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
3,852
Insurances with rates
14
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4865406_1
$20,798
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$24,468
6485224_1
$16,784
INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG
Gross
$19,745
4865723_1
$14,213
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$16,721
4865724_1
$13,036
INJECTION, TENECTEPLASE, 1 MG
Gross
$15,337
5541488_1
$11,894
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$13,994
6056656_1
$11,052
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$13,003
5212486_1
$7,459
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Gross
$8,775
5637355_1
$7,386
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$8,690
6359135_1
$7,338
INJECTION, TEZEPELUMAB-EKKO, 1 MG
Gross
$8,633
4865817_1
$6,858
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$8,068
5919679_1
$6,445
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$7,583
5000435_1
$5,336
Treatment of broken spine bone with stabilizing device, each additional segment
Gross
$6,277
5549649_1
$5,270
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$6,200
5223958_1
$5,181
Removal of fluid collection in sperm cord
Gross
$6,095
4358084_1
$5,100
Insertion of spinal neurostimulator electrode array through skin
Gross
$6,000
4708225_1
$5,100
Partial removal of breast
Gross
$6,000
6416586_1
$4,947
INJECTION, OMALIZUMAB, 5 MG
Gross
$5,820
6227503_1
$4,922
Initial repair of entrapped hernia of abdomen, 3-10 cm in length
Gross
$5,790
6227566_1
$4,922
Initial repair of entrapped hernia of abdomen, less than 3 cm in length
Gross
$5,790
4865702_1
$4,842
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$5,697
4337731_1
$4,301
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm
Gross
$5,060
5865183_1
$4,289
INJECTION, TOCILIZUMAB, 1 MG
Gross
$5,046
4865570_1
$4,264
PRAXBIND 5G DOSE(2X 2.5G/50ML)
Gross
$5,016
4473875_1
$4,260
Removal of fluid collection in testicle and sperm reservoir
Gross
$5,012
4474082_1
$4,250
Repair of groin hernia (5 years or older)
Gross
$5,000
6226717_1
$4,250
Initial repair of sliding hernia of abdomen, less than 3 cm in length
Gross
$5,000
6109992_1
$3,978
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Gross
$4,680
5666592_1
$3,953
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$4,650
6421069_1
$3,953
TR C5276 LOW COST SKIN SUBSTITUTE APP
Gross
$4,650
6386271_1
$3,937
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$4,631
4337730_1
$3,910
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm
Gross
$4,600
4358069_1
$3,770
Insertion of central venous tube with port (5 years or older)
Gross
$4,435
6594684_1
$3,696
INJECTION, SECUKINUMAB, INTRAVENOUS, 1 MG
Gross
$4,349
5366305_1
$3,655
Removal of elbow joint lining
Gross
$4,300
5343656_1
$3,613
Removal of growth of sperm cord
Gross
$4,250
4648686_1
$3,570
Removal of growth of soft tissue under skin of neck or front of chest, 3.0 cm or more
Gross
$4,200
4916618_1
$3,570
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1
Gross
$4,200
6121763_1
$3,530
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$4,153
5251603_1
$3,409
Removal of growth under skin of thigh or knee, less than 3.0 cm
Gross
$4,010
5790392_1
$3,400
USTEKINUMAB, FOR INTRAVENOUS INJECTION, 1 MG
Gross
$4,000
6594631_1
$3,375
COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR
Gross
$3,970
4648748_1
$3,315
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
Gross
$3,900
4353241_1
$3,298
Sleep study in sleep lab (6 years or older)
Gross
$3,880
4353242_1
$3,298
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$3,880
5954717_1
$3,240
Destruction of nerve branches of knee using imaging guidance
Gross
$3,812
5831985_1
$3,233
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE
Gross
$3,804
6463112_1
$3,230
Sleep study, multiple trials
Gross
$3,800
6110026_1
$3,188
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Gross
$3,750
6443811_1
$3,029
INJECTION, DENOSUMAB, 1 MG
Gross
$3,563
6171379_1
$2,787
Drainage of deep abscess in rectum
Gross
$3,279
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4865406_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $24,468 | $20,798 | — | — | 15 |
| 6485224_1 | INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG | $19,745 | $16,784 | — | — | 14 |
| 4865723_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $16,721 | $14,213 | — | — | 15 |
| 4865724_1 | INJECTION, TENECTEPLASE, 1 MG | $15,337 | $13,036 | — | — | 15 |
