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
2,157
Insurances with rates
9
CPT / HCPCS codes
2,122
Source MRF
Most expensive procedures (gross)
J2507
$47,424
NF-KRYSTEXXA 8MG/ML VIAL(PEGLOTICASE)
Gross
$59,280
J3380
$18,720
ENTYVIO 300MG VIAL (VEDOLIZUMAB)
Gross
$23,400
J2323
$17,076
TYSABRI 300MG/15ML VIAL (NATALIZUMAB)
Gross
$21,345
J3101
$15,765
TNKase IV FOR STEMI (RED)
Gross
$19,706
J0517
$10,350
FASENRA 30MG/ML PFS (BENRALIZUMAB)
Gross
$12,937
C1785
$10,000
PACEMAKER
Gross
$12,500
J3111
$5,258
EVENITY 210MG/2.34ML INJ
Gross
$6,573
J3262
$5,254
ACTEMRA 400MG/20ML VIAL (TOCILIZUMAB)
Gross
$6,567
Q5115
$5,208
TRUXIMA 500MG VIAL(RITUXIMAB-abbs)
Gross
$6,510
77049
$4,883
MRI BREAST W/W/O CONTRAST BILATERAL
Gross
$6,104
J2505
$4,733
NEULASTA INJ 6MG
Gross
$5,916
C1776
$4,150
TOE JOINT
Gross
$5,188
70543
$3,906
MRI ORBIT FACE NECK W/W/O CONTRAST
Gross
$4,883
70553
$3,906
MRI BRAIN W/W/O CONTRAST
Gross
$4,883
71552
$3,906
MRI CHEST W/W/O CNTRST
Gross
$4,883
72156
$3,906
MRI SPINE CERVICAL W/W/O CONTRAST
Gross
$4,883
72157
$3,906
MRI SPINE THORACIC W/W/O CONTRAST
Gross
$4,883
72158
$3,906
MRI SPINE LUMBAR W/W/O CONTRAST
Gross
$4,883
72197
$3,906
MRI PELVIS W/W/O CONTRAST
Gross
$4,883
73220
$3,906
MRI HAND W/&W/O CONTRAST RIGHT
Gross
$4,883
73223
$3,906
MRI WRIST W W/O CONTRAST RIGHT
Gross
$4,883
73720
$3,906
MRI FOOT W/&W/O CONTRAST RIGHT
Gross
$4,883
73723
$3,906
MRI KNEE W/W/O CONTRAST LEFT
Gross
$4,883
74183
$3,906
MRI ABDOMEN W/W/O CONTRAST
Gross
$4,883
77048
$3,906
MRI BREAST W/W/O CONTRAST LEFT
Gross
$4,883
C8906
$3,906
MRI BREAST W/ CONTRAST BILATERAL
Gross
$4,883
J1602
$3,787
SIMPONI ARIA VL 50MG/4ML(GOLIMUMAB)
Gross
$4,734
J3032
$3,735
VYEPTI 100MG/ML VIAL (EPTINEZUMAB-JJMR)
Gross
$4,669
J0897
$3,394
PROLIA 60MG PFS -SUBQ (DENOSUMAB)
Gross
$4,243
19083
$3,320
US GUIDED CORE BX BREAST+
Gross
$4,150
70542
$3,125
MRI FACE NECK ORBIT W/ CONTRAST
Gross
$3,906
70552
$3,125
MRI BRAIN W/ CONTRAST
Gross
$3,906
71551
$3,125
MRI CHEST W CONTRAST
Gross
$3,906
72142
$3,125
MRI SPINE CERVICAL W/ CONTRAST
Gross
$3,906
72147
$3,125
MRI SPINE THORACIC W/ CONTRAST
Gross
$3,906
72149
$3,125
MRI SPINE LUMBAR W/ CONTRAST
Gross
$3,906
72196
$3,125
MRI PELVIS W/ CONTRAST
Gross
$3,906
73219
$3,125
MRI HUMERUS W/ CONTRAST RIGHT
Gross
$3,906
73222
$3,125
MRI WRIST W/ CONTRAST RIGHT
Gross
$3,906
73719
$3,125
MRI LOWER EXTREMITY W/ CONTRAST LEFT
Gross
$3,906
73722
$3,125
MRI KNEE W/ CONTRAST RIGHT
Gross
$3,906
74182
$3,125
MRI ABDOMEN W/ CONTRAST
Gross
$3,906
C8903
$3,125
MRI BREAST W/ CONTRAST LEFT
Gross
$3,906
36245
$2,814
INSERTION OF CATH INTO ABDOMINAL ARTERY
Gross
$3,518
C1889
$2,650
LATERA IMPLANT SYSTEM
Gross
$3,313
49020
$2,546
DRAINAGE OF PERITONEAL ABSCESS
Gross
$3,182
19285
$2,538
US GUIDED NEEDLE LOCALIZATION
Gross
$3,172
77047
$2,490
MRI BREAST W/O CONTRAST BILATERAL
Gross
$3,113
78452
$2,486
EQUUM NM STRESS CARDIOLITE+
Gross
$3,108
74174
$2,384
CTA ABDOMEN/PELVIS W W/O CONTRAST+
Gross
$2,980
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2507 | NF-KRYSTEXXA 8MG/ML VIAL(PEGLOTICASE) | $59,280 | $47,424 | — | — | 1 |
| J3380 | ENTYVIO 300MG VIAL (VEDOLIZUMAB) | $23,400 | $18,720 | — | — | 1 |
| J2323 | TYSABRI 300MG/15ML VIAL (NATALIZUMAB) | $21,345 | $17,076 | — | — | 1 |
| J3101 | TNKase IV FOR STEMI (RED) | $19,706 | $15,765 | — | — | 0 |
