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
1,873
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-169866 | OCRELIZUMAB 300 MG/10ML IV SOLN | $44,156 | $35,325 | — | — | 11 |
| RX-148911 | VEDOLIZUMAB 300 MG IV SOLR | $20,023 | $16,019 | — | — | 11 |
| RX-197120 | RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN | $18,077 | $14,461 | — | — | 11 |
| RX-9002 | ALTEPLASE 100 MG IV SOLR | $17,348 | $13,879 | — | — | 11 |
| RX-28530 | TENECTEPLASE 50 MG IV KIT | $17,057 | $13,645 | — | — | 11 |
| RX-74707388 | TENECTEPLASE 50 MG IV KIT (STROKE) | $16,357 | $13,085 | — | — | 11 |
| RX-40120 | NATALIZUMAB 300 MG/15ML IV CONC | $16,048 | $12,838 | — | — | 11 |
| PX-36010208 | HC Operating Room Services Level 8 First Hr | $15,691 | $12,553 | — | — | 11 |
| PX-75010272 | HC Endoscopy/Gastrointestinal Procedure Level 6 | $14,655 | $11,724 | — | — | 11 |
| PX-36010371 | HC Pain Room Services Level 6 | $13,957 | $11,166 | — | — | 11 |
| RX-152774 | PEMBROLIZUMAB 100 MG/4ML IV SOLN | $12,869 | $10,295 | — | — | 11 |
| PX-36010206 | HC Operating Room Services Level 6 First Hr | $12,241 | $9,793 | — | — | 11 |
| PX-36010207 | HC Operating Room Services Level 7 First Hr | $11,956 | $9,565 | — | — | 11 |
| PX-75010319 | HC Endoscopy/Gastrointestinal Procedure Level 5 | $11,545 | $9,236 | — | — | 11 |
| PX-36010005 | HC Pain Room Services Level 5 | $11,545 | $9,236 | — | — | 11 |
| RX-172770 | BENRALIZUMAB 30 MG/ML SUBQ SOSY | $11,070 | $8,856 | — | — | 11 |
| PX-36010205 | HC Operating Room Services Level 5 First Hr | $10,494 | $8,395 | — | — | 11 |
| RX-87861 | LANREOTIDE ACETATE 120 MG/0.5ML SUBQ SOLN | $10,206 | $8,165 | — | — | 11 |
| PX-36010204 | HC Operating Room Services Level 4 First Hr | $9,326 | $7,461 | — | — | 11 |
| RX-9003 | ALTEPLASE 50 MG IV SOLR | $8,674 | $6,939 | — | — | 11 |
| PX-36010203 | HC Operating Room Services Level 3 First Hr | $8,356 | $6,685 | — | — | 11 |
| RX-168493 | BEZLOTOXUMAB 1000 MG/40ML IV SOLN | $8,129 | $6,503 | — | — | 11 |
| PX-4050842MDL | HC Linq Device | $7,854 | $6,283 | — | — | 11 |
| RX-155788 | DARBEPOETIN ALFA 500 MCG/ML INJECTION SOSY | $7,621 | $6,097 | — | — | 11 |
| RX-194718 | INCLISIRAN SODIUM 284 MG/1.5ML SUBQ SOSY | $7,253 | $5,802 | — | — | 11 |
| PX-36010202 | HC Operating Room Services Level 2 First Hr | $6,996 | $5,597 | — | — | 11 |
| PX-75010318 | HC Endoscopy/Gastrointestinal Procedure Level 4 | $6,543 | $5,234 | — | — | 11 |
| PX-36010004 | HC Pain Room Services Level 4 | $6,543 | $5,234 | — | — | 11 |
| PX-36010201 | HC Operating Room Services Level 1 First Hr | $5,637 | $4,510 | — | — | 11 |
| RX-181020 | ROMOSOZUMAB-AQQG 105 MG/1.17ML SUBQ SOSY | $5,623 | $4,499 | — | — | 11 |
| RX-183796 | RITUXIMAB-ABBS 500 MG/50ML IV SOLN | $5,584 | $4,467 | — | — | 11 |
| RX-105843 | TOCILIZUMAB 400 MG/20ML IV SOLN | $5,236 | $4,188 | — | — | 11 |
| PX-68310001 | HC ED Trauma Activation Full With Critical Care G0390 Cdm | $5,227 | $4,182 | — | — | 11 |
| PX-45010507 | Extensive or complicated repair wound reopening | $5,199 | $4,159 | — | — | 11 |
| PX-45010535 | Complicated remove foreign body in deep muscle/tendon | $4,982 | $3,986 | — | — | 11 |
| PX-75010317 | HC Endoscopy/Gastrointestinal Procedure Level 3 | $4,811 | $3,849 | — | — | 11 |
| PX-36010003 | HC Pain Room Services Level 3 | $4,811 | $3,849 | — | — | 11 |
| PX-45010254 | Remove foreign body in tissue or muscle of pelvis or hip | $4,759 | $3,807 | — | — | 11 |
| PX-35210054 | CT scan of abdomen and pelvis before and after contrast | $4,718 | $3,774 | — | — | 11 |
| RX-106130 | BELIMUMAB 400 MG IV SOLR | $4,617 | $3,693 | — | — | 11 |
| RX-155787 | DARBEPOETIN ALFA 300 MCG/0.6ML INJECTION SOSY | $4,573 | $3,658 | — | — | 11 |
| PX-45010668 | Repair of abnormal anal drainage tract | $4,539 | $3,631 | — | — | 11 |
| RX-167435 | USTEKINUMAB 130 MG/26ML IV SOLN | $4,532 | $3,626 | — | — | 11 |
| PX-61210017 | MRI scan of lower spinal canal before and after contrast | $4,497 | $3,598 | — | — | 11 |
| PX-61210013 | MRI scan of upper spinal canal before and after contrast | $4,472 | $3,578 | — | — | 11 |
| PX-61210015 | MRI scan of middle spinal canal before and after contrast | $4,440 | $3,552 | — | — | 11 |
| PX-61110015 | MRI scan of brain before and after contrast | $4,414 | $3,531 | — | — | 11 |
| PX-61010087 | MRI scan of abdomen before and after contrast | $4,325 | $3,460 | — | — | 11 |
| PX-61010025 | MRI scan of chest before and after contrast | $4,295 | $3,436 | — | — | 11 |
| PX-61010044 | MRI scan of pelvis before and after contrast | $4,292 | $3,434 | — | — | 11 |
Showing top 50 of 1,873 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.