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
6,154
Insurances with rates
9
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4947361_1
$37,699
USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG
Gross
$37,699
5775149_1
$24,320
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$24,320
6548540_1
$21,944
INJECTION, LUSPATERCEPT-AAMT, 0.25 MG
Gross
$21,944
6334086_1
$19,437
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
Gross
$19,437
6107010_1
$17,258
NUTRILIPID 20% IV FAT EMULSION
Gross
$17,258
5956223_1
$16,910
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$16,910
6521026_1
$15,390
CYGNUS DUAL, AMNIOTIC ALLOGRAFT, 4X6
Gross
$15,390
4474931_1
$15,200
Repair of shoulder socket using an endoscope
Gross
$15,200
5947108_1
$14,540
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$14,540
5368661_1
$14,032
Fusion of big toe at joint with foot
Gross
$14,032
6552010_1
$13,606
INJECTION, TENECTEPLASE, 1 MG
Gross
$13,606
4473976_1
$13,064
Release of tendon connecting biceps muscle and shoulder using an endoscope
Gross
$13,064
5658702_1
$13,050
INJECTION, NIVOLUMAB, 1 MG
Gross
$13,050
4473974_1
$13,000
Repair of shoulder rotator cuff using an endoscope
Gross
$13,000
5858097_1
$12,614
INJECTION, TENECTEPLASE, 1 MG
Gross
$12,614
5343652_1
$11,900
Repair of recurrent groin hernia using an endoscope
Gross
$11,900
4474897_1
$11,800
Repair of shoulder joint capsule using an endoscope
Gross
$11,800
4474068_1
$11,600
Removal of gallbladder with X-ray study of bile ducts using an endoscope
Gross
$11,600
5343651_1
$11,049
Repair of groin hernia using an endoscope
Gross
$11,049
4649818_1
$10,799
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$10,799
4723116_1
$10,740
Creation of sling around urethra in female to control leakage
Gross
$10,740
5366475_1
$10,215
Removal of cyst or growth of vaginal
Gross
$10,215
5462650_1
$10,095
INJECTION, BENRALIZUMAB, 1 MG
Gross
$10,095
5893553_1
$10,081
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$10,081
6521025_1
$10,070
CYGNUS DUAL, AMNIOTIC ALLOGRAFT, 4X4
Gross
$10,070
6146350_1
$9,880
ELECTRODE, RFA VENOM MULTIGEN 100MM (RED)
Gross
$9,880
6146351_1
$9,880
ELECTRODE RFA VENOM MULTIGEN 150MM (YELLOW)
Gross
$9,880
5775148_1
$9,747
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$9,747
5343649_1
$9,700
Removal of gallbladder with exploration of common bile duct using an endoscope
Gross
$9,700
5189166_1
$9,604
INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE
Gross
$9,604
4648723_1
$9,598
Removal of ovaries and/or tubes using an endoscope
Gross
$9,598
5895322_1
$9,085
INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG
Gross
$9,085
4473809_1
$9,000
Removal of uterus and cervix through abdomen
Gross
$9,000
4651826_1
$9,000
Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less
Gross
$9,000
6335346_1
$8,899
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
Gross
$8,899
5690203_1
$8,622
INJECTION, PEMBROLIZUMAB, 1 MG
Gross
$8,622
4293166_1
$8,354
INJECTION, RITUXIMAB, 10 MG
Gross
$8,354
5956222_1
$8,075
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$8,075
4291727_1
$7,939
INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL
Gross
$7,939
6595816_1
$7,769
INJECTION, TEZEPELUMAB-EKKO, 1 MG
Gross
$7,769
4648749_1
$7,600
Insertion of central venous tube with port for infusion (5 years or older)
Gross
$7,600
4474080_1
$7,485
Removal of gallbladder using an endoscope
Gross
$7,485
5368917_1
$7,400
Repair of trapped or strangulated groin hernia
Gross
$7,400
4880346_1
$7,358
Removal of uterus through vagina, 250.0 g or less
Gross
$7,358
6548517_1
$7,315
INJECTION, LUSPATERCEPT-AAMT, 0.25 MG
Gross
$7,315
4635718_1
$7,307
INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG
Gross
$7,307
6213965_1
$7,175
Destruction of nerve branches of knee using imaging guidance
Gross
$7,175
5385021_1
$6,885
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$6,885
4474934_1
$6,800
Limited removal of abnormal shoulder joint tissue using endoscope
Gross
$6,800
6486678_1
$6,611
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$6,611
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4947361_1 | USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG | $37,699 | $37,699 | — | — | 9 |
| 5775149_1 | PURAPLY AM, PER SQUARE CENTIMETER | $24,320 | $24,320 | — | — | 8 |
| 6548540_1 | INJECTION, LUSPATERCEPT-AAMT, 0.25 MG | $21,944 | $21,944 | — | — | 8 |
