45 CFR § 180 compliance
D · 65
This hospital published part 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
5,187
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
40400018
$26,118
HC MYOCARDIAL IMG, PET, METABOLIC EVAL, 1 STUDY CONCURRENT CT
Gross
$26,118
50633011011
$25,266
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION
Gross
$25,266
78081881
$15,134
OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE
Gross
$15,134
310320001
$14,302
FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION
Gross
$14,302
58468022501
$14,159
CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION
Gross
$14,159
30900310
$12,850
HC UNLISTED MOL PATH (6000)
Gross
$12,850
50633011012
$12,633
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION
Gross
$12,633
169721211
$11,797
FACTOR VIIA RECOMBINANT (NOVOSEVEN) (JHH VARIABLE)
Gross
$11,797
30900063
$11,130
HC PMPP22 GENE DUP/DELET (4700)
Gross
$11,130
50242013701
$10,481
TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION
Gross
$10,481
64193042602
$9,718
ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN
Gross
$9,718
50633012012
$9,438
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION
Gross
$9,438
50242008527
$9,119
ALTEPLASE (STROKE) BOLUS & INFUSION
Gross
$9,119
64193042502
$9,118
ANTIHIBITOR COAGULANT COMPLEX (FEIBA) (JHH VARIABLE)
Gross
$9,118
30900319
$8,961
HC UNLISTED MOLE PROC (5150)
Gross
$8,961
169720201
$8,910
FACTOR VIIA RECOMBINANT (NOVOSEVEN) (JHH VARIABLE)
Gross
$8,910
597019705
$8,765
IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION
Gross
$8,765
34100159
$8,525
HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS
Gross
$8,525
30900309
$8,491
HC UNLISTED MOL PATH (4880)
Gross
$8,491
30900118
$8,051
HC MOPATH PROCEDUR LEVEL 4 (3400)
Gross
$8,051
169720101
$7,865
COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION
Gross
$7,865
30900057
$7,838
HC MSH2 GENE FULL SEQ (3310)
Gross
$7,838
63833038702
$7,829
HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION
Gross
$7,829
63833039701
$7,829
HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION
Gross
$7,829
63459010450
$7,700
RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION
Gross
$7,700
64193042402
$7,689
ANTIHIBITOR COAGULANT COMPLEX (FEIBA) (JHH VARIABLE)
Gross
$7,689
30900308
$7,656
HC UNLISTED MOL PATH (4400)
Gross
$7,656
63833062701
$7,583
ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION
Gross
$7,583
50242003706
$7,391
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$7,391
50242012047
$7,137
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$7,137
30900408
$6,630
HC EXOME SEQUENCE ANAL (2800)
Gross
$6,630
41000038
$6,630
HC ECMO/ECLS INITIATION VENOUS - DAILY MGMT
Gross
$6,630
41000039
$6,630
HC ECMO/ECLS INITIATION ARTERY - DAILY MGMT
Gross
$6,630
50458056401
$6,543
PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE
Gross
$6,543
34100158
$6,457
HC RADIOPHARM LOCAL TUMOR, SPECT, 2 AREA 1 DAY IMG OR 1 AREA IMG 2+ DAYS
Gross
$6,457
30900056
$6,323
HC MSH2 GENE FULL SEQ (2670)
Gross
$6,323
13533080024
$6,176
IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$6,176
33300005
$6,016
HC INTENSITY MODULATED RADIOTHERAPY PLAN
Gross
$6,016
30900217
$5,916
HC MOPATH PROCEDUR LEVEL 9 (3405)
Gross
$5,916
944270012
$5,730
IMMUNE GLOBULIN (GAMMAGARD) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$5,730
34100130
$5,441
HC TUMOR IMAGING WHOLE BODY 2+ DAYS
Gross
$5,441
55513073001
$5,423
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$5,423
33300074
$5,337
HC SBRT DELIVERY PER FRACTION
Gross
$5,337
41000040
$5,246
HC ECMO/ECLS DAILY MGMT-VENOUS
Gross
$5,246
41000041
$5,246
HC ECMO/ECLS DAILY MGMT ARTERY
Gross
$5,246
59148007280
$5,195
ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE
Gross
$5,195
63833038602
$5,126
PROTHROMBIN COMPLEX CONCENTRATE (KCENTRA) (VARIABLE)
Gross
$5,126
30900465
$5,062
HC TERT GENE TARGETED SEQ ALYS (2230)
Gross
$5,062
31000179
$5,061
HC GENOME SEQUENCE ANALYSIS (1970)
Gross
$5,061
13533080025
$4,906
IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION
Gross
$4,906
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 40400018 | HC MYOCARDIAL IMG, PET, METABOLIC EVAL, 1 STUDY CONCURRENT CT | $26,118 | $26,118 | — | — | 0 |
| 50633011011 | CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION | $25,266 | $25,266 | — | — | 0 |
| 78081881 | OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE | $15,134 | $15,134 | — | — | 0 |
