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
1,868
Insurances with rates
0
CPT / HCPCS codes
1,059
Source MRF
Most expensive procedures (gross)
J2350
$46,321
ocrelizumab 300 mg
Gross
$48,759
J1745
$26,634
REMICADE SDV [100MG]
Gross
$28,036
J2997
$25,089
ACTIVASE INJ [100MG W/DIL
Gross
$26,410
J3380
$19,182
VEDOLIZUMAB INJ 1 MG 300 mg
Gross
$20,191
C1776
$10,082
TOTAL KNEE JOINT
Gross
$10,613
Kcentra 1000 unit kit
$7,133
Kcentra 1000 unit kit
Gross
$7,509
69436
$6,650
TYMPANOSTOMY
Gross
$7,500
Evenity 2x105mg/1.17mL
$5,209
Evenity 2x105mg/1.17mL
Gross
$5,484
22853
$4,893
INJECTION BIOMECHANICAL DEVICE
Gross
$5,150
J1451
$4,283
FOMEPIZOLE SOD INJ [1.5GM
Gross
$4,509
74178
$4,211
CT ABDOMEN PELVIS WITH & WITHOUT DYE
Gross
$4,433
J0897
$3,653
PROLIA PFS SOL INJ [60MG
Gross
$3,845
74177
$3,467
CT ABDOMEN PELVIS WITH DYE
Gross
$3,649
72156
$3,449
MRI CERVICAL SPINE WITH & WITHOUT DYE
Gross
$3,631
72157
$3,382
MRI THORACIC SPINE WITH & WITHOUT DYE
Gross
$3,560
70553
$3,337
MRI BRAIN STEM WITH & WITHOUT DYE
Gross
$3,513
72158
$3,318
MRI LUMBAR SPINE WITH & WITHOUT DYE
Gross
$3,493
74183
$3,273
MRI ABDOMEN WITH & WITHOUT DYE
Gross
$3,445
J1439
$3,256
Ferric Carboxymalt*IVPB* 750MG/NS250ML
Gross
$3,428
J2357
$3,224
omalizumab prefilled syringe (150 mg/ml)
Gross
$3,394
70543
$3,220
MRI NECK ORBITS FACE WITH & WITHOUT DYE
Gross
$3,389
78226
$2,083
HEPATOBILIARY IMAGING WITH GALLBLADDER
Gross
$3,300
78452
$3,135
MYOCARDIAL SPECTRUM MULTIPLE STUDIES
Gross
$3,300
71552
$3,101
MRI CHEST WITH AND WITHOUT DYE
Gross
$3,264
74176
$2,849
CT ABDOMEN PELVIS
Gross
$2,999
73220
$2,807
MRI UPPER EXTREMITY WITH & WITHOUT DYE
Gross
$2,955
73223
$2,807
MRI JOINT UPPER EXTREMITY WITH & WITHOUT DYE
Gross
$2,955
70552
$2,794
MRI BRAIN STEM WITH DYE
Gross
$2,941
72149
$2,728
MRI LUMBAR SPINAL CANAL WITH DYE
Gross
$2,872
78315
$2,320
BONE SCAN 3 PHASE STUDY
Gross
$2,800
72197
$2,651
MRI PELVIS WITH & WITHOUT DYE
Gross
$2,791
72147
$2,640
MRI THORACIC SPINE WITH DYE
Gross
$2,779
INTENSIVE CARE ROOM
—
INTENSIVE CARE ROOM
Gross
$2,678
70549
$2,404
MRA NECK WITH & WITHOUT DYE
Gross
$2,531
72146
$2,377
MRI THORACIC SPINE
Gross
$2,502
72148
$2,375
MRI LUMBAR SPINAL CANAL
Gross
$2,500
72196
$2,375
MRI PELVIS WITH DYE
Gross
$2,500
78306
$2,026
WHOLE BODY BONE JOINT IMAGING
Gross
$2,500
72142
$2,361
MRI CERVICAL SPINAL CANAL WITH DYE
Gross
$2,485
74174
$2,348
CT ANGIO ABDOMEN PELVIS WITH & WITHOUT DYE
Gross
$2,472
74181
$2,347
MRI ABDDOMEN
Gross
$2,471
70540
$2,338
MRI NECK FACE ORBIT
Gross
$2,461
73720
$2,337
MRI LOWER JOINT EXTREMITY WITH AND WITHOUT DYE
Gross
$2,460
73723
$2,337
MRI ANKLE WITH & WITHOUT CONTRAST
Gross
$2,460
70551
$2,404
MRI BRAIN STEM
Gross
$2,445
11042
$2,251
DEB SUBQ TISSUE 20 SQ CM
Gross
$2,369
74170
$2,228
CT ABDOMEN WITH & WITHOUT DYE
Gross
$2,345
72133
$2,190
CT LUMBAR SPINE WITH & WITHOUT DYE
Gross
$2,305
71550
$2,164
MRI CHEST
Gross
$2,278
71270
$2,142
CT CHEST WITH & WITHOUT DYE
Gross
$2,255
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | ocrelizumab 300 mg | $48,759 | $46,321 | — | — | 0 |
| J1745 | REMICADE SDV [100MG] | $28,036 | $26,634 | — | — | 0 |
| J2997 | ACTIVASE INJ [100MG W/DIL | $26,410 | $25,089 | — | — | 0 |
| J3380 | VEDOLIZUMAB INJ 1 MG 300 mg | $20,191 | $19,182 | — | — | 0 |
| C1776 | TOTAL KNEE JOINT | $10,613 | $10,082 | — | — | 0 |