| J0517 | FASENRA 30MG/ML PFS (BENRALIZUMAB) | $12,937 | $10,350 | — | — | 1 |
| C1785 | PACEMAKER | $12,500 | $10,000 | — | — | 0 |
| J3111 | EVENITY 210MG/2.34ML INJ | $6,573 | $5,258 | — | — | 1 |
| J3262 | ACTEMRA 400MG/20ML VIAL (TOCILIZUMAB) | $6,567 | $5,254 | — | — | 1 |
| Q5115 | TRUXIMA 500MG VIAL(RITUXIMAB-abbs) | $6,510 | $5,208 | — | — | 1 |
| 77049 | MRI BREAST W/W/O CONTRAST BILATERAL | $6,104 | $4,883 | — | — | 1 |
| J2505 | NEULASTA INJ 6MG | $5,916 | $4,733 | — | — | 3 |
| C1776 | TOE JOINT | $5,188 | $4,150 | — | — | 0 |
| 70543 | MRI ORBIT FACE NECK W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 70553 | MRI BRAIN W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 71552 | MRI CHEST W/W/O CNTRST | $4,883 | $3,906 | — | — | 1 |
| 72156 | MRI SPINE CERVICAL W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 72157 | MRI SPINE THORACIC W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 72158 | MRI SPINE LUMBAR W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 72197 | MRI PELVIS W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 73220 | MRI HAND W/&W/O CONTRAST RIGHT | $4,883 | $3,906 | — | — | 1 |
| 73223 | MRI WRIST W W/O CONTRAST RIGHT | $4,883 | $3,906 | — | — | 1 |
| 73720 | MRI FOOT W/&W/O CONTRAST RIGHT | $4,883 | $3,906 | — | — | 1 |
| 73723 | MRI KNEE W/W/O CONTRAST LEFT | $4,883 | $3,906 | — | — | 1 |
| 74183 | MRI ABDOMEN W/W/O CONTRAST | $4,883 | $3,906 | — | — | 1 |
| 77048 | MRI BREAST W/W/O CONTRAST LEFT | $4,883 | $3,906 | — | — | 1 |
| C8906 | MRI BREAST W/ CONTRAST BILATERAL | $4,883 | $3,906 | — | — | 0 |
| J1602 | SIMPONI ARIA VL 50MG/4ML(GOLIMUMAB) | $4,734 | $3,787 | — | — | 1 |
| J3032 | VYEPTI 100MG/ML VIAL (EPTINEZUMAB-JJMR) | $4,669 | $3,735 | — | — | 1 |
| J0897 | PROLIA 60MG PFS -SUBQ (DENOSUMAB) | $4,243 | $3,394 | — | — | 1 |
| 19083 | US GUIDED CORE BX BREAST+ | $4,150 | $3,320 | — | — | 1 |
| 70542 | MRI FACE NECK ORBIT W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 70552 | MRI BRAIN W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 71551 | MRI CHEST W CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 72142 | MRI SPINE CERVICAL W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 72147 | MRI SPINE THORACIC W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 72196 | MRI PELVIS W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| 73219 | MRI HUMERUS W/ CONTRAST RIGHT | $3,906 | $3,125 | — | — | 1 |
| 73222 | MRI WRIST W/ CONTRAST RIGHT | $3,906 | $3,125 | — | — | 1 |
| 73719 | MRI LOWER EXTREMITY W/ CONTRAST LEFT | $3,906 | $3,125 | — | — | 1 |
| 73722 | MRI KNEE W/ CONTRAST RIGHT | $3,906 | $3,125 | — | — | 1 |
| 74182 | MRI ABDOMEN W/ CONTRAST | $3,906 | $3,125 | — | — | 1 |
| C8903 | MRI BREAST W/ CONTRAST LEFT | $3,906 | $3,125 | — | — | 0 |
| 36245 | INSERTION OF CATH INTO ABDOMINAL ARTERY | $3,518 | $2,814 | — | — | 1 |
| C1889 | LATERA IMPLANT SYSTEM | $3,313 | $2,650 | — | — | 0 |
| 49020 | DRAINAGE OF PERITONEAL ABSCESS | $3,182 | $2,546 | — | — | 9 |
| 19285 | US GUIDED NEEDLE LOCALIZATION | $3,172 | $2,538 | — | — | 1 |
| 77047 | MRI BREAST W/O CONTRAST BILATERAL | $3,113 | $2,490 | — | — | 1 |
| 78452 | EQUUM NM STRESS CARDIOLITE+ | $3,108 | $2,486 | — | — | 1 |
| 74174 | CTA ABDOMEN/PELVIS W W/O CONTRAST+ | $2,980 | $2,384 | — | — | 1 |
Showing top 50 of 2,157 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.