| 5541488_1 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $13,994 | $11,894 | — | — | 15 |
| 6056656_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $13,003 | $11,052 | — | — | 15 |
| 5212486_1 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | $8,775 | $7,459 | — | — | 15 |
| 5637355_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $8,690 | $7,386 | — | — | 15 |
| 6359135_1 | INJECTION, TEZEPELUMAB-EKKO, 1 MG | $8,633 | $7,338 | — | — | 14 |
| 4865817_1 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $8,068 | $6,858 | — | — | 14 |
| 5919679_1 | INJECTION, MEPOLIZUMAB, 1 MG | $7,583 | $6,445 | — | — | 15 |
| 5000435_1 | Treatment of broken spine bone with stabilizing device, each additional segment | $6,277 | $5,336 | — | — | 14 |
| 5549649_1 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $6,200 | $5,270 | — | — | 15 |
| 5223958_1 | Removal of fluid collection in sperm cord | $6,095 | $5,181 | — | — | 15 |
| 4358084_1 | Insertion of spinal neurostimulator electrode array through skin | $6,000 | $5,100 | — | — | 15 |
| 4708225_1 | Partial removal of breast | $6,000 | $5,100 | — | — | 15 |
| 6416586_1 | INJECTION, OMALIZUMAB, 5 MG | $5,820 | $4,947 | — | — | 15 |
| 6227503_1 | Initial repair of entrapped hernia of abdomen, 3-10 cm in length | $5,790 | $4,922 | — | — | 14 |
| 6227566_1 | Initial repair of entrapped hernia of abdomen, less than 3 cm in length | $5,790 | $4,922 | — | — | 14 |
| 4865702_1 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $5,697 | $4,842 | — | — | 15 |
| 4337731_1 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm | $5,060 | $4,301 | — | — | 15 |
| 5865183_1 | INJECTION, TOCILIZUMAB, 1 MG | $5,046 | $4,289 | — | — | 15 |
| 4865570_1 | PRAXBIND 5G DOSE(2X 2.5G/50ML) | $5,016 | $4,264 | — | — | 11 |
| 4473875_1 | Removal of fluid collection in testicle and sperm reservoir | $5,012 | $4,260 | — | — | 15 |
| 4474082_1 | Repair of groin hernia (5 years or older) | $5,000 | $4,250 | — | — | 15 |
| 6226717_1 | Initial repair of sliding hernia of abdomen, less than 3 cm in length | $5,000 | $4,250 | — | — | 14 |
| 6109992_1 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | $4,680 | $3,978 | — | — | 14 |
| 5666592_1 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $4,650 | $3,953 | — | — | 14 |
| 6421069_1 | TR C5276 LOW COST SKIN SUBSTITUTE APP | $4,650 | $3,953 | — | — | 1 |
| 6386271_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $4,631 | $3,937 | — | — | 15 |
| 4337730_1 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm | $4,600 | $3,910 | — | — | 15 |
| 4358069_1 | Insertion of central venous tube with port (5 years or older) | $4,435 | $3,770 | — | — | 15 |
| 6594684_1 | INJECTION, SECUKINUMAB, INTRAVENOUS, 1 MG | $4,349 | $3,696 | — | — | 14 |
| 5366305_1 | Removal of elbow joint lining | $4,300 | $3,655 | — | — | 15 |
| 5343656_1 | Removal of growth of sperm cord | $4,250 | $3,613 | — | — | 15 |
| 4648686_1 | Removal of growth of soft tissue under skin of neck or front of chest, 3.0 cm or more | $4,200 | $3,570 | — | — | 15 |
| 4916618_1 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1 | $4,200 | $3,570 | — | — | 15 |
| 6121763_1 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $4,153 | $3,530 | — | — | 15 |
| 5251603_1 | Removal of growth under skin of thigh or knee, less than 3.0 cm | $4,010 | $3,409 | — | — | 15 |
| 5790392_1 | USTEKINUMAB, FOR INTRAVENOUS INJECTION, 1 MG | $4,000 | $3,400 | — | — | 15 |
| 6594631_1 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR | $3,970 | $3,375 | — | — | 14 |
| 4648748_1 | Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm | $3,900 | $3,315 | — | — | 15 |
| 4353241_1 | Sleep study in sleep lab (6 years or older) | $3,880 | $3,298 | — | — | 15 |
| 4353242_1 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $3,880 | $3,298 | — | — | 15 |
| 5954717_1 | Destruction of nerve branches of knee using imaging guidance | $3,812 | $3,240 | — | — | 14 |
| 5831985_1 | INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE | $3,804 | $3,233 | — | — | 15 |
| 6463112_1 | Sleep study, multiple trials | $3,800 | $3,230 | — | — | 15 |
| 6110026_1 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $3,750 | $3,188 | — | — | 14 |
| 6443811_1 | INJECTION, DENOSUMAB, 1 MG | $3,563 | $3,029 | — | — | 15 |
| 6171379_1 | Drainage of deep abscess in rectum | $3,279 | $2,787 | — | — | 15 |
Showing top 50 of 3,852 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.