45 CFR § 180 compliance
C · 70
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
9,308
Insurances with rates
12
CPT / HCPCS codes
7,180
Source MRF
Most expensive procedures (gross)
J9217
$18,411
LEUPROLIDE ACETATE 45 MG SYRINGE
Gross
$29,744
272497
$14,408
REAMER HOLLOW 2.8MM SCR NS
Gross
$23,276
J0584
$12,721
BUROSUMAB-TWZA 20 MG/ML VIAL
Gross
$20,552
90733
$12,277
MENINGOCOCCAL POLYSACCHARIDE VACCINE GRPS A,C,Y,W-135 PF 50 MCG VIAL
Gross
$19,834
426719
$11,147
BUR BRL 8 FLUTE F-SER 5.5MM
Gross
$18,009
100313
$9,885
WIRE CERC COIL 0.8 10M NS
Gross
$15,969
285524
$9,885
SUT MCRYL 2 0 CT-2 27IN VIOL
Gross
$15,969
585495
$9,283
SEALER LAP BLNT TP LIGASURE
Gross
$14,997
594424
$9,283
STPLR TRI 2.0 RAD XTRA THK
Gross
$14,997
595544
$9,283
CATH SAFE CENT 8FRX5
Gross
$14,997
589570
$9,013
SOL BACTISURE WND LAVAGE 1L
Gross
$14,560
398143
$8,913
INZII UNIV RETRIEVAL SYS 5MM
Gross
$14,399
J2997
$8,062
ALTEPLASE 100 MG VIAL
Gross
$13,025
222590
$7,147
BLDE INFER TURB ROT 2.9MM
Gross
$11,546
Q5120
$7,021
PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SYRINGE
Gross
$11,342
486541
$6,783
RELOAD RADIAL EGIA XTRA THK
Gross
$10,958
C1898
$6,121
LEAD PACEMKR CAPSUR NOVUS 45X1
Gross
$9,888
J2505
$5,880
PEGFILGRASTIM 6 MG/0.6 ML SYRINGE
Gross
$9,499
236000999
$5,745
GRAPHIX
Gross
$9,281
359707
$5,738
SPINDLE CARRIAGE LG DISTRACTOR
Gross
$9,270
366066
$5,738
BLDE HEL FX-NAIL 11X75 TI STRL
Gross
$9,270
236010140
$5,682
OR LEVEL 5 FIRST 30 MINS
Gross
$9,180
515167
$5,356
INST PEDIGUARD CURVE XS
Gross
$8,652
538871
$5,356
NDL RETRCT ASPIR
Gross
$8,652
547330
$5,356
SYS PREVENA INCISION MGMT 13CM
Gross
$8,652
570795
$5,356
INSTR OPN CRV LG JAW SEAL 7.1
Gross
$8,652
86738
$5,292
MYCO PNEUMONIAE AB, IGG & IGM
Gross
$8,549
C1768
$5,195
ALLGRFT ROLLED CMC 13X13MM
Gross
$8,392
620553
$5,101
DRSNG AQUACEL AG ADV 0.39X18
Gross
$8,240
631125
$5,101
SUT PASSING PIN AND TRIAL SIZE
Gross
$8,240
470006180
$4,876
ANKLE W CONT BI
Gross
$7,878
470006900
$4,876
HIP W CONT BI
Gross
$7,878
470006795
$4,789
FOOT W CONT BI
Gross
$7,737
597268
$4,707
ADPTR HUM CUP
Gross
$7,603
224080
$4,584
STYLET LD BALL TAP 0.014IN 58
Gross
$7,406
230122
$4,217
BLDE SHV CUT RES 3.5MM STRL
Gross
$6,812
576164
$4,059
SENSOR MONITORING BIS QUATROXP
Gross
$6,557
576190
$4,059
DEVICE UT KT ENDOMET ABL IMPDN
Gross
$6,557
600435
$4,059
PLUG CABLE 5.0MM
Gross
$6,557
33211
$4,020
