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
4,286
Insurances with rates
3
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4967760_1
$482,956
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$603,695
6265169_1
$49,056
DISPOSABLE HIGH FLOW CIRCET SET
Gross
$61,321
4967764_1
$30,266
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$37,832
6515171_1
$16,640
VIA MATRIX, PER SQUARE CENTIMETER
Gross
$20,800
5236654_1
$15,949
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$19,937
6596730_1
$15,038
INJECTION, TENECTEPLASE, 1 MG
Gross
$18,797
6017951_1
$13,372
INJECTION, TENECTEPLASE, 1 MG
Gross
$16,716
6074530_1
$10,874
INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE
Gross
$13,592
5966740_1
$10,697
NON-COVERED ITEM OR SERVICE
Gross
$13,372
6387028_1
$9,268
INJECTION, INCLISIRAN, 1 MG
Gross
$11,585
4602505_1
$8,521
INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE
Gross
$10,651
4440010_1
$8,495
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$10,619
6520430_1
$7,976
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$9,970
4662209_1
$7,481
NON-COVERED ITEM OR SERVICE
Gross
$9,351
6108175_1
$7,128
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$8,910
6108177_1
$7,128
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$8,910
6108179_1
$7,128
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$8,910
6108217_1
$7,128
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$8,910
4439821_1
$6,012
INJECTION, DENOSUMAB, 1 MG
Gross
$7,515
6463214_1
$5,903
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$7,379
5954950_1
$5,465
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$6,832
6100204_1
$5,100
PURAPLY XT, PER SQUARE CENTIMETER
Gross
$6,375
5222533_1
$4,939
INJECTION, LIDOCAINE HCL IN 5% DEXTROSE, 1 MG
Gross
$6,174
5549649_1
$4,260
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$5,325
6108271_1
$4,260
NUSHIELD, PER SQUARE CENTIMETER
Gross
$5,325
6234961_1
$4,126
UNCLASSIFIED BIOLOGICS
Gross
$5,158
4439819_1
$4,099
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$5,123
4410441_1
$4,000
Insertion of central venous tube with port for infusion (5 years or older)
Gross
$5,000
4474165_1
$4,000
Insertion of central venous tube with port for infusion (5 years or older)
Gross
$5,000
6386050_1
$3,860
INJECTION, TOCILIZUMAB, 1 MG
Gross
$4,825
6108173_1
$3,780
AFFINITY, PER SQUARE CENTIMETER
Gross
$4,725
5892123_1
$3,554
COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR
Gross
$4,443
5948746_1
$3,379
INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA SUSTENNA), 1 MG
Gross
$4,223
6108269_1
$3,120
NUSHIELD, PER SQUARE CENTIMETER
Gross
$3,900
5958402_1
$3,108
EPICORD, PER SQUARE CENTIMETER
Gross
$3,885
5954983_1
$2,887
INJECTION, ROMOSOZUMAB-AQQG, 1 MG
Gross
$3,609
6329211_1
$2,874
PURAPLY XT, PER SQUARE CENTIMETER
Gross
$3,592
4916618_1
$2,868
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1
Gross
$3,585
6009052_1
$2,745
INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT S
Gross
$3,432
6267876_1
$2,700
AFFINITY, PER SQUARE CENTIMETER
Gross
$3,375
2384299_1
$2,613
CT scan of blood vessels of abdomen and pelvis with contrast
Gross
$3,266
5390351_1
$2,613
CT scan of blood vessels of abdomen and pelvis with contrast
Gross
$3,266
4439749_1
$2,560
INJECTION, TENECTEPLASE, 1 MG
Gross
$3,200
5666578_1
$2,535
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
$3,169
6507965_1
$2,373
PROMETHAZINE-DM 6.25-15 MG/5ML
Gross
$2,966
4350900_1
$2,349
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Gross
$2,936
5638085_1
$2,301
INJECTION, CROTALIDAE IMMUNE F(AB')2 (EQUINE), 120 MG
Gross
$2,877
6108260_1
$2,232
NUSHIELD, PER SQUARE CENTIMETER
Gross
$2,790
4337806_1
$2,107
Treatment of broken end of finger or thumb
Gross
$2,634
4353328_1
$1,958
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Gross
$2,447
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4967760_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $603,695 | $482,956 | — | — | 2 |
| 6265169_1 | DISPOSABLE HIGH FLOW CIRCET SET | $61,321 | $49,056 | — | — | 1 |
| 4967764_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $37,832 | $30,266 | — | — | 2 |
| 6515171_1 | VIA MATRIX, PER SQUARE CENTIMETER | $20,800 | $16,640 | — | — | 2 |
