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
4,544
Insurances with rates
18
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
042099113
$23,563
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$31,417
042086014
$23,205
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$30,940
042098560
$17,389
INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG
Gross
$23,186
395000950
$16,519
OPERATING ROOM SERVICES - MINOR SURGERY
Gross
$22,025
042099450
$16,250
INJECTION, EFGARTIGIMOD ALFA-FCAB, 2MG
Gross
$21,666
042099541
$15,200
INJECTION, BENRALIZUMAB, 1 MG
Gross
$20,266
425027766
$14,712
Treatment of inside portion of broken shin bone at ankle
Gross
$19,616
042099907
$13,804
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$18,406
315199996
$13,470
JOINT DEVICE (IMPLANTABLE)
Gross
$17,960
425027691
$13,461
Transfer of deep tendon of foot with muscle rerouting
Gross
$17,948
042045001
$12,790
NON-COVERED ITEM OR SERVICE
Gross
$17,053
042086010
$12,578
INJECTION, RITUXIMAB, 10 MG
Gross
$16,770
042086015
$11,320
INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG
Gross
$15,093
042099913
$11,179
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$14,905
315049320
$11,097
Diagnostic exam of abdomen using an endoscope
Gross
$14,796
315058561
$9,967
Removal of growth of muscle of uterus using an endoscope
Gross
$13,289
315102218
$9,954
Incision to improve eye fluid flow
Gross
$13,272
042086022
$9,596
INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG
Gross
$12,795
042051083
$9,589
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$12,786
042086008
$9,055
INJECTION, BASILIXIMAB, 20 MG
Gross
$12,073
042095004
$8,975
Rabies immune globulin for injection
Gross
$11,967
042095002
$8,678
Rabies immune globulin for injection
Gross
$11,571
042099851
$8,386
INJECTION, CALCITONIN SALMON, UP TO 400 UNITS
Gross
$11,182
315058563
$7,910
Exam of uterus with destruction of lining of uterus using an endoscope
Gross
$10,546
315199994
$7,793
IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED
Gross
$10,390
416015120
$7,641
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals,
Gross
$10,188
416015273
$7,641
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a
Gross
$10,188
416015274
$7,641
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq
Gross
$10,188
042002056
$7,562
CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER
Gross
$10,082
042086034
$7,111
INJECTION, TOCILIZUMAB, 1 MG
Gross
$9,481
042092050
$6,620
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$8,827
042099915
$6,427
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$8,569
323000139
$6,352
Insertion of non-tunneled central venous tube for infusion (5 years or older)
Gross
$8,469
315189207
$6,238
Complex removal of cataract with insertion of prosthetic lens
Gross
$8,317
042099903
$6,217
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$8,290
315036571
$6,192
Insertion of central venous tube with port for infusion (5 years or older)
Gross
$8,256
425028060
$6,186
Partial removal of connective tissue at sole of foot
Gross
$8,248
425028124
$6,186
Partial removal of toe bone
Gross
$8,248
425028575
$6,186
Closed treatment of dislocated ankle joint under anesthesia
Gross
$8,248
425028005
$6,054
Incision of foot bone
Gross
$8,072
416010180
$6,025
Complex drainage of wound infection after surgery
Gross
$8,033
042090502
$5,978
INJECTION, ROMOSOZUMAB-AQQG, 1 MG
Gross
$7,970
425010180
$5,738
Complex drainage of wound infection after surgery
Gross
$7,650
425020680
$5,738
Removal of deep implant from bone
Gross
$7,650
315058558
$5,704
Biopsy of lining of uterus and/or removal of polyp using an endoscope
Gross
$7,605
315058120
$5,702
Dilation and scraping of uterus
Gross
$7,602
420556441
$5,702
Removal of scar tissue of female genitals
Gross
$7,602
420556740
$5,702
Removal of cyst of female genital gland
Gross
$7,602
315189404
$5,625
RESTRATA, PER SQUARE CENTIMETER
Gross
$7,500
315199995
$5,442
CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC)
Gross
$7,256
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 042099113 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $31,417 | $23,563 | — | — | 19 |
| 042086014 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $30,940 | $23,205 | — | — | 19 |
| 042098560 | INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG | $23,186 | $17,389 | — | — | 19 |
