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
8,205
Insurances with rates
23
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
04504533
$48,761
TREMFYA 100 MG/ML SYRINGE
Gross
$60,951
04500856
$25,480
INJECTION, TENECTEPLASE, 1 MG
Gross
$31,850
04500113
$16,920
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$21,150
04507423
$12,450
INJECTION, DENOSUMAB, 1 MG
Gross
$15,562
04506691
$9,191
ABILIFY MAINTENA ER 300 MG SYR
Gross
$11,489
04506888
$9,191
ABILIFY MAINTENA ER 300 MG SYR
Gross
$11,489
04500564
$7,490
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$9,363
04507064
$7,090
PROLIA 60 MG/ML SYRINGE
Gross
$8,862
04507314
$6,694
INJECTION, DENOSUMAB, 1 MG
Gross
$8,368
04507539
$6,664
INJECTION, INCLISIRAN, 1 MG
Gross
$8,330
04507240
$6,086
BOTOX 200 UNIT VIAL
Gross
$7,608
04507241
$6,086
BOTOX 200 UNIT VIAL
Gross
$7,608
04000874
$5,896
BRCA1&2 SEQ & COM DUP/DEL
Gross
$7,370
04500449
$5,868
INJECTION, ADALIMUMAB, 1 MG
Gross
$7,335
04504884
$5,851
PROLIA 60 MG/ML SYRINGE
Gross
$7,314
04503293
$5,779
NYSTATIN 500 MILLION UNIT PWD
Gross
$7,224
04503071
$5,379
PROLIA 60 MG/ML SYRINGE
Gross
$6,724
04505126
$5,310
XOLAIR 75 MG/0.5 ML SYRINGE
Gross
$6,638
04505334
$5,310
XOLAIR 75 MG/0.5 ML SYRINGE
Gross
$6,638
04502412
$5,232
PROLIA 60 MG/ML SYRINGE
Gross
$6,540
04506287
$5,116
RISPERDAL CONSTA 50 MG VIAL
Gross
$6,395
02700030
$5,023
MRI scan of upper spinal canal before and after contrast
Gross
$6,279
04506593
$4,946
NF-Nexplanon SubQ Implant 68MG
Gross
$6,183
02700018
$4,756
MRI scan of brain before and after contrast
Gross
$5,945
02700033
$4,581
MRI scan of lower spinal canal before and after contrast
Gross
$5,726
04504301
$4,542
INFLECTRA 100 MG VIAL
Gross
$5,677
04504316
$4,542
INFLECTRA 100 MG VIAL
Gross
$5,677
02700031
$4,540
MRI scan of middle spinal canal before and after contrast
Gross
$5,675
02700032
$4,313
MRI scan of lower spinal canal before and after contrast
Gross
$5,391
02700016
$4,304
MRI scan of brain before and after contrast
Gross
$5,380
02700017
$4,304
MRI scan of brain before and after contrast
Gross
$5,380
02700019
$4,304
MRI scan of brain before and after contrast
Gross
$5,380
02700049
$4,257
MRI scan of leg before and after contrast
Gross
$5,321
02700078
$4,257
MRI scan of leg before and after contrast
Gross
$5,321
02700069
$4,088
MRI scan of blood vessels of head before and after contrast
Gross
$5,110
02700065
$3,994
MRI BREAST W/IMPLANTS BILAT
Gross
$4,992
04504792
$3,933
POMALYST 2 MG CAPSULE
Gross
$4,916
04504797
$3,933
POMALYST 2 MG CAPSULE
Gross
$4,916
04505291
$3,900
ACTIVE-PAC KIT
Gross
$4,875
02700036
$3,805
MRI scan of pelvis before and after contrast
Gross
$4,756
02700057
$3,805
MRI scan of abdomen before and after contrast
Gross
$4,756
02700048
$3,799
MRI scan of leg with contrast
Gross
$4,749
04504546
$3,799
POMALYST 2 MG CAPSULE
Gross
$4,749
04500636
$3,738
IMOGAM RABIES-HT 150 UNIT/ML
Gross
$4,673
02700075
$3,696
MRI scan of leg joint with contrast
Gross
$4,620
02800100
$3,603
CT scan of abdomen and pelvis before and after contrast
Gross
$4,504
00600324
$3,571
Episiotomy or repair of vagina
Gross
$4,464
00600325
$3,571
Vaginal delivery
Gross
$4,464
00600326
$3,571
Delivery of placenta
Gross
$4,464
00600157
$3,553
Complex drainage of wound infection after surgery
Gross
$4,441
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 04504533 | TREMFYA 100 MG/ML SYRINGE | $60,951 | $48,761 | — | — | 19 |
| 04500856 | INJECTION, TENECTEPLASE, 1 MG | $31,850 | $25,480 | — | — | 23 |
| 04500113 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $21,150 | $16,920 | — | — | 23 |
| 04507423 | INJECTION, DENOSUMAB, 1 MG | $15,562 | $12,450 | — | — | 23 |
| 04506691 | ABILIFY MAINTENA ER 300 MG SYR | $11,489 | $9,191 | — | — | 19 |