INS CARDIAC ELCTRODE SGL ER PF
Gross
$6,495
C1886
$4,010
CATH BLLN RFA 360 EXPRESS
Gross
$6,478
J2353
$3,907
OCTREOTIDE DEPOT 20 MG KIT FOR INJECTION
Gross
$6,312
470006210
$3,866
ANKLE W WO CONT BI
Gross
$6,245
470006645
$3,866
ELBOW W CONT BI
Gross
$6,245
470006930
$3,866
HIP W WO CONT BI
Gross
$6,245
470006945
$3,866
HUMERUS W CONT BI
Gross
$6,245
470007300
$3,866
SHOULDER W CONT BI
Gross
$6,245
470022816
$3,866
THORACIC EPIDURAL INJ (P)
Gross
$6,245
J3101
$3,849
TENECTEPLASE 50 MG KIT
Gross
$6,219
Q5111
$3,825
PEGFILGRASTIM 6 MG/0.6 ML SYRINGE
Gross
$6,179
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9217 | LEUPROLIDE ACETATE 45 MG SYRINGE | $29,744 | $18,411 | $20,062 | $28,256 | 5 |
| 272497 | REAMER HOLLOW 2.8MM SCR NS | $23,276 | $14,408 | $15,700 | $22,112 | 4 |
| J0584 | BUROSUMAB-TWZA 20 MG/ML VIAL | $20,552 | $12,721 | $13,862 | $19,524 | 5 |
| 90733 | MENINGOCOCCAL POLYSACCHARIDE VACCINE GRPS A,C,Y,W-135 PF 50 MCG VIAL | $19,834 | $12,277 | $13,378 | $18,843 | 5 |
| 426719 | BUR BRL 8 FLUTE F-SER 5.5MM | $18,009 | $11,147 | $12,147 | $17,108 | 4 |
| 100313 | WIRE CERC COIL 0.8 10M NS | $15,969 | $9,885 | $10,771 | $15,171 | 4 |
| 285524 | SUT MCRYL 2 0 CT-2 27IN VIOL | $15,969 | $9,885 | $10,771 | $15,171 | 4 |
| 585495 | SEALER LAP BLNT TP LIGASURE | $14,997 | $9,283 | $10,115 | $14,247 | 4 |
| 594424 | STPLR TRI 2.0 RAD XTRA THK | $14,997 | $9,283 | $10,115 | $14,247 | 4 |
| 595544 | CATH SAFE CENT 8FRX5 | $14,997 | $9,283 | $10,115 | $14,247 | 4 |
| 589570 | SOL BACTISURE WND LAVAGE 1L | $14,560 | $9,013 | $9,821 | $13,832 | 4 |
| 398143 | INZII UNIV RETRIEVAL SYS 5MM | $14,399 | $8,913 | $9,712 | $13,679 | 4 |
| J2997 | ALTEPLASE 100 MG VIAL | $13,025 | $8,062 | $8,785 | $12,373 | 5 |
| 222590 | BLDE INFER TURB ROT 2.9MM | $11,546 | $7,147 | $7,788 | $10,969 | 4 |
| Q5120 | PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SYRINGE | $11,342 | $7,021 | $7,650 | $10,775 | 5 |
| 486541 | RELOAD RADIAL EGIA XTRA THK | $10,958 | $6,783 | $7,391 | $10,410 | 4 |
| C1898 | LEAD PACEMKR CAPSUR NOVUS 45X1 | $9,888 | $6,121 | $6,669 | $9,394 | 4 |
| J2505 | PEGFILGRASTIM 6 MG/0.6 ML SYRINGE | $9,499 | $5,880 | $6,407 | $9,024 | 5 |
| 236000999 | GRAPHIX | $9,281 | $5,745 | $6,260 | $8,817 | 4 |
| 359707 | SPINDLE CARRIAGE LG DISTRACTOR | $9,270 | $5,738 | $6,253 | $8,807 | 4 |
| 366066 | BLDE HEL FX-NAIL 11X75 TI STRL | $9,270 | $5,738 | $6,253 | $8,807 | 4 |
