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)
| 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.