| 04506888 | ABILIFY MAINTENA ER 300 MG SYR | $11,489 | $9,191 | — | — | 19 |
| 04500564 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $9,363 | $7,490 | — | — | 23 |
| 04507064 | PROLIA 60 MG/ML SYRINGE | $8,862 | $7,090 | — | — | 19 |
| 04507314 | INJECTION, DENOSUMAB, 1 MG | $8,368 | $6,694 | — | — | 23 |
| 04507539 | INJECTION, INCLISIRAN, 1 MG | $8,330 | $6,664 | — | — | 19 |
| 04507240 | BOTOX 200 UNIT VIAL | $7,608 | $6,086 | — | — | 19 |
| 04507241 | BOTOX 200 UNIT VIAL | $7,608 | $6,086 | — | — | 19 |
| 04000874 | BRCA1&2 SEQ & COM DUP/DEL | $7,370 | $5,896 | — | — | 24 |
| 04500449 | INJECTION, ADALIMUMAB, 1 MG | $7,335 | $5,868 | — | — | 19 |
| 04504884 | PROLIA 60 MG/ML SYRINGE | $7,314 | $5,851 | — | — | 19 |
| 04503293 | NYSTATIN 500 MILLION UNIT PWD | $7,224 | $5,779 | — | — | 19 |
| 04503071 | PROLIA 60 MG/ML SYRINGE | $6,724 | $5,379 | — | — | 19 |
| 04505126 | XOLAIR 75 MG/0.5 ML SYRINGE | $6,638 | $5,310 | — | — | 19 |
| 04505334 | XOLAIR 75 MG/0.5 ML SYRINGE | $6,638 | $5,310 | — | — | 19 |
| 04502412 | PROLIA 60 MG/ML SYRINGE | $6,540 | $5,232 | — | — | 19 |
| 04506287 | RISPERDAL CONSTA 50 MG VIAL | $6,395 | $5,116 | — | — | 19 |
| 02700030 | MRI scan of upper spinal canal before and after contrast | $6,279 | $5,023 | — | — | 24 |
| 04506593 | NF-Nexplanon SubQ Implant 68MG | $6,183 | $4,946 | — | — | 19 |
| 02700018 | MRI scan of brain before and after contrast | $5,945 | $4,756 | — | — | 24 |
| 02700033 | MRI scan of lower spinal canal before and after contrast | $5,726 | $4,581 | — | — | 24 |
| 04504301 | INFLECTRA 100 MG VIAL | $5,677 | $4,542 | — | — | 19 |
| 04504316 | INFLECTRA 100 MG VIAL | $5,677 | $4,542 | — | — | 19 |
| 02700031 | MRI scan of middle spinal canal before and after contrast | $5,675 | $4,540 | — | — | 24 |
| 02700032 | MRI scan of lower spinal canal before and after contrast | $5,391 | $4,313 | — | — | 24 |
| 02700016 | MRI scan of brain before and after contrast | $5,380 | $4,304 | — | — | 24 |
| 02700017 | MRI scan of brain before and after contrast | $5,380 | $4,304 | — | — | 24 |
| 02700019 | MRI scan of brain before and after contrast | $5,380 | $4,304 | — | — | 24 |
| 02700049 | MRI scan of leg before and after contrast | $5,321 | $4,257 | — | — | 24 |
| 02700078 | MRI scan of leg before and after contrast | $5,321 | $4,257 | — | — | 24 |
| 02700069 | MRI scan of blood vessels of head before and after contrast | $5,110 | $4,088 | — | — | 24 |
| 02700065 | MRI BREAST W/IMPLANTS BILAT | $4,992 | $3,994 | — | — | 20 |
| 04504792 | POMALYST 2 MG CAPSULE | $4,916 | $3,933 | — | — | 19 |
| 04504797 | POMALYST 2 MG CAPSULE | $4,916 | $3,933 | — | — | 19 |
| 04505291 | ACTIVE-PAC KIT | $4,875 | $3,900 | — | — | 19 |
| 02700036 | MRI scan of pelvis before and after contrast | $4,756 | $3,805 | — | — | 24 |
| 02700057 | MRI scan of abdomen before and after contrast | $4,756 | $3,805 | — | — | 24 |
| 02700048 | MRI scan of leg with contrast | $4,749 | $3,799 | — | — | 24 |
| 04504546 | POMALYST 2 MG CAPSULE | $4,749 | $3,799 | — | — | 19 |
| 04500636 | IMOGAM RABIES-HT 150 UNIT/ML | $4,673 | $3,738 | — | — | 19 |
| 02700075 | MRI scan of leg joint with contrast | $4,620 | $3,696 | — | — | 24 |
| 02800100 | CT scan of abdomen and pelvis before and after contrast | $4,504 | $3,603 | — | — | 24 |
| 00600324 | Episiotomy or repair of vagina | $4,464 | $3,571 | — | — | 23 |
| 00600325 | Vaginal delivery | $4,464 | $3,571 | — | — | 23 |
| 00600326 | Delivery of placenta | $4,464 | $3,571 | — | — | 23 |
| 00600157 | Complex drainage of wound infection after surgery | $4,441 | $3,553 | — | — | 23 |
Showing top 50 of 8,205 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.