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
2,842
Insurances with rates
19
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
28347663_1
$63,180
INJECTION, TREMELIMUMAB-ACTL, 1 MG
Gross
$105,300
27093436_1
$18,036
INJECTION, IPILIMUMAB, 1 MG
Gross
$30,061
28588186_1
$15,886
INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG
Gross
$26,476
27479903_1
$15,795
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$26,325
26736936_1
$14,855
INJECTION, NIVOLUMAB, 1 MG
Gross
$24,758
28499460_1
$11,011
INJECTION, RAMUCIRUMAB, 5 MG
Gross
$18,352
28571803_1
$10,979
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$18,298
28515651_1
$9,119
INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG
Gross
$15,199
3342004_1
$8,366
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$13,944
28563180_1
$8,103
INJECTION, ANIFROLUMAB-FNIA, 1 MG
Gross
$13,505
28524660_1
$5,802
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$9,670
28451063_1
$5,397
INJECTION, INCLISIRAN, 1 MG
Gross
$8,996
27824696_1
$4,508
INJECTION, NIVOLUMAB, 1 MG
Gross
$7,514
27078472_1
$4,398
INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG
Gross
$7,330
25265318_1
$4,050
00173-0881-01 - mepolizumab 100 mg Pow
Gross
$6,750
28092950_1
$3,975
INJECTION, BEVACIZUMAB-BVZR, BIOSIMILAR, (ZIRABEV), 10 MG
Gross
$6,625
28420514_1
$3,663
INJECTION, NIVOLUMAB, 1 MG
Gross
$6,105
1299617_4
$3,543
Destruction of lining of uterus using ultrasound guidance
Gross
$5,905
27208179_1
$3,344
INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT S
Gross
$5,573
735104_4
$3,229
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
Gross
$5,382
723165_4
$3,008
Exam of uterus with destruction of lining of uterus using an endoscope
Gross
$5,014
723213_4
$2,995
Vaginal delivery with care before and after delivery
Gross
$4,991
2933825_4
$2,813
INJECTION, DENOSUMAB, 1 MG
Gross
$4,689
723172_4
$2,578
Biopsy of lining of uterus and/or removal of polyp using an endoscope
Gross
$4,296
25536149_4
$2,574
INJECTION, DENOSUMAB, 1 MG
Gross
$4,290
27506610_1
$2,552
INJECTION, RAMUCIRUMAB, 5 MG
Gross
$4,253
1168161_1
$2,377
615 - MRI-Head and neck
Gross
$3,962
3507145_1
$2,258
LABOR ROOM/DELIVERY - DELIVERY ROOM
Gross
$3,763
7793141_4
$2,178
INJECTION, ONABOTULINUMTOXINA, 1 UNIT
Gross
$3,630
723258_4
$2,155
Removal of ovaries and/or tubes using an endoscope
Gross
$3,591
739063_4
$2,153
Removal of growth of uterus through abdomen, 1-4 growths
Gross
$3,589
25761809_4
$2,140
HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE
Gross
$3,567
723231_4
$2,123
Cesarean delivery with care after delivery
Gross
$3,539
26339058_4
$2,049
HYALURONAN OR DERIVATIVE, SYNVISC OR SYNVISC-ONE, FOR INTRA-ARTICULAR INJECTION, 1 MG
Gross
$3,415
723228_4
$1,972
Cesarean delivery
Gross
$3,287
1299606_4
$1,969
Removal of uterus through abdomen using an endoscope, 250.0 g or less
Gross
$3,281
3307798_4
$1,938
Insertion of central venous tube with port (5 years or older)
Gross
$3,230
739064_4
$1,937
Removal of uterus and cervix through abdomen
Gross
$3,228
3507142_1
$1,936
LABOR ROOM/DELIVERY - DELIVERY ROOM
Gross
$3,227
723183_4
$1,845
Removal of growth of uterus using an endoscope, 250.0 g or less
Gross
$3,075
667636_4
$1,807
Biopsy of cervix using an endoscope with loop electrode
Gross
$3,012
1168160_1
$1,800
611 - MRI - BRAIN
Gross
$3,000
741062_4
$1,773
Release of small bowel scar tissue using an endoscope
Gross
$2,955
725083_4
$1,708
Plastic repair of vagina and tissue separating vagina, rectum, and bladder
Gross
$2,846
3671300_4
$1,704
Drainage of pelvic abscess, transvaginal or transrectal approach, percutaneous
Gross
$2,840
26158319_1
$1,676
INJECTION, FERRIC CARBOXYMALTOSE, 1 MG
Gross
$2,793
1297329_1
$1,653
341 - NUC MED/DX
Gross
$2,754
25761808_4
$1,650
HYALURONAN OR DERIVATIVE, GEL-ONE, FOR INTRA-ARTICULAR INJECTION, PER DOSE
Gross
$2,750
882001_1
$1,636
610 - MRI
Gross
$2,727
723240_4
$1,611
Removal of ovarian or tubal pregnancy with removal of ovaries
Gross
$2,685
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 28347663_1 | INJECTION, TREMELIMUMAB-ACTL, 1 MG | $105,300 | $63,180 | — | — | 17 |
| 27093436_1 | INJECTION, IPILIMUMAB, 1 MG | $30,061 | $18,036 | — | — | 19 |
| 28588186_1 | INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG | $26,476 | $15,886 | — | — | 17 |
| 27479903_1 | INJECTION, PEMBROLIZUMAB, 1 MG | $26,325 | $15,795 | — | — | 17 |
