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
2,042
Insurances with rates
16
CPT / HCPCS codes
1,291
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 20 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 12 |
| LITHOTRIPSY UNILAT 1ST 10 MIN | LITHOTRIPSY UNILAT 1ST 10 MIN | $24,674 | $14,804 | — | — | 12 |
| DRSG NOVOSORB MTX 20X40 | DRSG NOVOSORB MTX 20X40 | $23,892 | $14,335 | — | — | 12 |
| J1162 | DIGIFAB | $20,222 | $12,133 | — | — | 20 |
| J1437 | MONOFERRIC 1000 MG/10 ML | $20,140 | $12,084 | — | — | 20 |
| GRAFT SURGICAL 1161520 | GRAFT SURGICAL 1161520 | $14,581 | $8,749 | — | — | 12 |
| OB SURGERY LEVEL 3 1ST 30 MINS | OB SURGERY LEVEL 3 1ST 30 MINS | $11,475 | $6,885 | — | — | 12 |
| Q4197 | PURAPLY XT 4.91X4.91(25)/SQCM | $11,305 | $6,783 | — | — | 12 |
| J3032 | VYEPTI 100MG/1ML VIAL | $11,136 | $6,682 | — | — | 20 |
| 81405 | MOLECULAR PATH LEVEL 6 | $11,063 | $6,638 | — | — | 20 |
| 74178 | CT ABD+PELVIS W+WO CONTRAST | $10,155 | $6,093 | — | — | 20 |
| 70543 | MR ORBIT/FACE/NECK W/WO CNTRST | $10,037 | $6,022 | — | — | 20 |
| 72156 | MR C-SPINE W/WO CONTRAST | $9,528 | $5,717 | — | — | 20 |
| 72157 | MR THORACIC W/WO CONTRAST | $9,528 | $5,717 | — | — | 20 |
| 74174 | CT ANG ABD+PLVS W OR WO CNTRS | $9,478 | $5,687 | — | — | 20 |
| 70553 | MR HEAD W/WO CONTRAST | $9,015 | $5,409 | — | — | 20 |
| DRSG NOVOSORB BTM 10X20 | DRSG NOVOSORB BTM 10X20 | $8,526 | $5,116 | — | — | 12 |
| 81408 | MOLECULAR PATH LEVEL 9 | $8,516 | $5,110 | — | — | 20 |
| Q4101 | APLIGRAF DISK KIT 44 SQ CM | $8,479 | $5,087 | — | — | 12 |
| 74177 | CT ABD+PELVIS W/CONTRAST | $8,312 | $4,987 | — | — | 20 |
| 73706 | CT ANG L EXT W OR WO CONTR BIL | $8,214 | $4,928 | — | — | 20 |
| 25651 | ULNAR STYLD FX W/SKELET FIX LT | $8,047 | $4,828 | — | — | 20 |
| 26776 | PERC SKEL FIX FNGR DSL W/M F3 | $8,047 | $4,828 | — | — | 20 |
| 28406 | HEEL FX W/MAN W/SKEL FIX RT | $8,047 | $4,828 | — | — | 20 |
| Q4133 | GRAFIX PL PRIME 12 SQ CM/SQCM | $8,047 | $4,828 | — | — | 12 |
| 73701 | CT LOW EXTREMITY W CON BIL | $7,872 | $4,723 | — | — | 20 |
| C1781 | MESH 5955790 | $7,797 | $4,678 | — | — | 12 |
| QUADLINK PRE-SUTURED CONSTRUCT | QUADLINK PRE-SUTURED CONSTRUCT | $7,698 | $4,619 | — | — | 12 |
| Q4159 | AFFINITY 2.25 SQ CM/SQCM | $7,648 | $4,589 | — | — | 12 |
| 72158 | MR LUMBAR SPINE W/WO CONTRAST | $7,193 | $4,316 | — | — | 20 |
| 70552 | MR HEAD W/CONTRAST | $7,065 | $4,239 | — | — | 20 |
| J7326 | GEL-ONE 30MG/3ML SYRINGE | $6,705 | $4,023 | — | — | 20 |
| 27130 | TOTAL HIP REPLACEMENT | $6,679 | $4,007 | — | — | 7 |
| 36556 | INSERT NON-TUNNELED CV CATH >5 | $6,624 | $3,974 | — | — | 40 |
| J0897 | PROLIA 60MG/ML INJECTION | $6,578 | $3,947 | — | — | 20 |
| 27532 | CLS TX PROX TIBIA FX W/WO M LT | $6,552 | $3,931 | — | — | 20 |
| J7327 | MONOVISC 88MG/4ML SYRINGE | $6,348 | $3,809 | — | — | 20 |
| 74176 | CT ABD+PELVIS WO CONTRAST | $6,328 | $3,797 | — | — | 20 |
| 27762 | CLS TX MED MALLEOLUS FX W/M LT | $6,314 | $3,788 | — | — | 20 |
| 27447 | TOTAL KNEE REPLACEMENT | $6,291 | $3,775 | — | — | 7 |
| 73220 | MR UP EXT NON JNT W+WO CON LT | $6,278 | $3,767 | — | — | 20 |
| 70540 | MR ORBIT/FACE/NECK WO CNTRST | $6,272 | $3,763 | — | — | 20 |
| 70551 | MR HEAD W/O CONTRAST | $6,272 | $3,763 | — | — | 20 |
| 71552 | MR CHEST W/WO CONTRAST | $6,272 | $3,763 | — | — | 20 |
| 72146 | MR THORACIC W/O CONTRAST | $6,272 | $3,763 | — | — | 20 |
| 72197 | MR PELVIS W/WO CONTRAST | $6,272 | $3,763 | — | — | 20 |
| 73222 | MR UP EXT JNT W CON RT | $6,272 | $3,763 | — | — | 20 |
| 73223 | MR UP EXT JNT W+WO CON RT | $6,272 | $3,763 | — | — | 20 |
| 73720 | MR LOW EXT NON JNT W+WO CON LT | $6,272 | $3,763 | — | — | 20 |
Showing top 50 of 2,042 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.