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
9,295
Insurances with rates
12
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
27600056_5
$31,156
USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG
Gross
$34,617
28980211_5
$31,042
INJECTION, TENECTEPLASE, 1 MG
Gross
$34,491
29061732_5
$18,240
INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC
Gross
$20,267
25765486_5
$16,160
GRAFT XENMATRIX SURG 19CMX28CM ANTIBAC*
Gross
$17,955
27589603_5
$14,056
INJECTION, OCRELIZUMAB, 1 MG
Gross
$15,617
29026631_5
$13,715
INJECTION, LUSPATERCEPT-AAMT, 0.25 MG
Gross
$15,239
25765940_5
$12,401
GRAFT XENMATRIX SURG 20CMX20CM*
Gross
$13,779
25766037_5
$11,642
MESH PHASIX 10"X12"*
Gross
$12,935
28385295_5
$11,369
INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG
Gross
$12,632
25765485_5
$9,828
GRAFT XENMATRIX SURG 15CMX20CM ANTIBAC*
Gross
$10,920
27091376_5
$9,520
MESHED BILAYER WOUND MATRIX 4X5
Gross
$10,578
27535763_5
$8,910
MESH XEN MATRIX AB 15CM X 20CM*
Gross
$9,900
25768576_5
$8,892
MESH SURGIMEND 20CMx20CMx2MM 2017*
Gross
$9,880
28665929_5
$7,978
INJECTION, TENECTEPLASE, 1 MG
Gross
$8,864
28711407_5
$7,606
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$8,452
25765454_5
$7,192
ALRUA PACEMAKER GENERATOR*
Gross
$7,991
25765453_5
$6,469
ADAPTA DR PACEMAKER GENERATOR*
Gross
$7,188
28464941_5
$6,418
Removal of foreign body deep in tissue of thigh or knee
Gross
$7,131
27956948_5
$6,031
Diagnostic exam of voice box using an endoscope
Gross
$6,701
25613431_5
$6,027
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$6,696
26698161_5
$5,862
FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED
Gross
$6,513
28176113_5
$5,656
INJECTION, FACTOR IX, ALBUMIN FUSION PROTEIN, (RECOMBINANT), IDELVION, 1 I.U.
Gross
$6,285
28254152_5
$5,612
Removal of foreign body in voice box using an endoscope
Gross
$6,236
27749219_5
$5,575
GRAFT SKIN MESH DERM REGENERATING 2X2" *
Gross
$6,194
25765858_5
$5,544
REVEAL XT MONITOR PACEMAKER*
Gross
$6,160
25612782_5
$5,267
INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL
Gross
$5,853
25612575_5
$5,267
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$5,852
28254132_5
$5,183
Placement of stabilizing device for broken finger or thumb at midportion or part near hand with mani
Gross
$5,759
28330884_5
$5,183
Treatment of broken neck of thigh bone with plate/screw implant
Gross
$5,759
28409340_5
$5,183
Treatment of broken midpart of both forearm bones with placement of stabilizing device on both bones
Gross
$5,759
28411276_5
$5,183
Treatment of broken upper or middle part of outer lower leg bone
Gross
$5,759
28412498_5
$5,183
Treatment of dislocated finger joint
Gross
$5,759
28884178_5
$4,999
INJECTION, USTEKINUMAB-TTWE (PYZCHIVA), SUBCUTANEOUS, 1 MG
Gross
$5,555
28492690_5
$4,929
TEMPLATE DERM REGEN 2IN X 2IN* (2023)
Gross
$5,477
28409342_5
$4,911
Treatment of broken finger at midportion or part near hand
Gross
$5,457
27214295_5
$4,686
INJECTION, BENRALIZUMAB, 1 MG
