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
3,387
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
14979639_1
$21,451
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$23,834
23591091_1
$16,391
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$18,212
21784635_1
$16,034
Template Non-Formulary 1 EA Vial
Gross
$17,816
1057549_1
$15,445
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$17,161
22629021_1
$14,353
INJECTION, TENECTEPLASE, 1 MG
Gross
$15,947
23889466_1
$12,961
INJECTION, NATALIZUMAB, 1 MG
Gross
$14,401
23843074_1
$10,013
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$11,125
1057941_1
$9,766
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$10,851
27779476_1
$9,506
INJECTION, BENRALIZUMAB, 1 MG
Gross
$10,563
1058190_1
$8,890
INJECTION, RITUXIMAB, 10 MG
Gross
$9,877
18615411_1
$5,645
CROFAB VIAL
Gross
$6,272
1058106_1
$5,198
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$5,775
27342424_1
$4,997
INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG
Gross
$5,552
23620403_1
$4,996
Synagis 100 mg Inj [SGHO]
Gross
$5,552
27387942_1
$4,596
MESH (IMPLANTABLE)
Gross
$5,107
27733253_1
$4,546
INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG
Gross
$5,051
24133668_1
$4,400
INJECTION, DENOSUMAB, 1 MG
Gross
$4,888
22968243_2
$4,112
Vaginal delivery and care before and after delivery after previous cesarean delivery
Gross
$4,569
730765_2
$3,965
Cesarean delivery with care before and after delivery
Gross
$4,406
27432807_2
$3,640
Revision of surgically created connection of stomach to small bowel
Gross
$4,044
1021677_1
$3,619
MRI scan of blood vessels of leg
Gross
$4,021
723213_2
$3,595
Vaginal delivery with care before and after delivery
Gross
$3,994
24129729_2
$3,532
Partial removal of large bowel with creation of opening to skin
Gross
$3,924
24129730_2
$3,500
Partial removal of large bowel with creation of opening from large bowel to skin
Gross
$3,889
27430104_1
$3,472
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$3,858
22850761_2
$3,374
Closure of surgically created large or small bowel opening with bowel removal and reattachment of la
Gross
$3,749
22907309_1
$3,354
triptorelin 11.25 mg REC Injection
Gross
$3,726
1127518_2
$3,255
Partial removal of large bowel with connection
Gross
$3,617
24129733_2
$3,255
Partial removal of large bowel using an endoscope
Gross
$3,617
22850698_2
$3,243
Repair of hernia of muscle at esophagus and stomach using an endoscope
Gross
$3,603
27404049_2
$3,242
Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope
Gross
$3,602
24294376_1
$3,239
INJECTION, EPTINEZUMAB-JJMR, 1 MG
Gross
$3,599
14685446_1
$3,190
INJECTION, DENOSUMAB, 1 MG
Gross
$3,545
23741562_2
$3,144
Bypass of stomach using an endoscope
Gross
$3,493
739065_2
$3,050
Removal of uterus and cervix through abdomen with repair of vagina
Gross
$3,389
1005365_1
$2,944
MRI scan of blood vessels of head before and after contrast
Gross
$3,271
1005376_1
$2,944
MRI scan of blood vessels of neck before and after contrast
Gross
$3,271
1005391_1
$2,944
MRI scan of abdomen before and after contrast
Gross
$3,271
1005464_1
$2,944
MRI scan of leg before and after contrast
Gross
$3,271
1005466_1
$2,944
MRI scan of leg before and after contrast
Gross
$3,271
1005497_1
$2,944
MRI scan of pelvis before and after contrast
Gross
$3,271
1005501_1
$2,944
MRI scan of upper spinal canal before and after contrast
Gross
$3,271
1005503_1
$2,944
MRI scan of lower spinal canal before and after contrast
Gross
$3,271
1005505_1
$2,944
MRI scan of middle spinal canal before and after contrast
Gross
$3,271
1005509_1
$2,944
MRI scan of arm joint before and after contrast
Gross
$3,271
1005511_1
$2,944
MRI scan of arm joint before and after contrast
Gross
$3,271
1007524_1
$2,944
MRI scan of arm before and after contrast
Gross
$3,271
1007526_1
$2,944
MRI scan of arm before and after contrast
Gross
$3,271
1021588_1
$2,944
MRI scan of heart before and after contrast
Gross
$3,271
1021592_1
$2,944
MRI scan of heart before and after contrast
Gross
$3,271
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 14979639_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $23,834 | $21,451 | — | — | 5 |
| 23591091_1 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $18,212 | $16,391 | — | — | 5 |
| 21784635_1 | Template Non-Formulary 1 EA Vial | $17,816 | $16,034 | — | — | 5 |
| 1057549_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $17,161 | $15,445 | — | — | 5 |
