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
3,641
Insurances with rates
11
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
CP17508842583060913
$41,731
Spinal fusion except cervical without MCC
Gross
$59,616
77004644
$25,852
Ustekinumab 90mg Sq Injection
Gross
$36,932
CP17508842583063824
$25,501
Cervical spinal fusion without CC or MCC
Gross
$36,430
61533289
$22,794
Trnscath Impl Wrlss P-art Snr
Gross
$32,563
CP17508842583065677
$19,810
Major joint replacement or reattachment of lower extremity without MCC
Gross
$28,300
77004558
$15,772
Ocrelizumab 300mg Ivpb
Gross
$22,531
77006497
$15,698
Teprotumumab-trbw 500mg Ivpb
Gross
$22,426
77004668
$12,978
Ustekinumab 45mg Sq Injection
Gross
$18,540
CP17508842583030971
$12,448
Shaving of shoulder bone using endoscope
Gross
$17,783
61533274-Q0
$11,861
Transcath Ins/rplc Ldls Pcmkr
Gross
$16,944
61504001-LC
$11,024
Plc Drug-elut Stent&angio,sng
Gross
$15,748
61504005
$11,024
Occul W/mi,w/drug-elut Snt,sng
Gross
$15,748
61504002-LD
$11,024
Plc Drug-elut Stent&angio,addl
Gross
$15,748
61504104-LD
$11,024
Plc Stent,w/w/o Angio,sngl
Gross
$15,748
61505001-RC
$10,903
Revasc Cabg W/des/angio/art,sl
Gross
$15,575
77004649
$9,966
Eculizumab 300mg/30ml Inj
Gross
$14,237
CP17508842583058763
$9,663
Removal of gallbladder using an endoscope
Gross
$13,804
61537236-LT
$8,514
Open/perq Plmt Stent 1st
Gross
$12,163
77004254
$8,467
Tenecteplase 50mg Injection
Gross
$12,095
77004446
$8,345
Vedolizumab 300mg Injection
Gross
$11,921
61537226-LT
$8,181
Femoral Popliteal W/stent
Gross
$11,687
61537225-LT
$8,181
Fem Popliteal Atherectomy
Gross
$11,687
77004183
$8,021
Natalizumab 300mg Injection
Gross
$11,459
CP17508842583054519
$7,914
Removal of one knee cartilage using an endoscope
Gross
$11,306
77002482
$7,206
Rituximab 500mg Inj
Gross
$10,294
61593459-XU
$7,072
Lt Heart Cath W/grafts
Gross
$10,103
61593461
$7,072
Rt< Heart Cath W/grafts
Gross
$10,103
61537221-RT
$7,005
Iliac Revasc W/stent
Gross
$10,007
61593460-XU
$6,745
Rt&lhc W Art/vent Angio
Gross
$9,636
61593458-74
$6,745
Left Heart Cath
Gross
$9,636
77006566
$6,343
Efgartigimod Alfa-fcab 400mg
Gross
$9,061
77004491
$5,997
Benralizumab 30mg Injection
Gross
$8,567
61593455-XU
$5,711
Coronaries W/grafts
Gross
$8,158
61593451
$5,711
Right Heart Cath Only
Gross
$8,158
61537220-RT
$5,555
Pta-iliac
Gross
$7,936
61537228-LT
$5,555
Pta-tibial/peroneal Trunk
Gross
$7,936
61537224-LT
$5,555
Pta Femoral-popliteal
Gross
$7,936
77004635
$5,547
Certolizumab Pegol 400 Mg Kit
Gross
$7,924
77004082
$5,519
Rasburicase 7.5mg Injection
Gross
$7,884
61504101-LD
$5,318
Perc Angio;ea Addl Artry/brnch
Gross
$7,597
CP17508842583051575
$5,070
Repair of groin hernia patient age 5 years or older
Gross
$7,243
77004339
$4,453
Pembrolizumab Inj 100mg
Gross
$6,362
62386601
$4,421
Or Procedure 4 0-30 Min
Gross
$6,316
61504100-LC
$4,289
Perc Cardiac Angio;sngl Arter
Gross
$6,127
61593454-XU
$4,201
Coronaries Only/recheck
Gross
$6,001
77006675
$4,201
Leuprolide Acetate 45mg Sq Inj
Gross
$6,001
61537250
$4,077
Peripheral Ivus, Single Vessel
Gross
$5,824
74604993
$4,064
Mri Joint Upr Ext W/w/o Dye-bi
Gross
$5,806
74604944
$4,064
Mri Up Ext W Jnt W/o Cont,bila
Gross
$5,806
74604955
$4,064
MRI scan of leg joint
Gross
$5,806
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| CP17508842583060913 | Spinal fusion except cervical without MCC | $59,616 | $41,731 | $5,597 | $56,635 | 12 |
| 77004644 | Ustekinumab 90mg Sq Injection | $36,932 | $25,852 | $20,313 | $35,085 | 8 |
| CP17508842583063824 | Cervical spinal fusion without CC or MCC | $36,430 | $25,501 | $5,597 | $34,609 | 12 |
| 61533289 | Trnscath Impl Wrlss P-art Snr | $32,563 | $22,794 | $17,910 | $42,787 | 11 |
| CP17508842583065677 | Major joint replacement or reattachment of lower extremity without MCC | $28,300 | $19,810 | $5,597 | $26,885 | 12 |
| 77004558 | Ocrelizumab 300mg Ivpb | $22,531 | $15,772 | $12,392 | $21,404 | 8 |