Gross
$5,207
25612756_5
$4,370
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$4,855
25767469_5
$4,221
MESH LG VENTRAL COATED 22 X 26 CM (CONSIGN) 2017*
Gross
$4,690
25766043_5
$4,200
PLEURX PLEURAL CATH KIT COMPLETE W/DISCHARGE PK*
Gross
$4,666
28412500_5
$4,164
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bon
Gross
$4,627
27666080_5
$4,141
Insertion of tunneled central venous tube for infusion (5 years or older)
Gross
$4,601
25765488_5
$4,084
GRAFT ALLOMAX SURG 10CMX10CM*
Gross
$4,537
27473508_5
$4,072
INJECTION, DENOSUMAB, 1 MG
Gross
$4,524
25613070_5
$4,037
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$4,485
25765893_5
$3,972
KYPHOPAK EXPRESS TRAY 10/2 FIRST FRACTURE*
Gross
$4,414
27502111_5
$3,950
STENT COLONIC 22 DM X 9 CM
Gross
$4,389
1005106_5
$3,919
CT scan of abdomen and pelvis before and after contrast
Gross
$4,354
26309839_5
$3,843
MESH VENTRAL COATED 15x22CM*
Gross
$4,270
25765749_5
$3,828
GRAFTJACKET 4CMX8CM **NEEDS ABN SIGNED***
Gross
$4,253
27383446_5
$3,810
MESH PHASIX HERNIA 10CM X 15CM
Gross
$4,233
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 27600056_5 | USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG | $34,617 | $31,156 | — | — | 12 |
| 28980211_5 | INJECTION, TENECTEPLASE, 1 MG | $34,491 | $31,042 | — | — | 13 |
| 29061732_5 | INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC | $20,267 | $18,240 | — | — | 12 |
| 25765486_5 | GRAFT XENMATRIX SURG 19CMX28CM ANTIBAC* | $17,955 | $16,160 | — | — | 10 |
| 27589603_5 | INJECTION, OCRELIZUMAB, 1 MG | $15,617 | $14,056 | — | — | 13 |
| 29026631_5 | INJECTION, LUSPATERCEPT-AAMT, 0.25 MG | $15,239 | $13,715 | — | — | 13 |
| 25765940_5 | GRAFT XENMATRIX SURG 20CMX20CM* | $13,779 | $12,401 | — | — | 10 |
| 25766037_5 | MESH PHASIX 10"X12"* | $12,935 | $11,642 | — | — | 10 |
| 28385295_5 | INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG | $12,632 | $11,369 | — | — | 12 |
| 25765485_5 | GRAFT XENMATRIX SURG 15CMX20CM ANTIBAC* | $10,920 | $9,828 | — | — | 10 |
| 27091376_5 | MESHED BILAYER WOUND MATRIX 4X5 | $10,578 | $9,520 | — | — | 10 |
| 27535763_5 | MESH XEN MATRIX AB 15CM X 20CM* | $9,900 | $8,910 | — | — | 10 |
| 25768576_5 | MESH SURGIMEND 20CMx20CMx2MM 2017* | $9,880 | $8,892 | — | — | 10 |
| 28665929_5 | INJECTION, TENECTEPLASE, 1 MG | $8,864 | $7,978 | — | — | 13 |
| 28711407_5 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $8,452 | $7,606 | — | — | 13 |
| 25765454_5 | ALRUA PACEMAKER GENERATOR* | $7,991 | $7,192 | — | — | 10 |
| 25765453_5 | ADAPTA DR PACEMAKER GENERATOR* | $7,188 | $6,469 | — | — | 10 |
| 28464941_5 | Removal of foreign body deep in tissue of thigh or knee | $7,131 | $6,418 | — | — | 13 |
| 27956948_5 | Diagnostic exam of voice box using an endoscope | $6,701 | $6,031 | — | — | 13 |
| 25613431_5 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $6,696 | $6,027 | — | — | 13 |
| 26698161_5 | FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U., NOT OTHERWISE SPECIFIED | $6,513 | $5,862 | — | — | 13 |
