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
4,921
Insurances with rates
11
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
6341634
$19,478
INJECTION, OCRELIZUMAB, 1 MG
Gross
$19,478
4278903
$12,541
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$12,541
6577797
$11,200
INJECTION, TENECTEPLASE, 1 MG
Gross
$11,200
6113597
$10,362
INJECTION, TENECTEPLASE, 1 MG
Gross
$10,362
4474109
$10,196
Simple complete removal of breast
Gross
$10,196
4281159
$8,541
INJECTION, TENECTEPLASE, 1 MG
Gross
$8,541
5788148
$8,400
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$8,400
4474068
$7,886
Removal of gallbladder with X-ray study of bile ducts using an endoscope
Gross
$7,886
4708225
$7,465
Partial removal of breast
Gross
$7,465
4280715
$7,376
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$7,376
4474072
$7,236
Removal of appendix using an endoscope
Gross
$7,236
5904168
$6,962
INJECTION, RITUXIMAB, 10 MG
Gross
$6,962
6332824
$6,763
Destruction of growths and adjacent soft tissue
Gross
$6,763
6398199
$6,711
Genomic sequence analysis panel of DNA or combined DNA and RNA of 5-50 genes associated with blood a
Gross
$6,711
4474080
$6,492
Removal of gallbladder using an endoscope
Gross
$6,492
6517704
$6,270
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$6,270
4666249
$5,878
Insertion of tube for infusion (5 years or older)
Gross
$5,878
4666250
$5,878
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or o
Gross
$5,878
6482759
$5,878
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or o
Gross
$5,878
6032984
$5,733
Removal of growth of muscle of shoulder, 5.0 cm or more
Gross
$5,733
6146660
$5,567
INJECTION, PEGFILGRASTIM-BMEZ (ZIEXTENZO), BIOSIMILAR, 0.5 MG
Gross
$5,567
4358069
$5,546
Insertion of central venous tube with port (5 years or older)
Gross
$5,546
4681511
$5,514
Stabilization of lower spine bone
Gross
$5,514
6332819
$5,514
Stabilization of lower spine bone
Gross
$5,514
5601711
$5,452
Insertion of central venous tube with port (5 years or older)
Gross
$5,452
6018326
$5,452
Insertion of central venous tube with port (5 years or older)
Gross
$5,452
5502398
$5,327
Insertion of abdominal tube using imaging guidance with review by radiologist
Gross
$5,327
4337821
$5,233
Drainage of deep abscess or blood accumulation of thigh or knee
Gross
$5,233
4474082
$5,124
Repair of groin hernia (5 years or older)
Gross
$5,124
6161927
$4,888
INJECTION, INCLISIRAN, 1 MG
Gross
$4,888
6017295
$4,807
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$4,807
4665744
$4,636
X-ray of lower spinal canal with review by radiologist
Gross
$4,636
6577980
$4,636
X-ray of lower spinal canal with review by radiologist
Gross
$4,636
4646063
$4,593
Treatment of broken lower spine bone with placement of stabilizing device
Gross
$4,593
4646064
$4,593
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Gross
$4,593
4681521
$4,593
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
Gross
$4,593
5477276
$4,593
Treatment of broken lower spine bone with placement of stabilizing device
Gross
$4,593
5477279
$4,593
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Gross
$4,593
4665742
$4,432
X-ray of upper spinal canal with review by radiologist
Gross
$4,432
4665743
$4,432
X-ray of middle spinal canal with review by radiologist
Gross
$4,432
4665745
$4,432
X-ray of multiple regions of spinal canal with review by radiologist
Gross
$4,432
5251603
$4,311
Removal of growth under skin of thigh or knee, less than 3.0 cm
Gross
$4,311
1170325
$4,259
Review by radiologist of multiple spinal canals image
Gross
$4,259
4348069
$4,239
Removal of muscle and/or tissue, 20.0 sq cm or less
Gross
$4,239
5320941
$4,214
Removal of growth of muscle of neck or front of chest, less than 5.0 cm
Gross
$4,214
4280043
$4,201
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$4,201
6513805
$4,182
Replacement of kidney drainage tube using imaging guidance with review by radiologist
Gross
$4,182
6520235
$4,182
Replacement of kidney drainage tube using imaging guidance with review by radiologist
Gross
$4,182
4648737
$4,055
Removal of multiple external hemorrhoids
Gross
$4,055
4656339
$3,955
Removal of multiple hemorrhoid groups
Gross
$3,955
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6341634 | INJECTION, OCRELIZUMAB, 1 MG | $19,478 | $19,478 | — | — | 11 |
| 4278903 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $12,541 | $12,541 | — | — | 11 |
| 6577797 | INJECTION, TENECTEPLASE, 1 MG | $11,200 | $11,200 | — | — | 11 |
| 6113597 | INJECTION, TENECTEPLASE, 1 MG | $10,362 | $10,362 | — | — | 11 |
| 4474109 | Simple complete removal of breast | $10,196 | $10,196 | — | — | 11 |
