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
684
Insurances with rates
11
CPT / HCPCS codes
681
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | ENTYVIO (VEDOLIZUMAB) IV 300MG | $16,708 | $16,708 | — | — | 1 |
| 52332 | CYSTO STENT PLACEMENT | $9,229 | $9,229 | — | — | 1 |
| 81479 | GENETIC STUDIES(BRCA1/BRCA2) | $7,910 | $7,910 | — | — | 1 |
| J9217 | ELIGARD 45MG: 6 MONTH SYG | $5,899 | $5,899 | — | — | 1 |
| 52310 | CYSTO STENT REMOVAL | $5,379 | $5,379 | — | — | 1 |
| 54161 | CIRCUMCISION ADULT | $5,206 | $5,206 | — | — | 1 |
| 62323 | LUMBAR EPIDURAL W GUIDE | $5,031 | $5,031 | — | — | 6 |
| 62321 | CERVICAL EPIDURAL W GUIDE | $5,031 | $5,031 | — | — | 1 |
| 19083 | US BREAST BIOPSY CORE W/GUIDE | $4,634 | $4,634 | — | — | 2 |
| 78452 | NUC MED CARDIAC PERFUSION SPECT MULTIPLE | $4,153 | $4,153 | — | — | 6 |
| J2248 | MYCAMINE VIAL 100MG | $4,084 | $4,084 | — | — | 3 |
| 27447 | DOC TOTAL KNEE ARTHROPLASTY | $4,009 | $4,009 | — | — | 4 |
| 95811 | POLYSOM 4 OR > WIITH CPAP | $3,969 | $3,969 | — | — | 5 |
| 78815 | PET CT SKULL TO MID THIGH | $3,932 | $3,932 | — | — | 5 |
| 78816 | PET CT WHOLE BODY | $3,932 | $3,932 | — | — | 1 |
| 64483 | LUMBAR FORAMINAL INJ W GUIDE | $3,685 | $3,685 | — | — | 2 |
| 74178 | CT ABDOMEN PELVIS WWO | $3,400 | $3,400 | — | — | 7 |
| 70553 | MRI HEAD WWO | $3,250 | $3,250 | — | — | 6 |
| 74183 | MRI ABDOMEN WWO | $3,250 | $3,250 | — | — | 5 |
| 73723 | MRI ANKLE RT WWO | $3,250 | $3,250 | — | — | 1 |
| 72156 | MRI CERVICAL SP WWO | $3,250 | $3,250 | — | — | 2 |
| 72158 | MRI LUMBAR SP WWO | $3,250 | $3,250 | — | — | 1 |
| 72157 | MRI THORACIC SP WWO | $3,250 | $3,250 | — | — | 2 |
| 73720 | MRI FOOT LT OR RT WWO | $3,250 | $3,250 | — | — | 2 |
| 70543 | MRI NECK FACE EYE WWO | $3,250 | $3,250 | — | — | 1 |
| 72197 | MRI PELVIS WWO | $3,250 | $3,250 | — | — | 1 |
| 45384 | COLON/POLYP/HB | $3,111 | $3,111 | — | — | 10 |
| 95810 | POLYSOM 4 OR > | $3,105 | $3,105 | — | — | 3 |
| 52224 | CYSTO W/FULGERATION OF LESION >0.5CM | $3,011 | $3,011 | — | — | 1 |
| 52234 | CYSTO W/FULGERATION OF LESION 0.5-2.0CM | $3,011 | $3,011 | — | — | 1 |
| 74177 | CT ABDOMEN PELVIS W | $3,000 | $3,000 | — | — | 11 |
| 59510 | CESAREAN DELIVERY | $3,000 | $3,000 | — | — | 4 |
| J0897 | PROLIA 60MG/ML SC SYRINGE | $2,970 | $2,970 | — | — | 1 |
| J1439 | INJECTAFER IV 750MG/15ML | $2,765 | $2,765 | — | — | 3 |
| 45380 | COLONOSCOPY W/BIOPSY | $2,653 | $2,653 | — | — | 1 |
| 74176 | CT ABDOMEN PELVIS WO | $2,600 | $2,600 | — | — | 11 |
| 74174 | CTA ABD/PELVIS | $2,600 | $2,600 | — | — | 2 |
| 59400 | OBSTETRICAL CARE | $2,500 | $2,500 | — | — | 1 |
| 43450 | ESOPHOGEAL DILATATION | $2,429 | $2,429 | — | — | 7 |
| 43239 | GASTROSCOPY W/BIOPSY | $2,429 | $2,429 | — | — | 10 |
| 43235 | GASTROSCOPY | $2,429 | $2,429 | — | — | 3 |
| 45378 | COLONOSCOPY | $2,381 | $2,381 | — | — | 10 |
| A4565 | LYNX BLUE SLING SYSTEM | $2,022 | $2,022 | — | — | 1 |
| 52281 | URETHRAL DILITATION | $2,000 | $2,000 | — | — | 1 |
| 71275 | CTA THORAX | $1,950 | $1,950 | — | — | 9 |
| 73721 | MRI KNEE LT WO | $1,950 | $1,950 | — | — | 6 |
| 73718 | MRI FOOT LT OR RT WO | $1,950 | $1,950 | — | — | 2 |
| 72148 | MRI LUMBAR SP WO | $1,950 | $1,950 | — | — | 8 |
| 73221 | MRI SHOULDER LT WO | $1,950 | $1,950 | — | — | 3 |
| 72141 | MRI CERVICAL SP WO | $1,950 | $1,950 | — | — | 5 |
Showing top 50 of 684 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.