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
6,203
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
8220443- RX
$14,935
TNKase 50 mg intravenous kit [LSHH]
Gross
$24,892
8220303- RX
$11,552
pegfilgrastim 6 mg/0.6 mL subcutaneous syringe [LSHH]
Gross
$19,254
9419411-99999-INT
$9,548
Endoscopic Sleeve Gastroplasty
Gross
$15,914
8219989- RX
$8,609
DigiFab 40 mg intravenous solution [LSHH]
Gross
$14,349
9835953-FAC
$8,214
APOLLO ESG NXT SYSTEM
Gross
$13,689
10053409- RX
$7,920
Activase 50mg intravenous solution [LSHH]
Gross
$13,201
9419355-FAC
$7,861
APOLLO ESG SYSTEM
Gross
$13,102
9742419-FAC
$7,632
APOLLO REVISE SYSTEM
Gross
$12,721
8483848-PB
$6,333
inclisiran
Gross
$10,554
9028822-FAC
$6,222
REVEAL LINQ II LOOP RECORDER
Gross
$10,371
8958106- RX
$6,210
inclisiran (Leqvio) 284 mg/1.5 mL Sol [LSHH]
Gross
$10,349
8483848-FAC
$6,100
inclisiran
Gross
$10,166
8938547-99999-INT
$6,020
Insertion, subcutaneous cardiac rhythm monitor, including programing
Gross
$10,033
8254707-FAC
$5,161
ESOPHYX Z R2007
Gross
$8,601
8733963-99999-INT
$5,008
Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or e
Gross
$8,346
9950761-FAC
$4,429
OVERSTITCH NXT ENDO SUTURING SYSTEM APOLLO
Gross
$7,382
8253196-FAC
$4,146
WALLFLEX STENT 23x105
Gross
$6,910
8253197-FAC
$4,146
WALLFLEX STENT 23x125
Gross
$6,910
8453838-FAC
$3,540
EVOLUTION DUODENAL STENT 6CM
Gross
$5,900
8253192-FAC
$3,518
WALLFLEX BILIARY STENT 8.5F 8mm
Gross
$5,864
8253193-FAC
$3,518
WALLFLEX STENT 10mmX40mm
Gross
$5,864
8253194-FAC
$3,518
WALLFLEX STENT 10mmX60mm
Gross
$5,864
8102452-FAC
$3,430
59409-Vaginal Delivery Only
Gross
$5,716
8453840-FAC
$3,411
ESOPHAGEAL STENT 8CM EST2008F
Gross
$5,684
8469058-FAC
$3,411
ESOPHAGEAL STENT 10CM EST2010F
Gross
$5,684
8469059-FAC
$3,411
ESOPHAGEAL STENT 12CM EST2012F
Gross
$5,684
8314918- RX
$3,376
denosumab 60 mg/mL Sol [LSHH]
Gross
$5,626
8253202-FAC
$3,295
MESH ELLIPTICAL 10.2x13.2
Gross
$5,492
8254717-FAC
$3,200
**(DO NOT USE) BARRX RFA EXPRESS
Gross
$5,334
8253195-FAC
$3,175
WALLFLEX STENT 22mmx120mm
Gross
$5,291
8253220-FAC
$3,151
WALLFLEX DUODENTAL 90MM
Gross
$5,252
8219928- RX
$3,019
cefOXitin 2 gram/50 mL in dextrose(iso-osmotic) intravenous piggyback [LSHH]
Gross
$5,031
8788790-PB
$2,979
J7327 Monovisc Per Dose
Gross
$4,965
8254721-FAC
$2,979
HALO 90 ULTRA RFA CATHETER 90-9200
Gross
$4,965
8220130- RX
$2,761
Injectafer 750mg/15ml Vial [LSHH]
Gross
$4,602
2424644-FAC
$2,633
CT Abdomen and Pelvis w/ + w/o Contrast
Gross
$4,388
1168796-FAC
$2,558
MRI Brain w/ + w/o Contrast
Gross
$4,264
8023088-FAC
$2,532
26990 INCISION AND DRAINAGE, PELVIS HIP JOINT AREA; DEEP ABSCESS HEMATOMA TechFee
Gross
$4,221
8253149-FAC
$2,502
POLYFLEX STENT 16x90x12mm