| 4281159 | INJECTION, TENECTEPLASE, 1 MG | $8,541 | $8,541 | — | — | 11 |
| 5788148 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $8,400 | $8,400 | — | — | 11 |
| 4474068 | Removal of gallbladder with X-ray study of bile ducts using an endoscope | $7,886 | $7,886 | — | — | 11 |
| 4708225 | Partial removal of breast | $7,465 | $7,465 | — | — | 11 |
| 4280715 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $7,376 | $7,376 | — | — | 10 |
| 4474072 | Removal of appendix using an endoscope | $7,236 | $7,236 | — | — | 11 |
| 5904168 | INJECTION, RITUXIMAB, 10 MG | $6,962 | $6,962 | — | — | 11 |
| 6332824 | Destruction of growths and adjacent soft tissue | $6,763 | $6,763 | — | — | 10 |
| 6398199 | Genomic sequence analysis panel of DNA or combined DNA and RNA of 5-50 genes associated with blood a | $6,711 | $6,711 | — | — | 10 |
| 4474080 | Removal of gallbladder using an endoscope | $6,492 | $6,492 | — | — | 11 |
| 6517704 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $6,270 | $6,270 | — | — | 11 |
| 4666249 | Insertion of tube for infusion (5 years or older) | $5,878 | $5,878 | — | — | 11 |
| 4666250 | Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or o | $5,878 | $5,878 | — | — | 10 |
| 6482759 | Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or o | $5,878 | $5,878 | — | — | 10 |
| 6032984 | Removal of growth of muscle of shoulder, 5.0 cm or more | $5,733 | $5,733 | — | — | 11 |
| 6146660 | INJECTION, PEGFILGRASTIM-BMEZ (ZIEXTENZO), BIOSIMILAR, 0.5 MG | $5,567 | $5,567 | — | — | 11 |
| 4358069 | Insertion of central venous tube with port (5 years or older) | $5,546 | $5,546 | — | — | 11 |
| 4681511 | Stabilization of lower spine bone | $5,514 | $5,514 | — | — | 10 |
| 6332819 | Stabilization of lower spine bone | $5,514 | $5,514 | — | — | 10 |
| 5601711 | Insertion of central venous tube with port (5 years or older) | $5,452 | $5,452 | — | — | 11 |
| 6018326 | Insertion of central venous tube with port (5 years or older) | $5,452 | $5,452 | — | — | 11 |
| 5502398 | Insertion of abdominal tube using imaging guidance with review by radiologist | $5,327 | $5,327 | — | — | 11 |
| 4337821 | Drainage of deep abscess or blood accumulation of thigh or knee | $5,233 | $5,233 | — | — | 11 |
| 4474082 | Repair of groin hernia (5 years or older) | $5,124 | $5,124 | — | — | 11 |
| 6161927 | INJECTION, INCLISIRAN, 1 MG | $4,888 | $4,888 | — | — | 10 |
| 6017295 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $4,807 | $4,807 | — | — | 11 |
| 4665744 | X-ray of lower spinal canal with review by radiologist | $4,636 | $4,636 | — | — | 11 |
| 6577980 | X-ray of lower spinal canal with review by radiologist | $4,636 | $4,636 | — | — | 11 |
| 4646063 | Treatment of broken lower spine bone with placement of stabilizing device | $4,593 | $4,593 | — | — | 11 |
| 4646064 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | $4,593 | $4,593 | — | — | 11 |
| 4681521 | Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin | $4,593 | $4,593 | — | — | 10 |
| 5477276 | Treatment of broken lower spine bone with placement of stabilizing device | $4,593 | $4,593 | — | — | 11 |
| 5477279 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | $4,593 | $4,593 | — | — | 11 |
| 4665742 | X-ray of upper spinal canal with review by radiologist | $4,432 | $4,432 | — | — | 11 |
| 4665743 | X-ray of middle spinal canal with review by radiologist | $4,432 | $4,432 | — | — | 11 |
| 4665745 | X-ray of multiple regions of spinal canal with review by radiologist | $4,432 | $4,432 | — | — | 11 |
| 5251603 | Removal of growth under skin of thigh or knee, less than 3.0 cm | $4,311 | $4,311 | — | — | 11 |
| 1170325 | Review by radiologist of multiple spinal canals image | $4,259 | $4,259 | — | — | 11 |
| 4348069 | Removal of muscle and/or tissue, 20.0 sq cm or less | $4,239 | $4,239 | — | — | 11 |
| 5320941 | Removal of growth of muscle of neck or front of chest, less than 5.0 cm | $4,214 | $4,214 | — | — | 11 |
| 4280043 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $4,201 | $4,201 | — | — | 11 |
| 6513805 | Replacement of kidney drainage tube using imaging guidance with review by radiologist | $4,182 | $4,182 | — | — | 10 |
| 6520235 | Replacement of kidney drainage tube using imaging guidance with review by radiologist | $4,182 | $4,182 | — | — | 10 |
| 4648737 | Removal of multiple external hemorrhoids | $4,055 | $4,055 | — | — | 11 |
| 4656339 | Removal of multiple hemorrhoid groups | $3,955 | $3,955 | — | — | 11 |
Showing top 50 of 4,921 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.