| Kcentra 1000 unit kit | Kcentra 1000 unit kit | $7,509 | $7,133 | — | — | 0 |
| 69436 | TYMPANOSTOMY | $7,500 | $6,650 | — | — | 0 |
| Evenity 2x105mg/1.17mL | Evenity 2x105mg/1.17mL | $5,484 | $5,209 | — | — | 0 |
| 22853 | INJECTION BIOMECHANICAL DEVICE | $5,150 | $4,893 | — | — | 0 |
| J1451 | FOMEPIZOLE SOD INJ [1.5GM | $4,509 | $4,283 | — | — | 0 |
| 74178 | CT ABDOMEN PELVIS WITH & WITHOUT DYE | $4,433 | $4,211 | — | — | 0 |
| J0897 | PROLIA PFS SOL INJ [60MG | $3,845 | $3,653 | — | — | 0 |
| 74177 | CT ABDOMEN PELVIS WITH DYE | $3,649 | $3,467 | — | — | 0 |
| 72156 | MRI CERVICAL SPINE WITH & WITHOUT DYE | $3,631 | $3,449 | — | — | 0 |
| 72157 | MRI THORACIC SPINE WITH & WITHOUT DYE | $3,560 | $3,382 | — | — | 0 |
| 70553 | MRI BRAIN STEM WITH & WITHOUT DYE | $3,513 | $3,337 | — | — | 0 |
| 72158 | MRI LUMBAR SPINE WITH & WITHOUT DYE | $3,493 | $3,318 | — | — | 0 |
| 74183 | MRI ABDOMEN WITH & WITHOUT DYE | $3,445 | $3,273 | — | — | 0 |
| J1439 | Ferric Carboxymalt*IVPB* 750MG/NS250ML | $3,428 | $3,256 | — | — | 0 |
| J2357 | omalizumab prefilled syringe (150 mg/ml) | $3,394 | $3,224 | — | — | 0 |
| 70543 | MRI NECK ORBITS FACE WITH & WITHOUT DYE | $3,389 | $3,220 | — | — | 0 |
| 78226 | HEPATOBILIARY IMAGING WITH GALLBLADDER | $3,300 | $2,083 | — | — | 0 |
| 78452 | MYOCARDIAL SPECTRUM MULTIPLE STUDIES | $3,300 | $3,135 | — | — | 0 |
| 71552 | MRI CHEST WITH AND WITHOUT DYE | $3,264 | $3,101 | — | — | 0 |
| 74176 | CT ABDOMEN PELVIS | $2,999 | $2,849 | — | — | 0 |
| 73220 | MRI UPPER EXTREMITY WITH & WITHOUT DYE | $2,955 | $2,807 | — | — | 0 |
| 73223 | MRI JOINT UPPER EXTREMITY WITH & WITHOUT DYE | $2,955 | $2,807 | — | — | 0 |
| 70552 | MRI BRAIN STEM WITH DYE | $2,941 | $2,794 | — | — | 0 |
| 72149 | MRI LUMBAR SPINAL CANAL WITH DYE | $2,872 | $2,728 | — | — | 0 |
| 78315 | BONE SCAN 3 PHASE STUDY | $2,800 | $2,320 | — | — | 0 |
| 72197 | MRI PELVIS WITH & WITHOUT DYE | $2,791 | $2,651 | — | — | 0 |
| 72147 | MRI THORACIC SPINE WITH DYE | $2,779 | $2,640 | — | — | 0 |
| INTENSIVE CARE ROOM | INTENSIVE CARE ROOM | $2,678 | — | — | — | 0 |
| 70549 | MRA NECK WITH & WITHOUT DYE | $2,531 | $2,404 | — | — | 0 |
| 72146 | MRI THORACIC SPINE | $2,502 | $2,377 | — | — | 0 |
| 72148 | MRI LUMBAR SPINAL CANAL | $2,500 | $2,375 | — | — | 0 |
| 72196 | MRI PELVIS WITH DYE | $2,500 | $2,375 | — | — | 0 |
| 78306 | WHOLE BODY BONE JOINT IMAGING | $2,500 | $2,026 | — | — | 0 |
| 72142 | MRI CERVICAL SPINAL CANAL WITH DYE | $2,485 | $2,361 | — | — | 0 |
| 74174 | CT ANGIO ABDOMEN PELVIS WITH & WITHOUT DYE | $2,472 | $2,348 | — | — | 0 |
| 74181 | MRI ABDDOMEN | $2,471 | $2,347 | — | — | 0 |
| 70540 | MRI NECK FACE ORBIT | $2,461 | $2,338 | — | — | 0 |
| 73720 | MRI LOWER JOINT EXTREMITY WITH AND WITHOUT DYE | $2,460 | $2,337 | — | — | 0 |
| 73723 | MRI ANKLE WITH & WITHOUT CONTRAST | $2,460 | $2,337 | — | — | 0 |
| 70551 | MRI BRAIN STEM | $2,445 | $2,404 | — | — | 0 |
| 11042 | DEB SUBQ TISSUE 20 SQ CM | $2,369 | $2,251 | — | — | 0 |
| 74170 | CT ABDOMEN WITH & WITHOUT DYE | $2,345 | $2,228 | — | — | 0 |
| 72133 | CT LUMBAR SPINE WITH & WITHOUT DYE | $2,305 | $2,190 | — | — | 0 |
| 71550 | MRI CHEST | $2,278 | $2,164 | — | — | 0 |
| 71270 | CT CHEST WITH & WITHOUT DYE | $2,255 | $2,142 | — | — | 0 |
Showing top 50 of 1,868 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.