Gross
$4,171
8253150-FAC
$2,502
POLYFLEX STENT 18x90x13mm
Gross
$4,171
8022908-FAC
$2,464
24341 REPAIR, TENDON OR MUSCLE, UPPER ARM/ELBOW, EA PRIM/SECOND TechFee
Gross
$4,107
8023118-FAC
$2,451
27380 SUTURE OF INFRAPATELLAR TENDON; PRIMARY TechFee
Gross
$4,086
8254724-FAC
$2,402
**(DO NOT USE) HALO CHANNEL CATHETER TTS-1100
Gross
$4,003
1168730-FAC
$2,399
MRI Abdomen w/ + w/o Contrast
Gross
$3,998
8253205-FAC
$2,397
MESH ELLIPTICAL 8.2x10.2
Gross
$3,994
8272266-FAC
$2,376
67935 SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK Tech Fee
Gross
$3,961
8022921-FAC
$2,358
24535 CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ TechFee
Gross
$3,930
8102080-FAC
$2,342
27301-I&D Thigh/Knee Abscess/Bursa/Hematoma
Gross
$3,904
8272222-FAC
$2,329
15940 EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE Tech Fee
Gross
$3,881
1168798-FAC
$2,316
MRI Brain w/ Contrast
Gross
$3,860
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8220443- RX | TNKase 50 mg intravenous kit [LSHH] | $24,892 | $14,935 | — | — | 20 |
| 8220303- RX | pegfilgrastim 6 mg/0.6 mL subcutaneous syringe [LSHH] | $19,254 | $11,552 | — | — | 20 |
| 9419411-99999-INT | Endoscopic Sleeve Gastroplasty | $15,914 | $9,548 | — | — | 20 |
| 8219989- RX | DigiFab 40 mg intravenous solution [LSHH] | $14,349 | $8,609 | — | — | 20 |
| 9835953-FAC | APOLLO ESG NXT SYSTEM | $13,689 | $8,214 | — | — | 24 |
| 10053409- RX | Activase 50mg intravenous solution [LSHH] | $13,201 | $7,920 | — | — | 20 |
| 9419355-FAC | APOLLO ESG SYSTEM | $13,102 | $7,861 | — | — | 24 |
| 9742419-FAC | APOLLO REVISE SYSTEM | $12,721 | $7,632 | — | — | 24 |
| 8483848-PB | inclisiran | $10,554 | $6,333 | — | — | 19 |
| 9028822-FAC | REVEAL LINQ II LOOP RECORDER | $10,371 | $6,222 | — | — | 24 |
| 8958106- RX | inclisiran (Leqvio) 284 mg/1.5 mL Sol [LSHH] | $10,349 | $6,210 | — | — | 20 |
| 8483848-FAC | inclisiran | $10,166 | $6,100 | — | — | 24 |
| 8938547-99999-INT | Insertion, subcutaneous cardiac rhythm monitor, including programing | $10,033 | $6,020 | — | — | 20 |
| 8254707-FAC | ESOPHYX Z R2007 | $8,601 | $5,161 | — | — | 24 |
| 8733963-99999-INT | Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or e | $8,346 | $5,008 | — | — | 20 |
| 9950761-FAC | OVERSTITCH NXT ENDO SUTURING SYSTEM APOLLO | $7,382 | $4,429 | — | — | 24 |
| 8253196-FAC | WALLFLEX STENT 23x105 | $6,910 | $4,146 | — | — | 24 |
| 8253197-FAC | WALLFLEX STENT 23x125 | $6,910 | $4,146 | — | — | 24 |
| 8453838-FAC | EVOLUTION DUODENAL STENT 6CM | $5,900 | $3,540 | — | — | 24 |
| 8253192-FAC | WALLFLEX BILIARY STENT 8.5F 8mm | $5,864 | $3,518 | — | — | 24 |
| 8253193-FAC | WALLFLEX STENT 10mmX40mm | $5,864 | $3,518 | — | — | 24 |
