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
5,131
Insurances with rates
1
CPT / HCPCS codes
16
Source MRF
Most expensive procedures (gross)
155653
$33,075
PURAPLY 8X16 128SQ
Gross
$47,250
453587
$17,742
ACTIVASE 100MG INJECTION
Gross
$25,345
460240
$17,362
NF-CERTOLIZUMAB PEGOL SUBQ SOLN 200MG/1M
Gross
$24,802
155654
$14,818
PURAPLY 6X9 54SQ
Gross
$21,168
155595
$8,698
BIOVANCE ALLOGRAFT 6X6 SQ CM
Gross
$12,425
155869
$8,698
NU SHIELD 6X6 36SQ
Gross
$12,425
155594
$7,962
BIOVANCE ALLOGRAFT 5X5
Gross
$11,375
454536
$7,162
NF-Humira Subcutaneous Solution 40MG/0.4
Gross
$10,231
155642
$6,860
PURAPLY 5X5 25SQ
Gross
$9,800
155624
$6,615
ALLOWRAP DS 4x4 GRAFT
Gross
$9,450
155868
$6,370
NU SHIELD 4X6 24SQ
Gross
$9,100
460197
$5,787
NF-CIMZIA SUBQ SOLN 200MG/1ML
Gross
$8,267
155593
$5,684
BIOVANCE ALLOGRAFT 4X4 SQ CM
Gross
$8,120
450066
$4,608
CROFAB INJECTION 1GM VIAL
Gross
$6,583
155867
$4,557
NU SHIELD 4X4 16SQ
Gross
$6,510
454082
$4,293
NF-INVEGA SUSTENNA IM SUSP ER 117MG
Gross
$6,132
155607
$3,709
ALLOWRAP DS 2X4
Gross
$5,299
453720
$3,500
GAMUNEX-C 10% (20GM/200ML INJECTION)
Gross
$5,000
453975
$3,483
BENLYSTA 400MG INJECTION /250NS
Gross
$4,975
155866
$3,430
NU SHIELD 3X4 12SQ
Gross
$4,900
155611
$3,241
PROLAYER 4X4 1.0-2.0 THICK GRAFT
Gross
$4,631
155870
$3,173
APLIGRAFT 44SQ CM
Gross
$4,533
453862
$3,150
PRIVIGEN SOD 20GM 200ML VIAL
Gross
$4,500
454009
$3,126
NF-Forteo Subcutaneous Solution 250MCG/1
Gross
$4,465
453706
$3,094
DALVANCE 500MG VL
Gross
$4,420
155610
$3,087
PROLAYER 4X4 0.4-1.0THICK GRAFT
Gross
$4,410
155592
$2,940
BIOVANCE ALLOGRAFT 3X3.5 SQ CM
Gross
$4,200
454524
$2,617
NF-Epclusa Oral Tablet 400MG-100MG
Gross
$3,738
454812
$2,578
PROLIA 60MG/ML INJECTION
Gross
$3,683
460592
$2,536
NF-REBIF INJECTION 44MCG/0.5ML
Gross
$3,622
155591
$2,450
BIOVANCE ALLOGRAFT 2X4 SQ CM
Gross
$3,500
454245
$2,354
REMICADE 100MG/VIAL INJECTION
Gross
$3,363
155655
$2,328
PURAPLY 2X4 8SQ
Gross
$3,325
155865
$2,328
NU SHIELD 2X4 8SQ
Gross
$3,325
380049
$2,240
CT ABDOMEN/PELVIS W&W/O
Gross
$3,200
155590
$2,205
BIOVANCE ALLOGRAFT 2X3 SQ CM
Gross
$3,150
140019
$2,169
APPY SKIN SUBS LEG TRUNK ARM 1ST 25 SQCM
Gross
$3,098
155606
$2,122
ALLOWRAP DS 2X2 GRAFT
Gross
$3,031
155864
$1,948
NU SHIELD GRAFT 2X3 6 SQ CM
Gross
$2,783
460501
$1,895
