG ASSIST KNEE 20985
Gross
$6,825
59510
$4,449
TOTAL OBC-SECTION
Gross
$5,931
278
$4,268
WASHERS FOR ORTHO SETS
Gross
$5,691
27487
$4,053
REVISE TOTAL KNEE
Gross
$5,404
59400
$4,007
OB CARE WDELIV 59400
Gross
$5,342
36573
$3,613
XR PICC INSERTION W RS & I 5YR/>
Gross
$4,817
J1459
$3,590
Immune Glob 10% (Privigen) IV 40GM/400mL
Gross
$4,787
27137
$3,531
REVISION TOTAL HIP ARTHROPLASTY
Gross
$4,708
95811
$3,519
POLYSOMNOGRAPHY W/CPAP
Gross
$4,691
27486
$3,371
REVISE TOTAL KNEE ONE COMPONENT
Gross
$4,494
23474
$3,284
REVIS RECONST SHOULDER JOINT23474 PF
Gross
$4,379
27130
$3,249
TOTAL HIP ARTHROPLASTY 27130 SC PRO
Gross
$4,332
95810
$3,228
POLYSOMNOGRAPHY 4 OR MORE
Gross
$4,304
27245
$2,949
ORIF INTER/SUBTROCHANTERIC HIP
Gross
$3,932
27244
$2,949
TREAT INTERTROCHANTERIC FX
Gross
$3,932
23472
$2,884
RECONSTRUCT SHOULDER JOINT 23472 PRO
Gross
$3,845
23700
$2,884
SHOULDER MANIP UNDER ANES PRO FEE 23700
Gross
$3,845
27236
$2,865
ORIF FEM FRACTURE
Gross
$3,820
C8929
$2,857
ECHO COMPLETE W/ & W/O CONTRAST
Gross
$3,809
93306
$2,857
ECHO COMPLETE W/O CONTRAST
Gross
$3,809
27536
$2,848
ORIF TIBIAL PLATEAU BICONDYLAR
Gross
$3,797
J0840
$2,832
crotalidae polyvalent immune Fab (ovine)
Gross
$3,776
27125
$2,757
PARTIAL HIP REPLACEMENT
Gross
$3,676
122
$2,626
OBSTETRIC ROOM
Gross
$3,502
23466
$2,613
CAPSULORRHAPHY GLENOHUMERL JOINT
Gross
$3,484
93229
$2,575
ECAT
Gross
$3,434
28445
$2,543
TREATMENT OPEN (TALUS) ANKLE FRACTURE
Gross
$3,390
27828
$2,531
OPN TX FX DIST TIB & FIB PRO 27828
Gross
$3,375
25405
$2,519
RPR NON/MALUNION RAD OR ULNA W/ GRAFT
Gross
$3,359
C1713
$2,465
TROCHANTERIC FIXATION NAIL 170 MM
Gross
$3,287
29827
$2,464
ARTHROSCOP ROTATOR CUFF REPAIR
Gross
$3,285
27827
$2,444
ORIF DISTAL TIBIA ONLY
Gross
$3,259
59515
$2,433
C-SECTION DELIVERY & PP CARE FMC
Gross
$3,243
29856
$2,374
ARTHROSCOPY AIDED TMT TIB PLATEAU FX
Gross
$3,166
29888
$2,359
KNEE ARTHR ACL REPAIR/AUGMENT OR RECONST
Gross
$3,146
27299
$2,337
REPAIR PELVIS AND HIP 27299 SC
Gross
$3,116
27823
$2,325
OPEN TX TRIMAL ANKLE FX W/ FIX POST LIP
Gross
$3,101
23420
$2,317
REPAIR SHOULDER CHRONIC
Gross
$3,089
25575
$2,184
OPEN TMT RAD/ULNA SHAFT W/FIX
Gross
$2,912
23615
$2,151
ORIF PROX HUMERAL FRACTURE
Gross
$2,868
J0897
$2,092
denosumab (Prolia) 60mg/1ml syr
Gross
$2,790
C1771
$2,079
SOLYX BLUE SIS BLADDER SLING SYSTEM
Gross
$2,772
24586
$2,078
OPEN TMT FX AND DISLOCAT ELBOW 24586 PRO
Gross
$2,771
27235
$2,073
PERCUTAN SKELETAL FIX FEM FX, PROX NECK
Gross
$2,764
120
$2,065
MED/SURG ROOM
Gross
$2,753
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3245 | tildrakizumab (ILumya) PFS 100mg | $18,133 | $13,600 | — | — | 1 |
| J3380 | Entyvio 300mg Vial | $11,776 | $8,832 | — | — | 1 |
| J2997 | alteplase (Activase) 100mg vial | $10,690 | $8,018 | — | — | 1 |
| J3101 | tenecteplase 50 mg | $9,928 | $7,446 | — | — | 1 |
| 59812 | TREATMENT OF MISCARRIAGE ANY TRIMESTER | $7,552 | $5,664 | — | — | 2 |
| 20985 | ORTHO ALIGN SURG ASSIST KNEE 20985 | $6,825 | $5,119 | — | — | 1 |
| 59510 | TOTAL OBC-SECTION | $5,931 | $4,449 | — | — | 4 |
| 278 | WASHERS FOR ORTHO SETS | $5,691 | $4,268 | — | — | 0 |