| 8253194-FAC | WALLFLEX STENT 10mmX60mm | $5,864 | $3,518 | — | — | 24 |
| 8102452-FAC | 59409-Vaginal Delivery Only | $5,716 | $3,430 | — | — | 24 |
| 8453840-FAC | ESOPHAGEAL STENT 8CM EST2008F | $5,684 | $3,411 | — | — | 24 |
| 8469058-FAC | ESOPHAGEAL STENT 10CM EST2010F | $5,684 | $3,411 | — | — | 24 |
| 8469059-FAC | ESOPHAGEAL STENT 12CM EST2012F | $5,684 | $3,411 | — | — | 24 |
| 8314918- RX | denosumab 60 mg/mL Sol [LSHH] | $5,626 | $3,376 | — | — | 20 |
| 8253202-FAC | MESH ELLIPTICAL 10.2x13.2 | $5,492 | $3,295 | — | — | 24 |
| 8254717-FAC | **(DO NOT USE) BARRX RFA EXPRESS | $5,334 | $3,200 | — | — | 24 |
| 8253195-FAC | WALLFLEX STENT 22mmx120mm | $5,291 | $3,175 | — | — | 24 |
| 8253220-FAC | WALLFLEX DUODENTAL 90MM | $5,252 | $3,151 | — | — | 24 |
| 8219928- RX | cefOXitin 2 gram/50 mL in dextrose(iso-osmotic) intravenous piggyback [LSHH] | $5,031 | $3,019 | — | — | 20 |
| 8788790-PB | J7327 Monovisc Per Dose | $4,965 | $2,979 | — | — | 19 |
| 8254721-FAC | HALO 90 ULTRA RFA CATHETER 90-9200 | $4,965 | $2,979 | — | — | 24 |
| 8220130- RX | Injectafer 750mg/15ml Vial [LSHH] | $4,602 | $2,761 | — | — | 20 |
| 2424644-FAC | CT Abdomen and Pelvis w/ + w/o Contrast | $4,388 | $2,633 | — | — | 24 |
| 1168796-FAC | MRI Brain w/ + w/o Contrast | $4,264 | $2,558 | — | — | 24 |
| 8023088-FAC | 26990 INCISION AND DRAINAGE, PELVIS HIP JOINT AREA; DEEP ABSCESS HEMATOMA TechFee | $4,221 | $2,532 | — | — | 24 |
| 8253149-FAC | POLYFLEX STENT 16x90x12mm | $4,171 | $2,502 | — | — | 24 |
| 8253150-FAC | POLYFLEX STENT 18x90x13mm | $4,171 | $2,502 | — | — | 24 |
| 8022908-FAC | 24341 REPAIR, TENDON OR MUSCLE, UPPER ARM/ELBOW, EA PRIM/SECOND TechFee | $4,107 | $2,464 | — | — | 24 |
| 8023118-FAC | 27380 SUTURE OF INFRAPATELLAR TENDON; PRIMARY TechFee | $4,086 | $2,451 | — | — | 24 |
| 8254724-FAC | **(DO NOT USE) HALO CHANNEL CATHETER TTS-1100 | $4,003 | $2,402 | — | — | 24 |
| 1168730-FAC | MRI Abdomen w/ + w/o Contrast | $3,998 | $2,399 | — | — | 24 |
| 8253205-FAC | MESH ELLIPTICAL 8.2x10.2 | $3,994 | $2,397 | — | — | 24 |
| 8272266-FAC | 67935 SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK Tech Fee | $3,961 | $2,376 | — | — | 24 |
| 8022921-FAC | 24535 CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ TechFee | $3,930 | $2,358 | — | — | 24 |
| 8102080-FAC | 27301-I&D Thigh/Knee Abscess/Bursa/Hematoma | $3,904 | $2,342 | — | — | 24 |
| 8272222-FAC | 15940 EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE Tech Fee | $3,881 | $2,329 | — | — | 24 |
| 1168798-FAC | MRI Brain w/ Contrast | $3,860 | $2,316 | — | — | 24 |
Showing top 50 of 6,203 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.