45 CFR § 180 compliance
A · 100
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
2,400
Insurances with rates
9
CPT / HCPCS codes
992
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| G0495 | HH/RN TEACHING VISIT | $24,580 | $24,580 | $42 | $23,351 | 9 |
| 90471 | FLUZONE 0.5ML ADMINISTRATION | $24,580 | $24,580 | $2,458 | $23,351 | 10 |
| J3380 | ENTYVIO (VEDOLIZUMAB) 300MG VIAL | $14,229 | $14,229 | $1,423 | $13,518 | 10 |
| J0517 | FASENRA SUBCUTANEOUS SOLUTION 30MG/1ML | $12,474 | $12,474 | $1,247 | $11,851 | 10 |
| J2353 | SANDOSTATIN LAR DEPOT : 20MG | $11,193 | $11,193 | $1,119 | $10,633 | 10 |
| J9217 | LUPRON DEPOT 22.5MG : PREFILLED SYRINGE | $10,503 | $10,503 | $1,050 | $9,978 | 10 |
| NM INDIUM IN-111 AUTO WBC | NM INDIUM IN-111 AUTO WBC | $10,208 | $10,208 | $1,021 | $9,698 | 10 |
| ARANESP 500mcg SINGLEJECT SYRINGE | ARANESP 500mcg SINGLEJECT SYRINGE | $9,752 | $9,752 | $975 | $9,265 | 10 |
| LIGAMENT PATELLA HEMI | LIGAMENT PATELLA HEMI | $7,938 | $7,938 | $794 | $7,541 | 10 |
| J2182 | NUCALA 100 MG: VIAL | $7,304 | $7,304 | $730 | $6,939 | 10 |
| Q4110 | GRAFT PRIMATRIX AG 6X6 CM | $7,256 | $7,256 | $726 | $6,893 | 10 |
| GRAFT CONNEXT MATRIX .030OZ | GRAFT CONNEXT MATRIX .030OZ | $7,185 | $7,185 | $719 | $6,826 | 10 |
| 74178 | CT ABD & PELVIS W/WO CONTRAST | $7,105 | $7,105 | $711 | $6,750 | 10 |
| Q4184 | GRAFT CELLESTA 4X4CM | $6,238 | $6,238 | $624 | $5,926 | 10 |
| CATARACT EXTRACTION W/LENS INSERTION | CATARACT EXTRACTION W/LENS INSERTION | $6,167 | $6,167 | $617 | $5,858 | 10 |
| Q4196 | GRAFT PURAPLY AM 5X5 | $6,125 | $6,125 | $613 | $5,819 | 10 |
| 73706 | CT VENOGRAM LE/RIGHT | $5,930 | $5,930 | $593 | $5,634 | 10 |
| 74174 | CTA ABD & PELVIS W/CONTRAST | $5,916 | $5,916 | $592 | $5,620 | 10 |
| 74175 | CTA ABDOMEN | $5,916 | $5,916 | $592 | $5,620 | 10 |
| 74170 | CT ABDOMEN W/WO ENHANCEMENT | $5,684 | $5,684 | $568 | $5,400 | 10 |
| 74177 | CT ABD & PELVIS W/CONTRAST | $5,561 | $5,561 | $556 | $5,283 | 10 |
| 23655 | UBDISL TX SHOULDER CLOSED W/MAN W/ANES | $5,465 | $5,465 | $547 | $5,192 | 10 |
| 70549 | MRA NECK W/WO CONTRAST | $5,465 | $5,465 | $547 | $5,192 | 10 |
| STERI STRIP WOUND CLOSURE (LAP CHOLE) | STERI STRIP WOUND CLOSURE (LAP CHOLE) | $5,465 | $5,465 | $547 | $5,192 | 10 |
| #NAME? | COLONOSCOPY W/EGD | $5,465 | $5,465 | $547 | $5,192 | 10 |
| 70546 | MRA HEAD W/WO CONTRAST | $5,460 | $5,460 | $546 | $5,187 | 10 |
| KIT DEVICE GENESYS HTA PROCERVA | KIT DEVICE GENESYS HTA PROCERVA | $5,400 | $5,400 | $540 | $5,130 | 10 |
| 70482 | CT ORBITS W/WO ENHANCEMENT | $5,367 | $5,367 | $537 | $5,098 | 10 |
| 78452 | NM MPI R & S MULTI SPECT W/WALL & EJECT | $5,308 | $5,308 | $531 | $5,042 | 10 |
| G0416 | PATH PRSTAT (GROSS/MICRO) TC | $5,177 | $5,177 | $35 | $4,918 | 10 |
| 95811 | SLEEP STUDY/CPAP >= 6 hrs of recording | $5,098 | $5,098 | $510 | $4,843 | 10 |
| 78071 | NM PARATHYROID PLANAR SPECT w/subtractio | $5,085 | $5,085 | $508 | $4,830 | 10 |
| 73702 | CT EXT LOWER W/WO CONTRAST | $4,956 | $4,956 | $496 | $4,708 | 10 |
| 70488 | CT SINUSES W/WO CONTRAST | $4,937 | $4,937 | $494 | $4,690 | 10 |
| 92960 | CARDIOVERSION ER FACILITY (450) | $4,850 | $4,850 | $485 | $4,608 | 10 |
| 71270 | CT THORAX W/WO ENH | $4,830 | $4,830 | $483 | $4,588 | 10 |
| 70492 | CT NECK S.T. W/WO ENHANCEMENT | $4,813 | $4,813 | $481 | $4,572 | 10 |
| J3111 | EVENITY SC INJ 210mg (2 SYRINGE 105mg) | $4,791 | $4,791 | $479 | $4,551 | 10 |
| 72194 | CT PELVIS W/WO ENHANCEMENT | $4,784 | $4,784 | $478 | $4,545 | 10 |
| J1602 | SIMPONI ARIA 50MG/4ML SDV | $4,771 | $4,771 | $477 | $4,533 | 10 |
| 71552 | MRI CHEST W/WO CONTRAST | $4,692 | $4,692 | $469 | $4,458 | 10 |
| 74183 | MRI ABDOMEN W/WO CONTRAST | $4,596 | $4,596 | $460 | $4,366 | 10 |
| 72197 | MRI PELVIS W/WO CONTRAST | $4,590 | $4,590 | $459 | $4,361 | 10 |
| 25560 | UBFX TX RADIUS/ULNAR SHAFT CLOSED W/OMAN | $4,566 | $4,566 | $457 | $4,337 | 10 |
| 25565 | UB-CLSED TX RADIAL&ULNAR SHAFT FX W/MANJ | $4,566 | $4,566 | $457 | $4,337 | 10 |
| 56420 | UB-I & D BARTHOLINS GLAND ABSCESS | $4,563 | $4,563 | $456 | $4,335 | 10 |
| 65205 | UB-REMOVE FB-CONJUNCTIVA | $4,563 | $4,563 | $456 | $4,335 | 10 |
| 65220 | UB-REMOVE FB-CORNEAL,W/O SL | $4,563 | $4,563 | $456 | $4,335 | 10 |
| 65222 | UB-REMOVE FB-CORNEA,W/SL | $4,563 | $4,563 | $456 | $4,335 | 10 |
| 69200 | UB-REMOVE FB-EXT AUD CANAL | $4,563 | $4,563 | $456 | $4,335 | 10 |
Showing top 50 of 2,400 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.