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
1,705
Insurances with rates
0
CPT / HCPCS codes
1,578
Source MRF
Most expensive procedures (gross)
J2507
$35,465
PEGLOTICASE(KRYSTEXXA) 8MG/1ML SDV
Gross
$47,286
J3101
$9,336
TENECTEPLASE 50MG KIT(ST)
Gross
$12,448
J3380
$8,186
VEDOLIZUMAB(ENTYVIO) 300MG SDV
Gross
$10,915
J2506
$6,422
PEGFILGRASTIM (Neulasta)INJ 6MG/0.6ML
Gross
$8,563
J0517
$5,996
Fasenra 30mg/mL PFS
Gross
$7,995
J2356
$5,161
Tezspire 210mg/1.91mL PFS
Gross
$6,881
J9217
$4,529
LEUPROLIDE(LUPRON DEPOT 3-MONTH)22.5MG
Gross
$6,039
J0775
$3,790
COLLAGENASE SYSTEMIC(XIAFLEX) 0.9MGEA
Gross
$5,053
74178
$3,572
CT A/P W W/O CON
Gross
$4,763
90375
$3,488
RABIES IMMUNE GLOBULIN IM 150IU/ML10ML
Gross
$4,651
J0875
$3,202
DALBAVANCIN (DALVANCE) PWVL 500MG
Gross
$4,270
27134
$3,116
TOTAL HIP ARTHROPLASTY REVISION
Gross
$4,155
70471
$3,021
CT CTA HEAD AND NECK
Gross
$4,028
78451
$2,888
NM MYOCARDIAL PERFUSION (SINGLE)
Gross
$3,851
27487
$2,875
REVISION OF TOTAL KNEE ARTHROPLASTY
Gross
$3,833
74177
$2,868
CT A/P IVCON ONLY
Gross
$3,824
20827
$2,720
REPLANTATION THUMB DISTAL TIP OF MP JNT
Gross
$3,626
20822
$2,648
REIMPLANTATION FINGER
Gross
$3,530
23474
$2,591
REVISION TOTAL SHOULDER ARTHRO HUMERAL G
Gross
$3,454
27227
$2,468
OPEN TX ACETABULAR FX
Gross
$3,291
J2993
$2,443
RETEPLASE (RETAVASE) HALF KIT 10 UNITS
Gross
$3,257
78452
$2,432
NM MYOCARDIAL PERF SPECT MULTI
Gross
$3,242
73706
$2,360
CT CTA BILAT LOW EXT
Gross
$3,146
27447
$2,352
TOTAL KNEE ARTHROPLASTY
Gross
$3,136
74175
$2,352
CT CTA ABD
Gross
$3,136
J1569
$2,346
IMMUNE GLOBULIN (GAMMAGARD) 10% 30GM/300
Gross
$3,128
J2357
$2,331
Xolair 150mg/mL PFS
Gross
$3,108
27138
$2,304
ARTHROPLASTY FEMORIAL COM ONLY
Gross
$3,072
J0139
$2,302
HUMIRA SUBQ KIT 40MG/0.8ML
Gross
$3,069
27759
$2,273
TX OF TIBIAL SHAFT FX INTRAMED IMPLANT
Gross
$3,030
27130
$2,204
TOTAL HIP ARTHROPLASTY
Gross
$2,938
74176
$2,164
CT A/P RENAL STONE
Gross
$2,885
23472
$2,160
ARTHROPLASTY TOTAL SHOULDER
Gross
$2,880
J7327
$2,144
HYALURONAN(MONOVISC) 22MG/ML: 4ML
Gross
$2,858
27486
$2,104
REVISION OF TKA W OR WO ALLOGRAFT
Gross
$2,805
27244
$2,024
TX INTERTROCHANTERIC FEMORAL FX
Gross
$2,698
73206
$2,003
CT CTA UPPER EXTREMITY W/IV CONT
Gross
$2,670
72127
$1,985
CT CERV SPINE W/WO CON
Gross
$2,647
73202
$1,985
CT UPPEXTW/WOCONBI
Gross
$2,647
70492
$1,985
CT S.T.NECK W/WO CON
Gross
$2,647
72194
$1,985
CT PELVIS W/WO CON
Gross
$2,647
72133
$1,985
CT LUM SP W/WO CON
Gross
$2,647
72130
$1,985
CT T SPINE W/WO CON
Gross
$2,647
71270
$1,985
CT CHEST W/WO CON
Gross
$2,647
27236
$1,966
FEMORAL FX INTERNAL FIXATION
Gross
$2,621
C1776
$1,964
ORTHO-UNITRAX ENDO HEAD 53MM
Gross
$2,618
J0897
$1,900
DENOSUMAB (PROLIA) 60MG/1ML
Gross
$2,533
73201
$1,883
CT UPP EXT W CON BIL,bi lateral
Gross
$2,510
72193
$1,883
CT PELVIS WIV CON
Gross
$2,510
72126
$1,883
CT CERV SPINE W CON
Gross
$2,510
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2507 | PEGLOTICASE(KRYSTEXXA) 8MG/1ML SDV | $47,286 | $35,465 | — | — | 0 |
| J3101 | TENECTEPLASE 50MG KIT(ST) | $12,448 | $9,336 | — | — | 0 |
| J3380 | VEDOLIZUMAB(ENTYVIO) 300MG SDV | $10,915 | $8,186 | — | — | 0 |
| J2506 | PEGFILGRASTIM (Neulasta)INJ 6MG/0.6ML | $8,563 | $6,422 | — | — | 0 |
| J0517 | Fasenra 30mg/mL PFS | $7,995 | $5,996 | — | — | 0 |
