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
1,927
Insurances with rates
6
CPT / HCPCS codes
1,880
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | Activase (alteplase) Inj 100 mg | $23,233 | $16,263 | — | — | 6 |
| 637 | DIABETES WITH MCC | $19,134 | $19,134 | — | — | 2 |
| 4421 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC | $17,257 | $17,257 | — | — | 6 |
| J3101 | Tnkase (tenecteplace) Inj 50 mg | $16,418 | $11,492 | — | — | 6 |
| 1771 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,129 | $16,129 | — | — | 6 |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $15,700 | $15,700 | — | — | 2 |
| J2505 | PEGFILGRASTIM (NEULASTA) 6MG SYRINGE | $14,774 | — | — | — | 6 |
| 1941 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $14,639 | $14,639 | — | — | 6 |
| 1942 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $14,639 | $14,639 | — | — | 6 |
| J9310 | RITUXIMAB (RITUXAN) 10MG/ML 50ML VIAL | $14,093 | — | — | — | 2 |
| 6901 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $13,027 | $13,027 | — | — | 6 |
| 1931 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,981 | $12,981 | — | — | 6 |
| 2491 | Other Gastroenteritis, Nausea and Vomiting | $12,614 | $12,614 | — | — | 6 |
| 1901 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,530 | $12,530 | — | — | 6 |
| 683 | RENAL FAILURE WITH CC | $11,684 | $11,684 | — | — | 2 |
| 949 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,007 | $11,007 | — | — | 2 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,887 | $10,887 | — | — | 2 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS | $10,557 | $10,557 | — | — | 2 |
| 6031 | CELLULITIS WITHOUT MCC | $10,233 | $10,233 | — | — | 6 |
| 5401 | OSTEOMYELITIS WITH CC | $9,536 | $9,536 | — | — | 6 |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $8,745 | $8,745 | — | — | 6 |
| 1781 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,322 | $8,322 | — | — | 6 |
| J0840 | CROFAB 1GM VIAL | $7,454 | — | — | — | 6 |
| J0897 | Prolia (denosumab) Inj 60 mg | $6,501 | $4,551 | — | — | 6 |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,201 | $6,201 | — | — | 6 |
| 81228 | CHROMOSOME MICROARRAY | $5,925 | — | — | — | 2 |
| 81211 | BRCA 1 AND 2 | $5,069 | $3,548 | — | — | 2 |
| 81162 | BRCA 1 & 2 | $4,500 | — | — | — | 6 |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,137 | $4,137 | — | — | 2 |
| J0129 | NF-ABATACEPT (ORENCIA) 250MG IV VIAL | $3,828 | — | — | — | 6 |
| Q4101 | APLIGRAF | $3,237 | $2,266 | — | — | 2 |
| J1439 | Injectafer (ferric carboxyma) Inj 750 mg | $3,164 | $2,215 | — | — | 6 |
| 83519 | MUSCLE SPECIFIC KINASE | $3,057 | — | — | — | 6 |
| 65235 | REMOVAL OF FOREIGN BODY | $2,864 | $2,005 | — | — | 6 |
| 88184 | LEUKEMIA/LYMPHOMA PANEL | $2,787 | — | — | — | 6 |
| 88185 | LEUKEMIA/LYMPHOMA PANEL | $2,787 | $2,230 | — | — | 2 |
| 88189 | LEUKEMIA/LYMPHOMA PANEL | $2,787 | $2,230 | — | — | 6 |
| J1459 | IMMUNE GLOBULIN (PRIVIGEN) 10GM/100ML | $2,454 | — | — | — | 6 |
| 70549 | MRA NECK WITH AND WITHOUT | $2,406 | $2,406 | — | — | 6 |
| 70546 | MRA HEAD WITHOUT AND WITH CONTRAST | $2,405 | $2,405 | — | — | 6 |
| 71552 | MRI CHEST W/WOUT CONTRAST | $2,361 | $2,361 | — | — | 6 |
| 45385 | COLONOSCOPY WITH REMOVAL OF TUMOR ETC | $2,268 | $1,588 | — | — | 6 |
| 74174 | CTA ABD AND PELVIS W CONTRAST | $2,250 | $1,575 | — | — | 6 |
| 73706 | CTA LEG BILATERAL | $2,214 | $1,550 | — | — | 6 |
| 43251 | EGD WITH REMOVAL OF TUMOR ETC | $2,213 | $1,549 | — | — | 6 |
| 110 | ACUTE ROOM AND BOARD | $2,200 | $2,200 | — | — | 2 |
| P9019 | BB PLATELETS EA UNIT | $2,062 | — | — | — | 6 |
| 72149 | MRI OTHER HOSPITAL | $2,000 | — | — | — | 6 |
| Q4160 | NUSHIELD 2X3 CM | $1,988 | $1,391 | — | — | 2 |
| 59409 | VAG DELIV ONLY | $1,960 | — | — | — | 6 |
Showing top 50 of 1,927 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.