45 CFR § 180 compliance
D · 65
This hospital published part 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
1,446
Insurances with rates
2
CPT / HCPCS codes
1,429
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | alteplase (Activase) inj 100mg vial | $20,317 | $20,317 | — | — | 0 |
| J3380 | Entyvio 300mg IV 20mL SDV | $18,184 | $18,184 | — | — | 0 |
| J9217 | Leuprolide(LupronDepot)30mg 4mo Syr | $17,993 | $17,993 | — | — | 0 |
| J2506 | pegfligrastim (Neulasta)6mg inj syr | $16,844 | $16,844 | — | — | 0 |
| J1459 | Privigen (IGG) 40GM (10%) IV sdv | $13,555 | $13,555 | — | — | 0 |
| J3101 | tenecteplase (TNKase) kit 50mg | $13,345 | $13,345 | — | — | 0 |
| Q5111 | Udenyca (pegfilgrastim-cbqv) 6mg/06mL | $11,297 | $11,297 | — | — | 0 |
| Q5115 | TRUXIMA 500MG (rituximab-abbs) IV SDV | $11,072 | $11,072 | — | — | 0 |
| Q5108 | Fulphila (pegfilgrastim) 6mg/06ml syr | $10,618 | $10,618 | — | — | 0 |
| 58670 | LAPAROSCOPY FULG OF OVIDUCTS | $9,396 | $9,396 | — | — | 1 |
| J0739 | Apretude 600mg IM kit 3ml | $9,371 | $9,371 | — | — | 0 |
| J2356 | Tezspire 210mg/191mL syringe | $9,318 | $9,318 | — | — | 0 |
| J2182 | NUCALA (mepolizumab) 100MG/ML syringe | $8,919 | $8,919 | — | — | 0 |
| Q5119 | Ruxience (rituximab) 500 mg inj sdv 50mL | $8,710 | $8,710 | — | — | 0 |
| J0840 | antivenin ovine(CroFab) Vial IV | $8,662 | $8,662 | — | — | 0 |
| 15275 | EPI FIX/CORD SKN SUBS FCE SCLP EYELD MTH | $8,444 | $8,444 | — | — | 1 |
| J1569 | immun glob G (Gammagard) 20gm/200ml | $8,239 | $8,239 | — | — | 0 |
| J1306 | Leqvio 284 mg syringe 15mL | $8,100 | $8,100 | — | — | 0 |
| 28825 | AMPUTATION TOE/INTERPHALANGEAL JOINT | $7,771 | $7,771 | — | — | 1 |
| Q4187 | EpiCord 3cm x 5cm patch | $6,599 | $6,599 | — | — | 0 |
| 12035 | WOUND INT REP 126 CM TO 20 CM S A T E | $6,509 | $6,509 | — | — | 1 |
| J3262 | Actemra 400mg/20mL sdv | $6,462 | $6,462 | — | — | 0 |
| J3111 | Evenity 210mg (2X105mg) inj syringe | $6,151 | $6,151 | — | — | 0 |
| Q4278 | EpiEffect 2x3 cm | $6,148 | $6,148 | — | — | 0 |
| Q4186 | EpiFix 4cm x 4cm patch | $6,124 | $6,124 | — | — | 0 |
| Q5130 | Fylnetra 6mg/06mL inj syringe | $6,084 | $6,084 | — | — | 0 |
| 15271 | EPI FIX/CORD SKN GRFT SUB TRNK ARMS LEGS | $5,671 | $5,671 | — | — | 1 |
| Q4145 | EpiFix Micronized 100mg | $5,148 | $5,148 | — | — | 0 |
| J1602 | Simponi ARIA 50mg/4ml SDV | $4,872 | $4,872 | — | — | 0 |
| J0897 | denosumab (Prolia) 60mg/ml Syringe | $4,417 | $4,417 | — | — | 0 |
| J3240 | THYROGEN 09MG INJ SDV | $4,417 | $4,417 | — | — | 0 |
| J0875 | Dalvance (dalbavancin) 500mg inj SDV | $4,296 | $4,296 | — | — | 0 |
| 28124 | PARTIAL EXCISION BONE PHALANX TOE | $4,195 | $4,195 | — | — | 1 |
| J1568 | Octagam 5% (10grams in 200ml) IVIG | $4,194 | $4,194 | — | — | 0 |
| 12051 | WOUND INT REP 25 CM OR LESS F E E N L | $4,021 | $4,021 | — | — | 1 |
| 73503 | XR HIP 4 VIEWS MIN LEFT,Left Side | $3,970 | $3,970 | — | — | 0 |
| J7168 | KCENTRA(prothrombin complex conc):500un | $3,955 | $3,955 | — | — | 0 |
| 22902 | EXCISION TMR SFT TISS ABDOM SUBCU >3 CM | $3,854 | $3,854 | — | — | 1 |
| 45378 | COLONOSCOPY DX W SPECIMEN | $3,671 | $3,671 | — | — | 0 |
| 26607 | CLSD TRT MET CARP FRA W MANIP W EXT FIX | $3,671 | $3,671 | — | — | 1 |
| J0129 | Orencia 250MG sdv | $3,570 | $3,570 | — | — | 0 |
| 81408 | RL FULL GENE SEQUENCE (81408) | $3,461 | $3,461 | — | — | 0 |
| 43249 | EGD W DILATION LESS THAN 30 MM | $3,298 | $3,298 | — | — | 1 |
| 28286 | CORRECTION, COCK-UP FIFTH TOE, WITH PLAS | $3,252 | $3,252 | — | — | 1 |
| C8929 | CARD ECHOCARDIOGRAM WITH | $3,198 | $3,198 | — | — | 0 |
| J1745 | Remicade (inFLIXimab) 100mg Vial SDV | $3,183 | $3,183 | — | — | 0 |
| J0882 | darbepoetin (Aranesp)ESRD*150mcg inj syr | $3,166 | $3,166 | — | — | 0 |
| J0881 | darbepoetin (Aranesp)non-ESRD 150mcg inj | $3,166 | $3,166 | — | — | 0 |
| 28190 | REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS | $3,117 | $3,117 | — | — | 1 |
| 10061 | INCISION & DRAINAGE OF ABCESS | $3,068 | $3,068 | — | — | 1 |
Showing top 50 of 1,446 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.