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
5,655
Insurances with rates
24
CPT / HCPCS codes
2,010
Source MRF
Most expensive procedures (gross)
J3380
$21,632
VEDOLIZUMAB 300 MG POW
Gross
$33,800
J3101
$20,710
TENECTEPLASE 25 MG KIT
Gross
$32,359
J2506
$16,019
PEGFILGRASTIM 6 MG/0.6 ML SUBQ INJ
Gross
$25,030
C1767
$14,580
INSPIRE PULSE GENERATOR
Gross
$22,781
J0517
$14,169
BENRALIZUMAB 30 MG/ML SOL
Gross
$22,139
J1162
$11,938
DIGOXIN IMMUNE FAB 40 MG INJ
Gross
$18,654
22514
$10,329
KYPHOPLASTY
Gross
$16,138
27509
$9,545
27509-PERCUTANEOUS OF FEMUR
Gross
$14,914
22513
$9,280
VERTEBROPLASTY
Gross
$14,500
0627T
$9,216
VIADISC
Gross
$14,400
J1306
$8,420
INCLISIRAN (LEQVIO) 284 MG/1.5 ML SOL
Gross
$13,156
63650
$8,192
SPINAL CORD STIMULATOR TRIAL
Gross
$12,800
J0840
$7,982
ANTIVENIN (CROTALIDAE) POLYVALENT POW
Gross
$12,472
J3111
$6,076
EVENITY 210 MG 2.34 ML SOL
Gross
$9,494
47382
$5,654
CT ABLATION LIVER PERC RF
Gross
$8,835
50592
$5,654
CT ABLATION RENAL RF LEFT
Gross
$8,835
SOTROVIMAB 500 MG/8 ML
$5,242
SOTROVIMAB 500 MG/8 ML
Gross
$8,190
15273
$5,197
15273 SKIN SUB GRFT T/ARM/LG CHILD WC CHARGE
Gross
$8,120
22515
$5,120
KYPHO EA ADDL LEVEL
Gross
$8,000
J7325
$4,923
AMB HYLAN G-F 20 CHARGE 48MG/6ML HYLAN G-F 20
Gross
$7,692
J7336
$4,481
CAPSAICIN TOPICAL 8% 2 PATCH
Gross
$7,002
J0897
$4,458
PROLIA 60 MG/ML
Gross
$6,966
J0875
$4,441
DALVANCE 500 MG POW
Gross
$6,939
27532
$4,393
27532 - TIBIAL FRACTURE PROXIMAL
Gross
$6,864
J1459
$4,391
IMMUNE GLOBULIN 10% IV SOL 100 ML
Gross
$6,862
23030
$3,983
23030-IANDD SHOULDER AREA DEEP ABSCESS
Gross
$6,223
27372
$3,983
27372 - DEEP THIGH REGION/KNEE AREA
Gross
$6,223
57200
$3,955
57200 - COLPORRHAPHY
Gross
$6,179
J7318
$3,864
AMB SODIUM HYALURONATE CHARGE 60 MG SODIUM HYALURONATE
Gross
$6,037
J7327
$3,744
59676-0820-01 - HYALURONAN 88 MG/4 ML SOL
Gross
$5,850
J0630
$3,744
CALCITONIN 200 INTL UNITS/ML INJ SOL
Gross
$5,850
J7168
$3,719
PROTHROMBIN COMPLEX 500 U RANGE POW
Gross
$5,811
J1439
$3,717
INJECTAFER 750 MG/15ML
Gross
$5,808
J0129
$3,650
ABATACEPT 250 MG IV INJ
Gross
$5,704
23474
$3,288
23474 REVISION OF TOTAL SHOULDER ARTHROPLASTY INCLUDING ALLOGRAFT HUMERAL AND
Gross
$5,138
23472
$3,224
23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER
Gross
$5,038
23473
$3,224
23473 REVISION OF TOTAL SHOULDER ARTHROPLASTY INCLUDING ALLOGRAFT HUMERAL
Gross
$5,038
MOMETASONE NASAL 1350 MCG
$3,182
MOMETASONE NASAL 1350 MCG
Gross
$4,973
J9280
$3,155