| 77006497 | Teprotumumab-trbw 500mg Ivpb | $22,426 | $15,698 | $12,334 | $21,305 | 8 |
| 77004668 | Ustekinumab 45mg Sq Injection | $18,540 | $12,978 | $10,197 | $17,613 | 8 |
| CP17508842583030971 | Shaving of shoulder bone using endoscope | $17,783 | $12,448 | $3,845 | $16,894 | 9 |
| 61533274-Q0 | Transcath Ins/rplc Ldls Pcmkr | $16,944 | $11,861 | $9,319 | $28,685 | 11 |
| 61504001-LC | Plc Drug-elut Stent&angio,sng | $15,748 | $11,024 | $8,661 | $16,195 | 11 |
| 61504005 | Occul W/mi,w/drug-elut Snt,sng | $15,748 | $11,024 | $8,661 | $22,153 | 9 |
| 61504002-LD | Plc Drug-elut Stent&angio,addl | $15,748 | $11,024 | $8,661 | $14,961 | 8 |
| 61504104-LD | Plc Stent,w/w/o Angio,sngl | $15,748 | $11,024 | $8,661 | $16,195 | 11 |
| 61505001-RC | Revasc Cabg W/des/angio/art,sl | $15,575 | $10,903 | $8,566 | $16,195 | 11 |
| 77004649 | Eculizumab 300mg/30ml Inj | $14,237 | $9,966 | $7,830 | $13,525 | 8 |
| CP17508842583058763 | Removal of gallbladder using an endoscope | $13,804 | $9,663 | $5,309 | $13,114 | 12 |
| 61537236-LT | Open/perq Plmt Stent 1st | $12,163 | $8,514 | $6,690 | $16,195 | 11 |
| 77004254 | Tenecteplase 50mg Injection | $12,095 | $8,467 | $6,652 | $11,490 | 8 |
| 77004446 | Vedolizumab 300mg Injection | $11,921 | $8,345 | $6,557 | $11,325 | 8 |
| 61537226-LT | Femoral Popliteal W/stent | $11,687 | $8,181 | $6,428 | $16,195 | 11 |
| 61537225-LT | Fem Popliteal Atherectomy | $11,687 | $8,181 | $6,428 | $25,814 | 11 |
| 77004183 | Natalizumab 300mg Injection | $11,459 | $8,021 | $6,302 | $10,886 | 8 |
| CP17508842583054519 | Removal of one knee cartilage using an endoscope | $11,306 | $7,914 | $2,978 | $10,741 | 12 |
| 77002482 | Rituximab 500mg Inj | $10,294 | $7,206 | $5,662 | $9,779 | 8 |
| 61593459-XU | Lt Heart Cath W/grafts | $10,103 | $7,072 | $2,998 | $9,598 | 11 |
| 61593461 | Rt< Heart Cath W/grafts | $10,103 | $7,072 | $2,998 | $9,847 | 12 |
| 61537221-RT | Iliac Revasc W/stent | $10,007 | $7,005 | $5,504 | $16,195 | 11 |
| 61593460-XU | Rt&lhc W Art/vent Angio | $9,636 | $6,745 | $2,998 | $9,154 | 11 |
| 61593458-74 | Left Heart Cath | $9,636 | $6,745 | $2,998 | $9,154 | 11 |
| 77006566 | Efgartigimod Alfa-fcab 400mg | $9,061 | $6,343 | $4,984 | $8,608 | 8 |
| 77004491 | Benralizumab 30mg Injection | $8,567 | $5,997 | $4,712 | $8,139 | 8 |
| 61593455-XU | Coronaries W/grafts | $8,158 | $5,711 | $2,998 | $7,750 | 11 |
| 61593451 | Right Heart Cath Only | $8,158 | $5,711 | $2,998 | $7,750 | 12 |
| 61537220-RT | Pta-iliac | $7,936 | $5,555 | $4,365 | $8,414 | 11 |
| 61537228-LT | Pta-tibial/peroneal Trunk | $7,936 | $5,555 | $4,365 | $16,195 | 11 |
| 61537224-LT | Pta Femoral-popliteal | $7,936 | $5,555 | $4,365 | $8,414 | 11 |
| 77004635 | Certolizumab Pegol 400 Mg Kit | $7,924 | $5,547 | $4,358 | $7,528 | 8 |
| 77004082 | Rasburicase 7.5mg Injection | $7,884 | $5,519 | $4,336 | $19,375 | 11 |
| 61504101-LD | Perc Angio;ea Addl Artry/brnch | $7,597 | $5,318 | $4,178 | $7,217 | 8 |
| CP17508842583051575 | Repair of groin hernia patient age 5 years or older | $7,243 | $5,070 | $3,183 | $8,377 | 12 |
| 77004339 | Pembrolizumab Inj 100mg | $6,362 | $4,453 | $3,499 | $6,044 | 8 |
| 62386601 | Or Procedure 4 0-30 Min | $6,316 | $4,421 | $3,474 | $6,000 | 8 |
| 61504100-LC | Perc Cardiac Angio;sngl Arter | $6,127 | $4,289 | $3,370 | $8,414 | 11 |
| 61593454-XU | Coronaries Only/recheck | $6,001 | $4,201 | $2,998 | $5,701 | 11 |
| 77006675 | Leuprolide Acetate 45mg Sq Inj | $6,001 | $4,201 | $3,301 | $5,701 | 8 |
| 61537250 | Peripheral Ivus, Single Vessel | $5,824 | $4,077 | $3,203 | $5,533 | 8 |
| 74604993 | Mri Joint Upr Ext W/w/o Dye-bi | $5,806 | $4,064 | $354 | $5,516 | 12 |
| 74604944 | Mri Up Ext W Jnt W/o Cont,bila | $5,806 | $4,064 | $225 | $5,516 | 12 |
| 74604955 | MRI scan of leg joint | $5,806 | $4,064 | $225 | $5,516 | 12 |
Showing top 50 of 3,641 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.