NF-ENBREL 50MG/ML SUBCUTANEOUS SOLUTION
Gross
$2,707
352099
$1,890
ANGIOGRAM-ABDOMINAL AORTA W/RUN OFF
Gross
$2,700
155656
$1,837
PURAPLY 2X2 4SQ
Gross
$2,625
140002
$1,833
DEBRIDE TISSUE/MUSCLE/BONE
Gross
$2,618
140021
$1,833
APPLY SKIN SUBSTITUTE FEET FIRST 25 SQCM
Gross
$2,618
140022
$1,833
APPLY SKIN SUB FEET EA ADD 25 SQ CM
Gross
$2,618
140023
$1,833
APPLY SKIN SUB LEGS FIRST 100 SQCM
Gross
$2,618
140024
$1,833
APPLY SKIN SUB LEGS EA ADD 100 SQ CM
Gross
$2,618
140025
$1,833
APPLY SKIN SUBSTITUTE FEET 1ST 100 SQ CM
Gross
$2,618
140026
$1,833
APPLY SKIN SUB FEET EA ADD 100 SQ CM
Gross
$2,618
140020
$1,833
APPLY SKIN SUB LEGS EA ADD 25 SQ CM
Gross
$2,618
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 155653 | PURAPLY 8X16 128SQ | $47,250 | $33,075 | $14,175 | — | 1 |
| 453587 | ACTIVASE 100MG INJECTION | $25,345 | $17,742 | $7,604 | — | 1 |
| 460240 | NF-CERTOLIZUMAB PEGOL SUBQ SOLN 200MG/1M | $24,802 | $17,362 | $7,441 | — | 1 |
| 155654 | PURAPLY 6X9 54SQ | $21,168 | $14,818 | $6,350 | — | 1 |
| 155595 | BIOVANCE ALLOGRAFT 6X6 SQ CM | $12,425 | $8,698 | $3,728 | — | 1 |
| 155869 | NU SHIELD 6X6 36SQ | $12,425 | $8,698 | $3,728 | — | 1 |
| 155594 | BIOVANCE ALLOGRAFT 5X5 | $11,375 | $7,962 | $3,413 | — | 1 |
| 454536 | NF-Humira Subcutaneous Solution 40MG/0.4 | $10,231 | $7,162 | $3,069 | — | 1 |
| 155642 | PURAPLY 5X5 25SQ | $9,800 | $6,860 | $2,940 | — | 1 |
| 155624 | ALLOWRAP DS 4x4 GRAFT | $9,450 | $6,615 | $2,835 | — | 1 |
| 155868 | NU SHIELD 4X6 24SQ | $9,100 | $6,370 | $2,730 | — | 1 |
| 460197 | NF-CIMZIA SUBQ SOLN 200MG/1ML | $8,267 | $5,787 | $2,480 | — | 1 |
| 155593 | BIOVANCE ALLOGRAFT 4X4 SQ CM | $8,120 | $5,684 | $2,436 | — | 1 |
| 450066 | CROFAB INJECTION 1GM VIAL | $6,583 | $4,608 | $1,975 | — | 1 |
| 155867 | NU SHIELD 4X4 16SQ | $6,510 | $4,557 | $1,953 | — | 1 |
| 454082 | NF-INVEGA SUSTENNA IM SUSP ER 117MG | $6,132 | $4,293 | $1,840 | — | 1 |
| 155607 | ALLOWRAP DS 2X4 | $5,299 | $3,709 | $1,590 | — | 1 |
| 453720 | GAMUNEX-C 10% (20GM/200ML INJECTION) | $5,000 | $3,500 | $1,500 | — | 1 |
| 453975 | BENLYSTA 400MG INJECTION /250NS | $4,975 | $3,483 | $1,493 | — | 1 |
| 155866 | NU SHIELD 3X4 12SQ | $4,900 | $3,430 | $1,470 | — | 1 |
| 155611 | PROLAYER 4X4 1.0-2.0 THICK GRAFT | $4,631 | $3,241 | $1,389 | — | 1 |