MITOMYCIN 40 MG POW
Gross
$4,929
27487
$2,940
27487 REVISION OF TOTAL KNEE ARTHROPLASTY FEMORAL AND ENTIRE TIBIAL COMPONENT
Gross
$4,594
51102
$2,913
51102 - ASPIRATION BLADDER W/SUPRA CATH
Gross
$4,552
52005
$2,913
52005 - CYSTOURETHROSCOPY W/URET CATH
Gross
$4,552
54700
$2,913
54700-IANDD EPIDIDYMIS/TESTIS/SCROTAL SPACE
Gross
$4,552
13160
$2,888
13160-SECONDARY CLOSURE SURGICAL WOUND
Gross
$4,512
37191
$2,880
XR IVC FILTER INSERTION
Gross
$4,500
27447
$2,868
27447 ARTHROPLASTY KNEE CONDYLE AND PLATEAU MEDIAL AND LATERAL COMPARTMENTS
Gross
$4,481
31238
$2,844
31238 - ENDOSCOPY W/CONTROL NASAL
Gross
$4,444
J1451
$2,729
FOMEPIZOLE 1 G/ML IV SOL
Gross
$4,264
27132
$2,711
27132 CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY
Gross
$4,236
27762
$2,701
27762-MEDIAL MALLEOLUS W MANIPULATION
Gross
$4,220
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | VEDOLIZUMAB 300 MG POW | $33,800 | $21,632 | — | — | 25 |
| J3101 | TENECTEPLASE 25 MG KIT | $32,359 | $20,710 | — | — | 25 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SUBQ INJ | $25,030 | $16,019 | — | — | 24 |
| C1767 | INSPIRE PULSE GENERATOR | $22,781 | $14,580 | — | — | 14 |
| J0517 | BENRALIZUMAB 30 MG/ML SOL | $22,139 | $14,169 | — | — | 25 |
| J1162 | DIGOXIN IMMUNE FAB 40 MG INJ | $18,654 | $11,938 | — | — | 25 |
| 22514 | KYPHOPLASTY | $16,138 | $10,329 | — | — | 28 |
| 27509 | 27509-PERCUTANEOUS OF FEMUR | $14,914 | $9,545 | — | — | 27 |
| 22513 | VERTEBROPLASTY | $14,500 | $9,280 | — | — | 28 |
| 0627T | VIADISC | $14,400 | $9,216 | — | — | 22 |
| J1306 | INCLISIRAN (LEQVIO) 284 MG/1.5 ML SOL | $13,156 | $8,420 | — | — | 24 |
| 63650 | SPINAL CORD STIMULATOR TRIAL | $12,800 | $8,192 | — | — | 28 |
| J0840 | ANTIVENIN (CROTALIDAE) POLYVALENT POW | $12,472 | $7,982 | — | — | 25 |
| J3111 | EVENITY 210 MG 2.34 ML SOL | $9,494 | $6,076 | — | — | 48 |
| 47382 | CT ABLATION LIVER PERC RF | $8,835 | $5,654 | — | — | 28 |
| 50592 | CT ABLATION RENAL RF LEFT | $8,835 | $5,654 | — | — | 28 |
| SOTROVIMAB 500 MG/8 ML | SOTROVIMAB 500 MG/8 ML | $8,190 | $5,242 | — | — | 14 |
| 15273 | 15273 SKIN SUB GRFT T/ARM/LG CHILD WC CHARGE | $8,120 | $5,197 | — | — | 28 |
| 22515 | KYPHO EA ADDL LEVEL | $8,000 | $5,120 | — | — | 15 |
| J7325 | AMB HYLAN G-F 20 CHARGE 48MG/6ML HYLAN G-F 20 | $7,692 | $4,923 | — | — | 26 |
| J7336 | CAPSAICIN TOPICAL 8% 2 PATCH | $7,002 | $4,481 | — | — | 25 |
| J0897 | PROLIA 60 MG/ML | $6,966 | $4,458 | — | — | 50 |