| 310320001 | FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION | $14,302 | $14,302 | — | — | 0 |
| 58468022501 | CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION | $14,159 | $14,159 | — | — | 0 |
| 30900310 | HC UNLISTED MOL PATH (6000) | $12,850 | $12,850 | — | — | 0 |
| 50633011012 | CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION | $12,633 | $12,633 | — | — | 0 |
| 169721211 | FACTOR VIIA RECOMBINANT (NOVOSEVEN) (JHH VARIABLE) | $11,797 | $11,797 | — | — | 0 |
| 30900063 | HC PMPP22 GENE DUP/DELET (4700) | $11,130 | $11,130 | — | — | 0 |
| 50242013701 | TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION | $10,481 | $10,481 | — | — | 0 |
| 64193042602 | ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN | $9,718 | $9,718 | — | — | 0 |
| 50633012012 | DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION | $9,438 | $9,438 | — | — | 0 |
| 50242008527 | ALTEPLASE (STROKE) BOLUS & INFUSION | $9,119 | $9,119 | — | — | 0 |
| 64193042502 | ANTIHIBITOR COAGULANT COMPLEX (FEIBA) (JHH VARIABLE) | $9,118 | $9,118 | — | — | 0 |
| 30900319 | HC UNLISTED MOLE PROC (5150) | $8,961 | $8,961 | — | — | 0 |
| 169720201 | FACTOR VIIA RECOMBINANT (NOVOSEVEN) (JHH VARIABLE) | $8,910 | $8,910 | — | — | 0 |
| 597019705 | IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION | $8,765 | $8,765 | — | — | 0 |
| 34100159 | HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS | $8,525 | $8,525 | — | — | 0 |
| 30900309 | HC UNLISTED MOL PATH (4880) | $8,491 | $8,491 | — | — | 0 |
| 30900118 | HC MOPATH PROCEDUR LEVEL 4 (3400) | $8,051 | $8,051 | — | — | 0 |
| 169720101 | COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION | $7,865 | $7,865 | — | — | 0 |
| 30900057 | HC MSH2 GENE FULL SEQ (3310) | $7,838 | $7,838 | — | — | 0 |
| 63833038702 | HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION | $7,829 | $7,829 | — | — | 0 |
| 63833039701 | HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION | $7,829 | $7,829 | — | — | 0 |
| 63459010450 | RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION | $7,700 | $7,700 | — | — | 0 |
| 64193042402 | ANTIHIBITOR COAGULANT COMPLEX (FEIBA) (JHH VARIABLE) | $7,689 | $7,689 | — | — | 0 |
| 30900308 | HC UNLISTED MOL PATH (4400) | $7,656 | $7,656 | — | — | 0 |
| 63833062701 | ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION | $7,583 | $7,583 | — | — | 0 |
| 50242003706 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $7,391 | $7,391 | — | — | 0 |
| 50242012047 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $7,137 | $7,137 | — | — | 0 |
| 30900408 | HC EXOME SEQUENCE ANAL (2800) | $6,630 | $6,630 | — | — | 0 |
| 41000038 | HC ECMO/ECLS INITIATION VENOUS - DAILY MGMT | $6,630 | $6,630 | — | — | 0 |
| 41000039 | HC ECMO/ECLS INITIATION ARTERY - DAILY MGMT | $6,630 | $6,630 | — | — | 0 |
| 50458056401 | PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE | $6,543 | $6,543 | — | — | 0 |
| 34100158 | HC RADIOPHARM LOCAL TUMOR, SPECT, 2 AREA 1 DAY IMG OR 1 AREA IMG 2+ DAYS | $6,457 | $6,457 | — | — | 0 |
| 30900056 | HC MSH2 GENE FULL SEQ (2670) | $6,323 | $6,323 | — | — | 0 |
| 13533080024 | IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION | $6,176 | $6,176 | — | — | 0 |
| 33300005 | HC INTENSITY MODULATED RADIOTHERAPY PLAN | $6,016 | $6,016 | — | — | 0 |
| 30900217 | HC MOPATH PROCEDUR LEVEL 9 (3405) | $5,916 | $5,916 | — | — | 0 |
| 944270012 | IMMUNE GLOBULIN (GAMMAGARD) 10% 20 G/200 ML INJECTION SOLUTION | $5,730 | $5,730 | — | — | 0 |
| 34100130 | HC TUMOR IMAGING WHOLE BODY 2+ DAYS | $5,441 | $5,441 | — | — | 0 |
| 55513073001 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $5,423 | $5,423 | — | — | 0 |
| 33300074 | HC SBRT DELIVERY PER FRACTION | $5,337 | $5,337 | — | — | 0 |
| 41000040 | HC ECMO/ECLS DAILY MGMT-VENOUS | $5,246 | $5,246 | — | — | 0 |
| 41000041 | HC ECMO/ECLS DAILY MGMT ARTERY | $5,246 | $5,246 | — | — | 0 |
| 59148007280 | ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE | $5,195 | $5,195 | — | — | 0 |
| 63833038602 | PROTHROMBIN COMPLEX CONCENTRATE (KCENTRA) (VARIABLE) | $5,126 | $5,126 | — | — | 0 |
| 30900465 | HC TERT GENE TARGETED SEQ ALYS (2230) | $5,062 | $5,062 | — | — | 0 |
| 31000179 | HC GENOME SEQUENCE ANALYSIS (1970) | $5,061 | $5,061 | — | — | 0 |
| 13533080025 | IMMUNE GLOBULIN (GAMUNEX-C) 10% 20 G/200 ML INJECTION SOLUTION | $4,906 | $4,906 | — | — | 0 |
Showing top 50 of 5,187 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.