| 22629021_1 | INJECTION, TENECTEPLASE, 1 MG | $15,947 | $14,353 | — | — | 5 |
| 23889466_1 | INJECTION, NATALIZUMAB, 1 MG | $14,401 | $12,961 | — | — | 5 |
| 23843074_1 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $11,125 | $10,013 | — | — | 5 |
| 1057941_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $10,851 | $9,766 | — | — | 5 |
| 27779476_1 | INJECTION, BENRALIZUMAB, 1 MG | $10,563 | $9,506 | — | — | 5 |
| 1058190_1 | INJECTION, RITUXIMAB, 10 MG | $9,877 | $8,890 | — | — | 5 |
| 18615411_1 | CROFAB VIAL | $6,272 | $5,645 | — | — | 5 |
| 1058106_1 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $5,775 | $5,198 | — | — | 5 |
| 27342424_1 | INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG | $5,552 | $4,997 | — | — | 5 |
| 23620403_1 | Synagis 100 mg Inj [SGHO] | $5,552 | $4,996 | — | — | 5 |
| 27387942_1 | MESH (IMPLANTABLE) | $5,107 | $4,596 | — | — | 5 |
| 27733253_1 | INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG | $5,051 | $4,546 | — | — | 5 |
| 24133668_1 | INJECTION, DENOSUMAB, 1 MG | $4,888 | $4,400 | — | — | 5 |
| 22968243_2 | Vaginal delivery and care before and after delivery after previous cesarean delivery | $4,569 | $4,112 | — | — | 5 |
| 730765_2 | Cesarean delivery with care before and after delivery | $4,406 | $3,965 | — | — | 5 |
| 27432807_2 | Revision of surgically created connection of stomach to small bowel | $4,044 | $3,640 | — | — | 5 |
| 1021677_1 | MRI scan of blood vessels of leg | $4,021 | $3,619 | — | — | 5 |
| 723213_2 | Vaginal delivery with care before and after delivery | $3,994 | $3,595 | — | — | 5 |
| 24129729_2 | Partial removal of large bowel with creation of opening to skin | $3,924 | $3,532 | — | — | 5 |
| 24129730_2 | Partial removal of large bowel with creation of opening from large bowel to skin | $3,889 | $3,500 | — | — | 5 |
| 27430104_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $3,858 | $3,472 | — | — | 5 |
| 22850761_2 | Closure of surgically created large or small bowel opening with bowel removal and reattachment of la | $3,749 | $3,374 | — | — | 5 |
| 22907309_1 | triptorelin 11.25 mg REC Injection | $3,726 | $3,354 | — | — | 5 |
| 1127518_2 | Partial removal of large bowel with connection | $3,617 | $3,255 | — | — | 5 |
| 24129733_2 | Partial removal of large bowel using an endoscope | $3,617 | $3,255 | — | — | 5 |
| 22850698_2 | Repair of hernia of muscle at esophagus and stomach using an endoscope | $3,603 | $3,243 | — | — | 5 |
| 27404049_2 | Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | $3,602 | $3,242 | — | — | 5 |
| 24294376_1 | INJECTION, EPTINEZUMAB-JJMR, 1 MG | $3,599 | $3,239 | — | — | 5 |
| 14685446_1 | INJECTION, DENOSUMAB, 1 MG | $3,545 | $3,190 | — | — | 5 |
| 23741562_2 | Bypass of stomach using an endoscope | $3,493 | $3,144 | — | — | 5 |
| 739065_2 | Removal of uterus and cervix through abdomen with repair of vagina | $3,389 | $3,050 | — | — | 5 |
| 1005365_1 | MRI scan of blood vessels of head before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005376_1 | MRI scan of blood vessels of neck before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005391_1 | MRI scan of abdomen before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005464_1 | MRI scan of leg before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005466_1 | MRI scan of leg before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005497_1 | MRI scan of pelvis before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005501_1 | MRI scan of upper spinal canal before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005503_1 | MRI scan of lower spinal canal before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005505_1 | MRI scan of middle spinal canal before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005509_1 | MRI scan of arm joint before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1005511_1 | MRI scan of arm joint before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1007524_1 | MRI scan of arm before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1007526_1 | MRI scan of arm before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1021588_1 | MRI scan of heart before and after contrast | $3,271 | $2,944 | — | — | 5 |
| 1021592_1 | MRI scan of heart before and after contrast | $3,271 | $2,944 | — | — | 5 |
Showing top 50 of 3,387 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.