| 28176113_5 | INJECTION, FACTOR IX, ALBUMIN FUSION PROTEIN, (RECOMBINANT), IDELVION, 1 I.U. | $6,285 | $5,656 | — | — | 13 |
| 28254152_5 | Removal of foreign body in voice box using an endoscope | $6,236 | $5,612 | — | — | 13 |
| 27749219_5 | GRAFT SKIN MESH DERM REGENERATING 2X2" * | $6,194 | $5,575 | — | — | 10 |
| 25765858_5 | REVEAL XT MONITOR PACEMAKER* | $6,160 | $5,544 | — | — | 10 |
| 25612782_5 | INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL | $5,853 | $5,267 | — | — | 13 |
| 25612575_5 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $5,852 | $5,267 | — | — | 13 |
| 28254132_5 | Placement of stabilizing device for broken finger or thumb at midportion or part near hand with mani | $5,759 | $5,183 | — | — | 13 |
| 28330884_5 | Treatment of broken neck of thigh bone with plate/screw implant | $5,759 | $5,183 | — | — | 13 |
| 28409340_5 | Treatment of broken midpart of both forearm bones with placement of stabilizing device on both bones | $5,759 | $5,183 | — | — | 13 |
| 28411276_5 | Treatment of broken upper or middle part of outer lower leg bone | $5,759 | $5,183 | — | — | 13 |
| 28412498_5 | Treatment of dislocated finger joint | $5,759 | $5,183 | — | — | 13 |
| 28884178_5 | INJECTION, USTEKINUMAB-TTWE (PYZCHIVA), SUBCUTANEOUS, 1 MG | $5,555 | $4,999 | — | — | 11 |
| 28492690_5 | TEMPLATE DERM REGEN 2IN X 2IN* (2023) | $5,477 | $4,929 | — | — | 10 |
| 28409342_5 | Treatment of broken finger at midportion or part near hand | $5,457 | $4,911 | — | — | 13 |
| 27214295_5 | INJECTION, BENRALIZUMAB, 1 MG | $5,207 | $4,686 | — | — | 13 |
| 25612756_5 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $4,855 | $4,370 | — | — | 13 |
| 25767469_5 | MESH LG VENTRAL COATED 22 X 26 CM (CONSIGN) 2017* | $4,690 | $4,221 | — | — | 10 |
| 25766043_5 | PLEURX PLEURAL CATH KIT COMPLETE W/DISCHARGE PK* | $4,666 | $4,200 | — | — | 10 |
| 28412500_5 | Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bon | $4,627 | $4,164 | — | — | 13 |
| 27666080_5 | Insertion of tunneled central venous tube for infusion (5 years or older) | $4,601 | $4,141 | — | — | 13 |
| 25765488_5 | GRAFT ALLOMAX SURG 10CMX10CM* | $4,537 | $4,084 | — | — | 10 |
| 27473508_5 | INJECTION, DENOSUMAB, 1 MG | $4,524 | $4,072 | — | — | 13 |
| 25613070_5 | INJECTION, MEPOLIZUMAB, 1 MG | $4,485 | $4,037 | — | — | 13 |
| 25765893_5 | KYPHOPAK EXPRESS TRAY 10/2 FIRST FRACTURE* | $4,414 | $3,972 | — | — | 10 |
| 27502111_5 | STENT COLONIC 22 DM X 9 CM | $4,389 | $3,950 | — | — | 10 |
| 1005106_5 | CT scan of abdomen and pelvis before and after contrast | $4,354 | $3,919 | — | — | 13 |
| 26309839_5 | MESH VENTRAL COATED 15x22CM* | $4,270 | $3,843 | — | — | 10 |
| 25765749_5 | GRAFTJACKET 4CMX8CM **NEEDS ABN SIGNED*** | $4,253 | $3,828 | — | — | 10 |
| 27383446_5 | MESH PHASIX HERNIA 10CM X 15CM | $4,233 | $3,810 | — | — | 10 |
Showing top 50 of 9,295 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.