| 26736936_1 | INJECTION, NIVOLUMAB, 1 MG | $24,758 | $14,855 | — | — | 17 |
| 28499460_1 | INJECTION, RAMUCIRUMAB, 5 MG | $18,352 | $11,011 | — | — | 17 |
| 28571803_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $18,298 | $10,979 | — | — | 19 |
| 28515651_1 | INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG | $15,199 | $9,119 | — | — | 17 |
| 3342004_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $13,944 | $8,366 | — | — | 19 |
| 28563180_1 | INJECTION, ANIFROLUMAB-FNIA, 1 MG | $13,505 | $8,103 | — | — | 17 |
| 28524660_1 | INJECTION, MEPOLIZUMAB, 1 MG | $9,670 | $5,802 | — | — | 17 |
| 28451063_1 | INJECTION, INCLISIRAN, 1 MG | $8,996 | $5,397 | — | — | 17 |
| 27824696_1 | INJECTION, NIVOLUMAB, 1 MG | $7,514 | $4,508 | — | — | 17 |
| 27078472_1 | INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG | $7,330 | $4,398 | — | — | 17 |
| 25265318_1 | 00173-0881-01 - mepolizumab 100 mg Pow | $6,750 | $4,050 | — | — | 17 |
| 28092950_1 | INJECTION, BEVACIZUMAB-BVZR, BIOSIMILAR, (ZIRABEV), 10 MG | $6,625 | $3,975 | — | — | 17 |
| 28420514_1 | INJECTION, NIVOLUMAB, 1 MG | $6,105 | $3,663 | — | — | 17 |
| 1299617_4 | Destruction of lining of uterus using ultrasound guidance | $5,905 | $3,543 | — | — | 13 |
| 27208179_1 | INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT S | $5,573 | $3,344 | — | — | 19 |
| 735104_4 | INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG | $5,382 | $3,229 | — | — | 19 |
| 723165_4 | Exam of uterus with destruction of lining of uterus using an endoscope | $5,014 | $3,008 | — | — | 15 |
| 723213_4 | Vaginal delivery with care before and after delivery | $4,991 | $2,995 | — | — | 15 |
| 2933825_4 | INJECTION, DENOSUMAB, 1 MG | $4,689 | $2,813 | — | — | 19 |
| 723172_4 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | $4,296 | $2,578 | — | — | 15 |
| 25536149_4 | INJECTION, DENOSUMAB, 1 MG | $4,290 | $2,574 | — | — | 19 |
| 27506610_1 | INJECTION, RAMUCIRUMAB, 5 MG | $4,253 | $2,552 | — | — | 17 |
| 1168161_1 | 615 - MRI-Head and neck | $3,962 | $2,377 | — | — | 17 |
| 3507145_1 | LABOR ROOM/DELIVERY - DELIVERY ROOM | $3,763 | $2,258 | — | — | 17 |
| 7793141_4 | INJECTION, ONABOTULINUMTOXINA, 1 UNIT | $3,630 | $2,178 | — | — | 19 |
| 723258_4 | Removal of ovaries and/or tubes using an endoscope | $3,591 | $2,155 | — | — | 15 |
| 739063_4 | Removal of growth of uterus through abdomen, 1-4 growths | $3,589 | $2,153 | — | — | 13 |
| 25761809_4 | HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE | $3,567 | $2,140 | — | — | 17 |
| 723231_4 | Cesarean delivery with care after delivery | $3,539 | $2,123 | — | — | 15 |
| 26339058_4 | HYALURONAN OR DERIVATIVE, SYNVISC OR SYNVISC-ONE, FOR INTRA-ARTICULAR INJECTION, 1 MG | $3,415 | $2,049 | — | — | 19 |
| 723228_4 | Cesarean delivery | $3,287 | $1,972 | — | — | 15 |
| 1299606_4 | Removal of uterus through abdomen using an endoscope, 250.0 g or less | $3,281 | $1,969 | — | — | 13 |
| 3307798_4 | Insertion of central venous tube with port (5 years or older) | $3,230 | $1,938 | — | — | 15 |
| 739064_4 | Removal of uterus and cervix through abdomen | $3,228 | $1,937 | — | — | 15 |
| 3507142_1 | LABOR ROOM/DELIVERY - DELIVERY ROOM | $3,227 | $1,936 | — | — | 17 |
| 723183_4 | Removal of growth of uterus using an endoscope, 250.0 g or less | $3,075 | $1,845 | — | — | 13 |
| 667636_4 | Biopsy of cervix using an endoscope with loop electrode | $3,012 | $1,807 | — | — | 13 |
| 1168160_1 | 611 - MRI - BRAIN | $3,000 | $1,800 | — | — | 17 |
| 741062_4 | Release of small bowel scar tissue using an endoscope | $2,955 | $1,773 | — | — | 13 |
| 725083_4 | Plastic repair of vagina and tissue separating vagina, rectum, and bladder | $2,846 | $1,708 | — | — | 15 |
| 3671300_4 | Drainage of pelvic abscess, transvaginal or transrectal approach, percutaneous | $2,840 | $1,704 | — | — | 4 |
| 26158319_1 | INJECTION, FERRIC CARBOXYMALTOSE, 1 MG | $2,793 | $1,676 | — | — | 17 |
| 1297329_1 | 341 - NUC MED/DX | $2,754 | $1,653 | — | — | 17 |
| 25761808_4 | HYALURONAN OR DERIVATIVE, GEL-ONE, FOR INTRA-ARTICULAR INJECTION, PER DOSE | $2,750 | $1,650 | — | — | 19 |
| 882001_1 | 610 - MRI | $2,727 | $1,636 | — | — | 17 |
| 723240_4 | Removal of ovarian or tubal pregnancy with removal of ovaries | $2,685 | $1,611 | — | — | 13 |
Showing top 50 of 2,842 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.