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
3,173
Insurances with rates
8
CPT / HCPCS codes
7
Source MRF
Most expensive procedures (gross)
J19500636
$14,700
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
Gross
$14,700
2300240
$10,890
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$10,890
2880007
$4,472
Anesthesia for other repair of lower abdomen hernia (1 year or older)
Gross
$4,472
2880008
$4,472
Anesthesia for other procedure on lower abdomen
Gross
$4,472
J08970631
$4,322
INJECTION, DENOSUMAB, 1 MG
Gross
$4,322
4551641
$4,310
MYCROMESH-18 CM X 24 CM
Gross
$4,310
2344411
$3,879
INJECTION, CALCITONIN SALMON, UP TO 400 UNITS
Gross
$3,879
2699051
$3,463
CT scan of chest without contrast
Gross
$3,463
J35900029
$3,450
UNCLASSIFIED BIOLOGICS
Gross
$3,450
1049585
$3,384
REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE
Gross
$3,384
2661045
$3,200
CT scan of chest before and after contrast
Gross
$3,200
2661044
$3,150
CT scan of chest with contrast
Gross
$3,150
1049507
$3,026
Repair of trapped groin hernia (5 years or older)
Gross
$3,026
J31110636
$3,000
INJECTION, ROMOSOZUMAB-AQQG, 1 MG
Gross
$3,000
4554108
$2,989
HERNIA PATCH 6.4 CM VENTRALEX
Gross
$2,989
Q02470636
$2,954
INJECTION, SOTROVIMAB, 500 MG
Gross
$2,954
4554204
$2,874
HERNIA PATCH VENTRALEX ST MEDIUM
Gross
$2,874
1049561
$2,872
REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED
Gross
$2,872
J349009885
$2,805
UNCLASSIFIED DRUGS
Gross
$2,805
J3590
$2,800
UNCLASSIFIED BIOLOGICS
Gross
$2,800
J35900005
$2,800
UNCLASSIFIED BIOLOGICS
Gross
$2,800
Q02400636
$2,800
INJECTION, CASIRIVIMAB AND IMDEVIMAB, 600 MG
Gross
$2,800
2660147
$2,600
CT scan of abdomen and pelvis before and after contrast
Gross
$2,600
4554107
$2,554
HERNIA PATCH 4.3 CM VENTRALEX
Gross
$2,554
J16110636
$2,552
INJECTION, GLUCAGON HYDROCHLORIDE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J1610, PER 1 M
Gross
$2,552
J34900044
$2,552
INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG
Gross
$2,552
4554205
$2,458
HERNIA PATCH VENTRALEX ST SMALL
Gross
$2,458
4554203
$2,338
HERNIA LIGHT PLUG
Gross
$2,338
J34900094
$2,299
UNCLASSIFIED DRUGS
Gross
$2,299
J34900095
$2,299
UNCLASSIFIED DRUGS
Gross
$2,299
990284
$2,285
Repair of blood vessel of leg
Gross
$2,285
990259
$2,284
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 20.1-30.0 cm
Gross
$2,284
990260
$2,284
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm
Gross
$2,284
2660145
$2,275
CT scan of abdomen and pelvis without contrast
Gross
$2,275
2660146
$2,275
CT scan of abdomen and pelvis with contrast
Gross
$2,275
80000004
$2,272
CONTRACEPTIVE SUPPLY, HORMONE CONTAINING PATCH, EACH
Gross
$2,272
254550015
$2,176
ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES
Gross
$2,176
4550015
$2,176
METHYL AMINOLEVULINATE (MAL) FOR TOPICAL ADMINISTRATION, 16.8%, 1 GRAM
Gross
$2,176
990226
$2,118
Closed treatment of broken midpart of both forearm bones with manipulation
Gross
$2,118
2699055
$2,100
CT scan of blood vessels of abdomen with contrast
Gross
$2,100
4551132
$2,068
ENDOCLIP APPLIER
Gross
$2,068
J08970001
$2,060
INJECTION, DENOSUMAB, 1 MG
Gross
$2,060
J08970636
$2,060
INJECTION, DENOSUMAB, 1 MG
Gross
$2,060
990020
$1,994
SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED IN PRESERVATIVE FLUID
Gross
$1,994
2760050
$1,988
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Gross
$1,988
990265
$1,923
Insertion of tunneled central venous tube for infusion (5 years or older)
Gross
$1,923
1015240
$1,825
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or fee
Gross
$1,825
2880004
$1,810
ANESTHESIA FOR UPPER GASTROINTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED PROXIMAL TO DUODEN
Gross
$1,810
2662018
$1,775
MRI scan of lower spinal canal before and after contrast
Gross
$1,775
2662031
$1,775
MRI scan of leg before and after contrast
Gross
$1,775
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J19500636 | INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG | $14,700 | $14,700 | — | — | 8 |
| 2300240 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $10,890 | $10,890 | — | — | 8 |
| 2880007 | Anesthesia for other repair of lower abdomen hernia (1 year or older) | $4,472 | $4,472 | — | — | 7 |