| 236010140 | OR LEVEL 5 FIRST 30 MINS | $9,180 | $5,682 | $6,192 | $8,721 | 4 |
| 515167 | INST PEDIGUARD CURVE XS | $8,652 | $5,356 | $5,836 | $8,219 | 4 |
| 538871 | NDL RETRCT ASPIR | $8,652 | $5,356 | $5,836 | $8,219 | 4 |
| 547330 | SYS PREVENA INCISION MGMT 13CM | $8,652 | $5,356 | $5,836 | $8,219 | 4 |
| 570795 | INSTR OPN CRV LG JAW SEAL 7.1 | $8,652 | $5,356 | $5,836 | $8,219 | 4 |
| 86738 | MYCO PNEUMONIAE AB, IGG & IGM | $8,549 | $5,292 | $13.24 | $8,122 | 10 |
| C1768 | ALLGRFT ROLLED CMC 13X13MM | $8,392 | $5,195 | $5,661 | $7,973 | 4 |
| 620553 | DRSNG AQUACEL AG ADV 0.39X18 | $8,240 | $5,101 | $5,558 | $7,828 | 4 |
| 631125 | SUT PASSING PIN AND TRIAL SIZE | $8,240 | $5,101 | $5,558 | $7,828 | 4 |
| 470006180 | ANKLE W CONT BI | $7,878 | $4,876 | $1,390 | $7,484 | 6 |
| 470006900 | HIP W CONT BI | $7,878 | $4,876 | $1,390 | $7,484 | 6 |
| 470006795 | FOOT W CONT BI | $7,737 | $4,789 | $1,390 | $7,350 | 6 |
| 597268 | ADPTR HUM CUP | $7,603 | $4,707 | $5,129 | $7,223 | 4 |
| 224080 | STYLET LD BALL TAP 0.014IN 58 | $7,406 | $4,584 | $4,995 | $7,035 | 4 |
| 230122 | BLDE SHV CUT RES 3.5MM STRL | $6,812 | $4,217 | $4,595 | $6,472 | 4 |
| 576164 | SENSOR MONITORING BIS QUATROXP | $6,557 | $4,059 | $4,423 | $6,229 | 4 |
| 576190 | DEVICE UT KT ENDOMET ABL IMPDN | $6,557 | $4,059 | $4,423 | $6,229 | 4 |
| 600435 | PLUG CABLE 5.0MM | $6,557 | $4,059 | $4,423 | $6,229 | 4 |
| 33211 | INS CARDIAC ELCTRODE SGL ER PF | $6,495 | $4,020 | $177 | $6,170 | 11 |
| C1886 | CATH BLLN RFA 360 EXPRESS | $6,478 | $4,010 | $4,370 | $6,154 | 4 |
| J2353 | OCTREOTIDE DEPOT 20 MG KIT FOR INJECTION | $6,312 | $3,907 | $4,257 | $5,996 | 5 |
| 470006210 | ANKLE W WO CONT BI | $6,245 | $3,866 | $1,390 | $5,933 | 6 |
| 470006645 | ELBOW W CONT BI | $6,245 | $3,866 | $1,390 | $5,933 | 6 |
| 470006930 | HIP W WO CONT BI | $6,245 | $3,866 | $1,390 | $5,933 | 6 |
| 470006945 | HUMERUS W CONT BI | $6,245 | $3,866 | $1,390 | $5,933 | 6 |
| 470007300 | SHOULDER W CONT BI | $6,245 | $3,866 | $1,390 | $5,933 | 6 |
| 470022816 | THORACIC EPIDURAL INJ (P) | $6,245 | $3,866 | $4,212 | $5,933 | 5 |
| J3101 | TENECTEPLASE 50 MG KIT | $6,219 | $3,849 | $4,195 | $5,908 | 5 |
| Q5111 | PEGFILGRASTIM 6 MG/0.6 ML SYRINGE | $6,179 | $3,825 | $4,168 | $5,870 | 5 |
Showing top 50 of 9,308 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.