| 27487 | REVISE TOTAL KNEE | $5,404 | $4,053 | — | — | 2 |
| 59400 | OB CARE WDELIV 59400 | $5,342 | $4,007 | — | — | 2 |
| 36573 | XR PICC INSERTION W RS & I 5YR/> | $4,817 | $3,613 | — | — | 1 |
| J1459 | Immune Glob 10% (Privigen) IV 40GM/400mL | $4,787 | $3,590 | — | — | 1 |
| 27137 | REVISION TOTAL HIP ARTHROPLASTY | $4,708 | $3,531 | — | — | 2 |
| 95811 | POLYSOMNOGRAPHY W/CPAP | $4,691 | $3,519 | — | — | 1 |
| 27486 | REVISE TOTAL KNEE ONE COMPONENT | $4,494 | $3,371 | — | — | 2 |
| 23474 | REVIS RECONST SHOULDER JOINT23474 PF | $4,379 | $3,284 | — | — | 2 |
| 27130 | TOTAL HIP ARTHROPLASTY 27130 SC PRO | $4,332 | $3,249 | — | — | 2 |
| 95810 | POLYSOMNOGRAPHY 4 OR MORE | $4,304 | $3,228 | — | — | 1 |
| 27245 | ORIF INTER/SUBTROCHANTERIC HIP | $3,932 | $2,949 | — | — | 2 |
| 27244 | TREAT INTERTROCHANTERIC FX | $3,932 | $2,949 | — | — | 2 |
| 23472 | RECONSTRUCT SHOULDER JOINT 23472 PRO | $3,845 | $2,884 | — | — | 2 |
| 23700 | SHOULDER MANIP UNDER ANES PRO FEE 23700 | $3,845 | $2,884 | — | — | 2 |
| 27236 | ORIF FEM FRACTURE | $3,820 | $2,865 | — | — | 2 |
| C8929 | ECHO COMPLETE W/ & W/O CONTRAST | $3,809 | $2,857 | — | — | 0 |
| 93306 | ECHO COMPLETE W/O CONTRAST | $3,809 | $2,857 | — | — | 1 |
| 27536 | ORIF TIBIAL PLATEAU BICONDYLAR | $3,797 | $2,848 | — | — | 2 |
| J0840 | crotalidae polyvalent immune Fab (ovine) | $3,776 | $2,832 | — | — | 1 |
| 27125 | PARTIAL HIP REPLACEMENT | $3,676 | $2,757 | — | — | 2 |
| 122 | OBSTETRIC ROOM | $3,502 | $2,626 | — | — | 2 |
| 23466 | CAPSULORRHAPHY GLENOHUMERL JOINT | $3,484 | $2,613 | — | — | 2 |
| 93229 | ECAT | $3,434 | $2,575 | — | — | 1 |
| 28445 | TREATMENT OPEN (TALUS) ANKLE FRACTURE | $3,390 | $2,543 | — | — | 2 |
| 27828 | OPN TX FX DIST TIB & FIB PRO 27828 | $3,375 | $2,531 | — | — | 2 |
| 25405 | RPR NON/MALUNION RAD OR ULNA W/ GRAFT | $3,359 | $2,519 | — | — | 2 |
| C1713 | TROCHANTERIC FIXATION NAIL 170 MM | $3,287 | $2,465 | — | — | 0 |
| 29827 | ARTHROSCOP ROTATOR CUFF REPAIR | $3,285 | $2,464 | — | — | 2 |
| 27827 | ORIF DISTAL TIBIA ONLY | $3,259 | $2,444 | — | — | 2 |
| 59515 | C-SECTION DELIVERY & PP CARE FMC | $3,243 | $2,433 | — | — | 2 |
| 29856 | ARTHROSCOPY AIDED TMT TIB PLATEAU FX | $3,166 | $2,374 | — | — | 2 |
| 29888 | KNEE ARTHR ACL REPAIR/AUGMENT OR RECONST | $3,146 | $2,359 | — | — | 2 |
| 27299 | REPAIR PELVIS AND HIP 27299 SC | $3,116 | $2,337 | — | — | 0 |
| 27823 | OPEN TX TRIMAL ANKLE FX W/ FIX POST LIP | $3,101 | $2,325 | — | — | 2 |
| 23420 | REPAIR SHOULDER CHRONIC | $3,089 | $2,317 | — | — | 2 |
| 25575 | OPEN TMT RAD/ULNA SHAFT W/FIX | $2,912 | $2,184 | — | — | 2 |
| 23615 | ORIF PROX HUMERAL FRACTURE | $2,868 | $2,151 | — | — | 2 |
| J0897 | denosumab (Prolia) 60mg/1ml syr | $2,790 | $2,092 | — | — | 1 |
| C1771 | SOLYX BLUE SIS BLADDER SLING SYSTEM | $2,772 | $2,079 | — | — | 0 |
| 24586 | OPEN TMT FX AND DISLOCAT ELBOW 24586 PRO | $2,771 | $2,078 | — | — | 2 |
| 27235 | PERCUTAN SKELETAL FIX FEM FX, PROX NECK | $2,764 | $2,073 | — | — | 2 |
| 120 | MED/SURG ROOM | $2,753 | $2,065 | — | — | 2 |
Showing top 50 of 1,727 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.