| 2880008 | Anesthesia for other procedure on lower abdomen | $4,472 | $4,472 | — | — | 7 |
| J08970631 | INJECTION, DENOSUMAB, 1 MG | $4,322 | $4,322 | — | — | 8 |
| 4551641 | MYCROMESH-18 CM X 24 CM | $4,310 | $4,310 | — | — | 7 |
| 2344411 | INJECTION, CALCITONIN SALMON, UP TO 400 UNITS | $3,879 | $3,879 | — | — | 8 |
| 2699051 | CT scan of chest without contrast | $3,463 | $3,463 | — | — | 8 |
| J35900029 | UNCLASSIFIED BIOLOGICS | $3,450 | $3,450 | — | — | 7 |
| 1049585 | REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE | $3,384 | $3,384 | — | — | 6 |
| 2661045 | CT scan of chest before and after contrast | $3,200 | $3,200 | — | — | 8 |
| 2661044 | CT scan of chest with contrast | $3,150 | $3,150 | — | — | 8 |
| 1049507 | Repair of trapped groin hernia (5 years or older) | $3,026 | $3,026 | — | — | 7 |
| J31110636 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG | $3,000 | $3,000 | — | — | 6 |
| 4554108 | HERNIA PATCH 6.4 CM VENTRALEX | $2,989 | $2,989 | — | — | 7 |
| Q02470636 | INJECTION, SOTROVIMAB, 500 MG | $2,954 | $2,954 | — | — | 6 |
| 4554204 | HERNIA PATCH VENTRALEX ST MEDIUM | $2,874 | $2,874 | — | — | 7 |
| 1049561 | REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED | $2,872 | $2,872 | — | — | 6 |
| J349009885 | UNCLASSIFIED DRUGS | $2,805 | $2,805 | — | — | 7 |
| J3590 | UNCLASSIFIED BIOLOGICS | $2,800 | $2,800 | — | — | 7 |
| J35900005 | UNCLASSIFIED BIOLOGICS | $2,800 | $2,800 | — | — | 7 |
| Q02400636 | INJECTION, CASIRIVIMAB AND IMDEVIMAB, 600 MG | $2,800 | $2,800 | — | — | 6 |
| 2660147 | CT scan of abdomen and pelvis before and after contrast | $2,600 | $2,600 | — | — | 8 |
| 4554107 | HERNIA PATCH 4.3 CM VENTRALEX | $2,554 | $2,554 | — | — | 7 |
| J16110636 | INJECTION, GLUCAGON HYDROCHLORIDE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J1610, PER 1 M | $2,552 | $2,552 | — | — | 7 |
| J34900044 | INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG | $2,552 | $2,552 | — | — | 8 |
| 4554205 | HERNIA PATCH VENTRALEX ST SMALL | $2,458 | $2,458 | — | — | 7 |
| 4554203 | HERNIA LIGHT PLUG | $2,338 | $2,338 | — | — | 7 |
| J34900094 | UNCLASSIFIED DRUGS | $2,299 | $2,299 | — | — | 7 |
| J34900095 | UNCLASSIFIED DRUGS | $2,299 | $2,299 | — | — | 7 |
| 990284 | Repair of blood vessel of leg | $2,285 | $2,285 | — | — | 8 |
| 990259 | Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 20.1-30.0 cm | $2,284 | $2,284 | — | — | 8 |
| 990260 | Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm | $2,284 | $2,284 | — | — | 8 |
| 2660145 | CT scan of abdomen and pelvis without contrast | $2,275 | $2,275 | — | — | 8 |
| 2660146 | CT scan of abdomen and pelvis with contrast | $2,275 | $2,275 | — | — | 8 |
| 80000004 | CONTRACEPTIVE SUPPLY, HORMONE CONTAINING PATCH, EACH | $2,272 | $2,272 | — | — | 7 |
| 254550015 | ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES | $2,176 | $2,176 | — | — | 7 |
| 4550015 | METHYL AMINOLEVULINATE (MAL) FOR TOPICAL ADMINISTRATION, 16.8%, 1 GRAM | $2,176 | $2,176 | — | — | 8 |
| 990226 | Closed treatment of broken midpart of both forearm bones with manipulation | $2,118 | $2,118 | — | — | 8 |
| 2699055 | CT scan of blood vessels of abdomen with contrast | $2,100 | $2,100 | — | — | 8 |
| 4551132 | ENDOCLIP APPLIER | $2,068 | $2,068 | — | — | 7 |
| J08970001 | INJECTION, DENOSUMAB, 1 MG | $2,060 | $2,060 | — | — | 8 |
| J08970636 | INJECTION, DENOSUMAB, 1 MG | $2,060 | $2,060 | — | — | 8 |
| 990020 | SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED IN PRESERVATIVE FLUID | $1,994 | $1,994 | — | — | 5 |
| 2760050 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $1,988 | $1,988 | — | — | 8 |
| 990265 | Insertion of tunneled central venous tube for infusion (5 years or older) | $1,923 | $1,923 | — | — | 8 |
| 1015240 | Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or fee | $1,825 | $1,825 | — | — | 7 |
| 2880004 | ANESTHESIA FOR UPPER GASTROINTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED PROXIMAL TO DUODEN | $1,810 | $1,810 | — | — | 7 |
| 2662018 | MRI scan of lower spinal canal before and after contrast | $1,775 | $1,775 | — | — | 8 |
| 2662031 | MRI scan of leg before and after contrast | $1,775 | $1,775 | — | — | 8 |
Showing top 50 of 3,173 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.