| J0875 | DALVANCE 500 MG POW | $6,939 | $4,441 | — | — | 25 |
| 27532 | 27532 - TIBIAL FRACTURE PROXIMAL | $6,864 | $4,393 | — | — | 27 |
| J1459 | IMMUNE GLOBULIN 10% IV SOL 100 ML | $6,862 | $4,391 | — | — | 25 |
| 23030 | 23030-IANDD SHOULDER AREA DEEP ABSCESS | $6,223 | $3,983 | — | — | 27 |
| 27372 | 27372 - DEEP THIGH REGION/KNEE AREA | $6,223 | $3,983 | — | — | 27 |
| 57200 | 57200 - COLPORRHAPHY | $6,179 | $3,955 | — | — | 27 |
| J7318 | AMB SODIUM HYALURONATE CHARGE 60 MG SODIUM HYALURONATE | $6,037 | $3,864 | — | — | 25 |
| J7327 | 59676-0820-01 - HYALURONAN 88 MG/4 ML SOL | $5,850 | $3,744 | — | — | 26 |
| J0630 | CALCITONIN 200 INTL UNITS/ML INJ SOL | $5,850 | $3,744 | — | — | 36 |
| J7168 | PROTHROMBIN COMPLEX 500 U RANGE POW | $5,811 | $3,719 | — | — | 24 |
| J1439 | INJECTAFER 750 MG/15ML | $5,808 | $3,717 | — | — | 25 |
| J0129 | ABATACEPT 250 MG IV INJ | $5,704 | $3,650 | — | — | 25 |
| 23474 | 23474 REVISION OF TOTAL SHOULDER ARTHROPLASTY INCLUDING ALLOGRAFT HUMERAL AND | $5,138 | $3,288 | — | — | 24 |
| 23472 | 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $5,038 | $3,224 | — | — | 28 |
| 23473 | 23473 REVISION OF TOTAL SHOULDER ARTHROPLASTY INCLUDING ALLOGRAFT HUMERAL | $5,038 | $3,224 | — | — | 28 |
| MOMETASONE NASAL 1350 MCG | MOMETASONE NASAL 1350 MCG | $4,973 | $3,182 | — | — | 14 |
| J9280 | MITOMYCIN 40 MG POW | $4,929 | $3,155 | — | — | 25 |
| 27487 | 27487 REVISION OF TOTAL KNEE ARTHROPLASTY FEMORAL AND ENTIRE TIBIAL COMPONENT | $4,594 | $2,940 | — | — | 24 |
| 51102 | 51102 - ASPIRATION BLADDER W/SUPRA CATH | $4,552 | $2,913 | — | — | 27 |
| 52005 | 52005 - CYSTOURETHROSCOPY W/URET CATH | $4,552 | $2,913 | — | — | 27 |
| 54700 | 54700-IANDD EPIDIDYMIS/TESTIS/SCROTAL SPACE | $4,552 | $2,913 | — | — | 27 |
| 13160 | 13160-SECONDARY CLOSURE SURGICAL WOUND | $4,512 | $2,888 | — | — | 27 |
| 37191 | XR IVC FILTER INSERTION | $4,500 | $2,880 | — | — | 28 |
| 27447 | 27447 ARTHROPLASTY KNEE CONDYLE AND PLATEAU MEDIAL AND LATERAL COMPARTMENTS | $4,481 | $2,868 | — | — | 28 |
| 31238 | 31238 - ENDOSCOPY W/CONTROL NASAL | $4,444 | $2,844 | — | — | 27 |
| J1451 | FOMEPIZOLE 1 G/ML IV SOL | $4,264 | $2,729 | — | — | 50 |
| 27132 | 27132 CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY | $4,236 | $2,711 | — | — | 24 |
| 27762 | 27762-MEDIAL MALLEOLUS W MANIPULATION | $4,220 | $2,701 | — | — | 27 |
Showing top 50 of 5,655 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.