| 395000950 | OPERATING ROOM SERVICES - MINOR SURGERY | $22,025 | $16,519 | — | — | 15 |
| 042099450 | INJECTION, EFGARTIGIMOD ALFA-FCAB, 2MG | $21,666 | $16,250 | — | — | 19 |
| 042099541 | INJECTION, BENRALIZUMAB, 1 MG | $20,266 | $15,200 | — | — | 19 |
| 425027766 | Treatment of inside portion of broken shin bone at ankle | $19,616 | $14,712 | — | — | 19 |
| 042099907 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $18,406 | $13,804 | — | — | 19 |
| 315199996 | JOINT DEVICE (IMPLANTABLE) | $17,960 | $13,470 | — | — | 18 |
| 425027691 | Transfer of deep tendon of foot with muscle rerouting | $17,948 | $13,461 | — | — | 19 |
| 042045001 | NON-COVERED ITEM OR SERVICE | $17,053 | $12,790 | — | — | 18 |
| 042086010 | INJECTION, RITUXIMAB, 10 MG | $16,770 | $12,578 | — | — | 19 |
| 042086015 | INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG | $15,093 | $11,320 | — | — | 19 |
| 042099913 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $14,905 | $11,179 | — | — | 19 |
| 315049320 | Diagnostic exam of abdomen using an endoscope | $14,796 | $11,097 | — | — | 19 |
| 315058561 | Removal of growth of muscle of uterus using an endoscope | $13,289 | $9,967 | — | — | 19 |
| 315102218 | Incision to improve eye fluid flow | $13,272 | $9,954 | — | — | 19 |
| 042086022 | INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG | $12,795 | $9,596 | — | — | 19 |
| 042051083 | INJECTION, MEPOLIZUMAB, 1 MG | $12,786 | $9,589 | — | — | 19 |
| 042086008 | INJECTION, BASILIXIMAB, 20 MG | $12,073 | $9,055 | — | — | 19 |
| 042095004 | Rabies immune globulin for injection | $11,967 | $8,975 | — | — | 19 |
| 042095002 | Rabies immune globulin for injection | $11,571 | $8,678 | — | — | 19 |
| 042099851 | INJECTION, CALCITONIN SALMON, UP TO 400 UNITS | $11,182 | $8,386 | — | — | 18 |
| 315058563 | Exam of uterus with destruction of lining of uterus using an endoscope | $10,546 | $7,910 | — | — | 19 |
| 315199994 | IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED | $10,390 | $7,793 | — | — | 18 |
| 416015120 | Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, | $10,188 | $7,641 | — | — | 19 |
| 416015273 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a | $10,188 | $7,641 | — | — | 19 |
| 416015274 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq | $10,188 | $7,641 | — | — | 19 |
| 042002056 | CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER | $10,082 | $7,562 | — | — | 19 |
| 042086034 | INJECTION, TOCILIZUMAB, 1 MG | $9,481 | $7,111 | — | — | 19 |
| 042092050 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $8,827 | $6,620 | — | — | 19 |
| 042099915 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $8,569 | $6,427 | — | — | 19 |
| 323000139 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | $8,469 | $6,352 | — | — | 19 |
| 315189207 | Complex removal of cataract with insertion of prosthetic lens | $8,317 | $6,238 | — | — | 19 |
| 042099903 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $8,290 | $6,217 | — | — | 19 |
| 315036571 | Insertion of central venous tube with port for infusion (5 years or older) | $8,256 | $6,192 | — | — | 19 |
| 425028060 | Partial removal of connective tissue at sole of foot | $8,248 | $6,186 | — | — | 19 |
| 425028124 | Partial removal of toe bone | $8,248 | $6,186 | — | — | 19 |
| 425028575 | Closed treatment of dislocated ankle joint under anesthesia | $8,248 | $6,186 | — | — | 19 |
| 425028005 | Incision of foot bone | $8,072 | $6,054 | — | — | 19 |
| 416010180 | Complex drainage of wound infection after surgery | $8,033 | $6,025 | — | — | 19 |
| 042090502 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG | $7,970 | $5,978 | — | — | 19 |
| 425010180 | Complex drainage of wound infection after surgery | $7,650 | $5,738 | — | — | 19 |
| 425020680 | Removal of deep implant from bone | $7,650 | $5,738 | — | — | 19 |
| 315058558 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | $7,605 | $5,704 | — | — | 19 |
| 315058120 | Dilation and scraping of uterus | $7,602 | $5,702 | — | — | 19 |
| 420556441 | Removal of scar tissue of female genitals | $7,602 | $5,702 | — | — | 19 |
| 420556740 | Removal of cyst of female genital gland | $7,602 | $5,702 | — | — | 19 |
| 315189404 | RESTRATA, PER SQUARE CENTIMETER | $7,500 | $5,625 | — | — | 19 |
| 315199995 | CONNECTIVE TISSUE, NON-HUMAN (INCLUDES SYNTHETIC) | $7,256 | $5,442 | — | — | 18 |
Showing top 50 of 4,544 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.