| 155870 | APLIGRAFT 44SQ CM | $4,533 | $3,173 | $1,360 | — | 1 |
| 453862 | PRIVIGEN SOD 20GM 200ML VIAL | $4,500 | $3,150 | $1,350 | — | 1 |
| 454009 | NF-Forteo Subcutaneous Solution 250MCG/1 | $4,465 | $3,126 | $1,340 | — | 1 |
| 453706 | DALVANCE 500MG VL | $4,420 | $3,094 | $1,326 | — | 1 |
| 155610 | PROLAYER 4X4 0.4-1.0THICK GRAFT | $4,410 | $3,087 | $1,323 | — | 1 |
| 155592 | BIOVANCE ALLOGRAFT 3X3.5 SQ CM | $4,200 | $2,940 | $1,260 | — | 1 |
| 454524 | NF-Epclusa Oral Tablet 400MG-100MG | $3,738 | $2,617 | $1,121 | — | 1 |
| 454812 | PROLIA 60MG/ML INJECTION | $3,683 | $2,578 | $1,105 | — | 1 |
| 460592 | NF-REBIF INJECTION 44MCG/0.5ML | $3,622 | $2,536 | $1,087 | — | 1 |
| 155591 | BIOVANCE ALLOGRAFT 2X4 SQ CM | $3,500 | $2,450 | $1,050 | — | 1 |
| 454245 | REMICADE 100MG/VIAL INJECTION | $3,363 | $2,354 | $1,009 | — | 1 |
| 155655 | PURAPLY 2X4 8SQ | $3,325 | $2,328 | $998 | — | 1 |
| 155865 | NU SHIELD 2X4 8SQ | $3,325 | $2,328 | $998 | — | 1 |
| 380049 | CT ABDOMEN/PELVIS W&W/O | $3,200 | $2,240 | $960 | — | 1 |
| 155590 | BIOVANCE ALLOGRAFT 2X3 SQ CM | $3,150 | $2,205 | $945 | — | 1 |
| 140019 | APPY SKIN SUBS LEG TRUNK ARM 1ST 25 SQCM | $3,098 | $2,169 | $929 | — | 1 |
| 155606 | ALLOWRAP DS 2X2 GRAFT | $3,031 | $2,122 | $909 | — | 1 |
| 155864 | NU SHIELD GRAFT 2X3 6 SQ CM | $2,783 | $1,948 | $835 | — | 1 |
| 460501 | NF-ENBREL 50MG/ML SUBCUTANEOUS SOLUTION | $2,707 | $1,895 | $812 | — | 1 |
| 352099 | ANGIOGRAM-ABDOMINAL AORTA W/RUN OFF | $2,700 | $1,890 | $810 | — | 1 |
| 155656 | PURAPLY 2X2 4SQ | $2,625 | $1,837 | $788 | — | 1 |
| 140002 | DEBRIDE TISSUE/MUSCLE/BONE | $2,618 | $1,833 | $785 | — | 1 |
| 140021 | APPLY SKIN SUBSTITUTE FEET FIRST 25 SQCM | $2,618 | $1,833 | $785 | — | 1 |
| 140022 | APPLY SKIN SUB FEET EA ADD 25 SQ CM | $2,618 | $1,833 | $785 | — | 1 |
| 140023 | APPLY SKIN SUB LEGS FIRST 100 SQCM | $2,618 | $1,833 | $785 | — | 1 |
| 140024 | APPLY SKIN SUB LEGS EA ADD 100 SQ CM | $2,618 | $1,833 | $785 | — | 1 |
| 140025 | APPLY SKIN SUBSTITUTE FEET 1ST 100 SQ CM | $2,618 | $1,833 | $785 | — | 1 |
| 140026 | APPLY SKIN SUB FEET EA ADD 100 SQ CM | $2,618 | $1,833 | $785 | — | 1 |
| 140020 | APPLY SKIN SUB LEGS EA ADD 25 SQ CM | $2,618 | $1,833 | $785 | — | 1 |
Showing top 50 of 5,131 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.