| 5236654_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $19,937 | $15,949 | — | — | 2 |
| 6596730_1 | INJECTION, TENECTEPLASE, 1 MG | $18,797 | $15,038 | — | — | 2 |
| 6017951_1 | INJECTION, TENECTEPLASE, 1 MG | $16,716 | $13,372 | — | — | 2 |
| 6074530_1 | INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE | $13,592 | $10,874 | — | — | 2 |
| 5966740_1 | NON-COVERED ITEM OR SERVICE | $13,372 | $10,697 | — | — | 2 |
| 6387028_1 | INJECTION, INCLISIRAN, 1 MG | $11,585 | $9,268 | — | — | 2 |
| 4602505_1 | INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE | $10,651 | $8,521 | — | — | 2 |
| 4440010_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $10,619 | $8,495 | — | — | 2 |
| 6520430_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $9,970 | $7,976 | — | — | 2 |
| 4662209_1 | NON-COVERED ITEM OR SERVICE | $9,351 | $7,481 | — | — | 2 |
| 6108175_1 | PURAPLY AM, PER SQUARE CENTIMETER | $8,910 | $7,128 | — | — | 2 |
| 6108177_1 | PURAPLY AM, PER SQUARE CENTIMETER | $8,910 | $7,128 | — | — | 2 |
| 6108179_1 | PURAPLY AM, PER SQUARE CENTIMETER | $8,910 | $7,128 | — | — | 2 |
| 6108217_1 | PURAPLY AM, PER SQUARE CENTIMETER | $8,910 | $7,128 | — | — | 2 |
| 4439821_1 | INJECTION, DENOSUMAB, 1 MG | $7,515 | $6,012 | — | — | 2 |
| 6463214_1 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $7,379 | $5,903 | — | — | 2 |
| 5954950_1 | INJECTION, MEPOLIZUMAB, 1 MG | $6,832 | $5,465 | — | — | 2 |
| 6100204_1 | PURAPLY XT, PER SQUARE CENTIMETER | $6,375 | $5,100 | — | — | 2 |
| 5222533_1 | INJECTION, LIDOCAINE HCL IN 5% DEXTROSE, 1 MG | $6,174 | $4,939 | — | — | 2 |
| 5549649_1 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $5,325 | $4,260 | — | — | 2 |
| 6108271_1 | NUSHIELD, PER SQUARE CENTIMETER | $5,325 | $4,260 | — | — | 2 |
| 6234961_1 | UNCLASSIFIED BIOLOGICS | $5,158 | $4,126 | — | — | 2 |
| 4439819_1 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $5,123 | $4,099 | — | — | 2 |
| 4410441_1 | Insertion of central venous tube with port for infusion (5 years or older) | $5,000 | $4,000 | — | — | 2 |
| 4474165_1 | Insertion of central venous tube with port for infusion (5 years or older) | $5,000 | $4,000 | — | — | 3 |
| 6386050_1 | INJECTION, TOCILIZUMAB, 1 MG | $4,825 | $3,860 | — | — | 2 |
| 6108173_1 | AFFINITY, PER SQUARE CENTIMETER | $4,725 | $3,780 | — | — | 2 |
| 5892123_1 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR | $4,443 | $3,554 | — | — | 2 |
| 5948746_1 | INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA SUSTENNA), 1 MG | $4,223 | $3,379 | — | — | 2 |
| 6108269_1 | NUSHIELD, PER SQUARE CENTIMETER | $3,900 | $3,120 | — | — | 2 |
| 5958402_1 | EPICORD, PER SQUARE CENTIMETER | $3,885 | $3,108 | — | — | 2 |
| 5954983_1 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG | $3,609 | $2,887 | — | — | 2 |
| 6329211_1 | PURAPLY XT, PER SQUARE CENTIMETER | $3,592 | $2,874 | — | — | 2 |
| 4916618_1 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1 | $3,585 | $2,868 | — | — | 2 |
| 6009052_1 | INJECTION, ABATACEPT, 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT S | $3,432 | $2,745 | — | — | 2 |
| 6267876_1 | AFFINITY, PER SQUARE CENTIMETER | $3,375 | $2,700 | — | — | 2 |
| 2384299_1 | CT scan of blood vessels of abdomen and pelvis with contrast | $3,266 | $2,613 | — | — | 2 |
| 5390351_1 | CT scan of blood vessels of abdomen and pelvis with contrast | $3,266 | $2,613 | — | — | 2 |
| 4439749_1 | INJECTION, TENECTEPLASE, 1 MG | $3,200 | $2,560 | — | — | 2 |
| 5666578_1 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a | $3,169 | $2,535 | — | — | 2 |
| 6507965_1 | PROMETHAZINE-DM 6.25-15 MG/5ML | $2,966 | $2,373 | — | — | 1 |
| 4350900_1 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2,936 | $2,349 | — | — | 2 |
| 5638085_1 | INJECTION, CROTALIDAE IMMUNE F(AB')2 (EQUINE), 120 MG | $2,877 | $2,301 | — | — | 2 |
| 6108260_1 | NUSHIELD, PER SQUARE CENTIMETER | $2,790 | $2,232 | — | — | 2 |
| 4337806_1 | Treatment of broken end of finger or thumb | $2,634 | $2,107 | — | — | 2 |
| 4353328_1 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2,447 | $1,958 | — | — | 2 |
Showing top 50 of 4,286 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.