| J2356 | Tezspire 210mg/1.91mL PFS | $6,881 | $5,161 | — | — | 0 |
| J9217 | LEUPROLIDE(LUPRON DEPOT 3-MONTH)22.5MG | $6,039 | $4,529 | — | — | 0 |
| J0775 | COLLAGENASE SYSTEMIC(XIAFLEX) 0.9MGEA | $5,053 | $3,790 | — | — | 0 |
| 74178 | CT A/P W W/O CON | $4,763 | $3,572 | — | — | 0 |
| 90375 | RABIES IMMUNE GLOBULIN IM 150IU/ML10ML | $4,651 | $3,488 | — | — | 0 |
| J0875 | DALBAVANCIN (DALVANCE) PWVL 500MG | $4,270 | $3,202 | — | — | 0 |
| 27134 | TOTAL HIP ARTHROPLASTY REVISION | $4,155 | $3,116 | — | — | 0 |
| 70471 | CT CTA HEAD AND NECK | $4,028 | $3,021 | — | — | 0 |
| 78451 | NM MYOCARDIAL PERFUSION (SINGLE) | $3,851 | $2,888 | — | — | 0 |
| 27487 | REVISION OF TOTAL KNEE ARTHROPLASTY | $3,833 | $2,875 | — | — | 0 |
| 74177 | CT A/P IVCON ONLY | $3,824 | $2,868 | — | — | 0 |
| 20827 | REPLANTATION THUMB DISTAL TIP OF MP JNT | $3,626 | $2,720 | — | — | 0 |
| 20822 | REIMPLANTATION FINGER | $3,530 | $2,648 | — | — | 0 |
| 23474 | REVISION TOTAL SHOULDER ARTHRO HUMERAL G | $3,454 | $2,591 | — | — | 0 |
| 27227 | OPEN TX ACETABULAR FX | $3,291 | $2,468 | — | — | 0 |
| J2993 | RETEPLASE (RETAVASE) HALF KIT 10 UNITS | $3,257 | $2,443 | — | — | 0 |
| 78452 | NM MYOCARDIAL PERF SPECT MULTI | $3,242 | $2,432 | — | — | 0 |
| 73706 | CT CTA BILAT LOW EXT | $3,146 | $2,360 | — | — | 0 |
| 27447 | TOTAL KNEE ARTHROPLASTY | $3,136 | $2,352 | — | — | 0 |
| 74175 | CT CTA ABD | $3,136 | $2,352 | — | — | 0 |
| J1569 | IMMUNE GLOBULIN (GAMMAGARD) 10% 30GM/300 | $3,128 | $2,346 | — | — | 0 |
| J2357 | Xolair 150mg/mL PFS | $3,108 | $2,331 | — | — | 0 |
| 27138 | ARTHROPLASTY FEMORIAL COM ONLY | $3,072 | $2,304 | — | — | 0 |
| J0139 | HUMIRA SUBQ KIT 40MG/0.8ML | $3,069 | $2,302 | — | — | 0 |
| 27759 | TX OF TIBIAL SHAFT FX INTRAMED IMPLANT | $3,030 | $2,273 | — | — | 0 |
| 27130 | TOTAL HIP ARTHROPLASTY | $2,938 | $2,204 | — | — | 0 |
| 74176 | CT A/P RENAL STONE | $2,885 | $2,164 | — | — | 0 |
| 23472 | ARTHROPLASTY TOTAL SHOULDER | $2,880 | $2,160 | — | — | 0 |
| J7327 | HYALURONAN(MONOVISC) 22MG/ML: 4ML | $2,858 | $2,144 | — | — | 0 |
| 27486 | REVISION OF TKA W OR WO ALLOGRAFT | $2,805 | $2,104 | — | — | 0 |
| 27244 | TX INTERTROCHANTERIC FEMORAL FX | $2,698 | $2,024 | — | — | 0 |
| 73206 | CT CTA UPPER EXTREMITY W/IV CONT | $2,670 | $2,003 | — | — | 0 |
| 72127 | CT CERV SPINE W/WO CON | $2,647 | $1,985 | — | — | 0 |
| 73202 | CT UPPEXTW/WOCONBI | $2,647 | $1,985 | — | — | 0 |
| 70492 | CT S.T.NECK W/WO CON | $2,647 | $1,985 | — | — | 0 |
| 72194 | CT PELVIS W/WO CON | $2,647 | $1,985 | — | — | 0 |
| 72133 | CT LUM SP W/WO CON | $2,647 | $1,985 | — | — | 0 |
| 72130 | CT T SPINE W/WO CON | $2,647 | $1,985 | — | — | 0 |
| 71270 | CT CHEST W/WO CON | $2,647 | $1,985 | — | — | 0 |
| 27236 | FEMORAL FX INTERNAL FIXATION | $2,621 | $1,966 | — | — | 0 |
| C1776 | ORTHO-UNITRAX ENDO HEAD 53MM | $2,618 | $1,964 | — | — | 0 |
| J0897 | DENOSUMAB (PROLIA) 60MG/1ML | $2,533 | $1,900 | — | — | 0 |
| 73201 | CT UPP EXT W CON BIL,bi lateral | $2,510 | $1,883 | — | — | 0 |
| 72193 | CT PELVIS WIV CON | $2,510 | $1,883 | — | — | 0 |
| 72126 | CT CERV SPINE W CON | $2,510 | $1,883 | — | — | 0 |
Showing top 50 of 1,705 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.