| 6334086_1 | INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG | $19,437 | $19,437 | — | — | 9 |
| 6107010_1 | NUTRILIPID 20% IV FAT EMULSION | $17,258 | $17,258 | — | — | 8 |
| 5956223_1 | PURAPLY AM, PER SQUARE CENTIMETER | $16,910 | $16,910 | — | — | 8 |
| 6521026_1 | CYGNUS DUAL, AMNIOTIC ALLOGRAFT, 4X6 | $15,390 | $15,390 | — | — | 3 |
| 4474931_1 | Repair of shoulder socket using an endoscope | $15,200 | $15,200 | — | — | 9 |
| 5947108_1 | INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG | $14,540 | $14,540 | — | — | 9 |
| 5368661_1 | Fusion of big toe at joint with foot | $14,032 | $14,032 | — | — | 9 |
| 6552010_1 | INJECTION, TENECTEPLASE, 1 MG | $13,606 | $13,606 | — | — | 9 |
| 4473976_1 | Release of tendon connecting biceps muscle and shoulder using an endoscope | $13,064 | $13,064 | — | — | 9 |
| 5658702_1 | INJECTION, NIVOLUMAB, 1 MG | $13,050 | $13,050 | — | — | 9 |
| 4473974_1 | Repair of shoulder rotator cuff using an endoscope | $13,000 | $13,000 | — | — | 9 |
| 5858097_1 | INJECTION, TENECTEPLASE, 1 MG | $12,614 | $12,614 | — | — | 9 |
| 5343652_1 | Repair of recurrent groin hernia using an endoscope | $11,900 | $11,900 | — | — | 9 |
| 4474897_1 | Repair of shoulder joint capsule using an endoscope | $11,800 | $11,800 | — | — | 9 |
| 4474068_1 | Removal of gallbladder with X-ray study of bile ducts using an endoscope | $11,600 | $11,600 | — | — | 9 |
| 5343651_1 | Repair of groin hernia using an endoscope | $11,049 | $11,049 | — | — | 9 |
| 4649818_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $10,799 | $10,799 | — | — | 9 |
| 4723116_1 | Creation of sling around urethra in female to control leakage | $10,740 | $10,740 | — | — | 9 |
| 5366475_1 | Removal of cyst or growth of vaginal | $10,215 | $10,215 | — | — | 9 |
| 5462650_1 | INJECTION, BENRALIZUMAB, 1 MG | $10,095 | $10,095 | — | — | 9 |
| 5893553_1 | INJECTION, PEMBROLIZUMAB, 1 MG | $10,081 | $10,081 | — | — | 9 |
| 6521025_1 | CYGNUS DUAL, AMNIOTIC ALLOGRAFT, 4X4 | $10,070 | $10,070 | — | — | 3 |
| 6146350_1 | ELECTRODE, RFA VENOM MULTIGEN 100MM (RED) | $9,880 | $9,880 | — | — | 8 |
| 6146351_1 | ELECTRODE RFA VENOM MULTIGEN 150MM (YELLOW) | $9,880 | $9,880 | — | — | 8 |
| 5775148_1 | PURAPLY AM, PER SQUARE CENTIMETER | $9,747 | $9,747 | — | — | 8 |
| 5343649_1 | Removal of gallbladder with exploration of common bile duct using an endoscope | $9,700 | $9,700 | — | — | 9 |
| 5189166_1 | INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE | $9,604 | $9,604 | — | — | 9 |
| 4648723_1 | Removal of ovaries and/or tubes using an endoscope | $9,598 | $9,598 | — | — | 9 |
| 5895322_1 | INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MG | $9,085 | $9,085 | — | — | 9 |
| 4473809_1 | Removal of uterus and cervix through abdomen | $9,000 | $9,000 | — | — | 8 |
| 4651826_1 | Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less | $9,000 | $9,000 | — | — | 9 |
| 6335346_1 | INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG | $8,899 | $8,899 | — | — | 9 |
| 5690203_1 | INJECTION, PEMBROLIZUMAB, 1 MG | $8,622 | $8,622 | — | — | 9 |
| 4293166_1 | INJECTION, RITUXIMAB, 10 MG | $8,354 | $8,354 | — | — | 9 |
| 5956222_1 | PURAPLY AM, PER SQUARE CENTIMETER | $8,075 | $8,075 | — | — | 8 |
| 4291727_1 | INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL | $7,939 | $7,939 | — | — | 9 |
| 6595816_1 | INJECTION, TEZEPELUMAB-EKKO, 1 MG | $7,769 | $7,769 | — | — | 8 |
| 4648749_1 | Insertion of central venous tube with port for infusion (5 years or older) | $7,600 | $7,600 | — | — | 9 |
| 4474080_1 | Removal of gallbladder using an endoscope | $7,485 | $7,485 | — | — | 9 |
| 5368917_1 | Repair of trapped or strangulated groin hernia | $7,400 | $7,400 | — | — | 9 |
| 4880346_1 | Removal of uterus through vagina, 250.0 g or less | $7,358 | $7,358 | — | — | 9 |
| 6548517_1 | INJECTION, LUSPATERCEPT-AAMT, 0.25 MG | $7,315 | $7,315 | — | — | 8 |
| 4635718_1 | INJECTION, OCTREOTIDE, DEPOT FORM FOR INTRAMUSCULAR INJECTION, 1 MG | $7,307 | $7,307 | — | — | 9 |
| 6213965_1 | Destruction of nerve branches of knee using imaging guidance | $7,175 | $7,175 | — | — | 8 |
| 5385021_1 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $6,885 | $6,885 | — | — | 9 |
| 4474934_1 | Limited removal of abnormal shoulder joint tissue using endoscope | $6,800 | $6,800 | — | — | 9 |
| 6486678_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $6,611 | $6,611 | — | — | 9 |
Showing top 50 of 6,154 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.