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
1,676
Insurances with rates
9
CPT / HCPCS codes
1,094
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | Tnkase Kit 50 Mg | $20,519 | $12,311 | — | — | 8 |
| J2505 | Neulasta [6Mg] | $17,329 | $10,397 | — | — | 8 |
| Q5120 | Ziextenzo [6 Mg/0.6 Ml] | $11,777 | $7,066 | — | — | 8 |
| 11426 | Ed Exc H-F-Nk-Sp B9+Marg >4 Cm | $7,396 | $4,438 | — | — | 8 |
| 11626 | Ed Exc S/N/H/F/G Mal+Mrg >4 Cm | $7,396 | $4,438 | — | — | 8 |
| 11646 | Ed Exc F/E/E/N/L Mal+Mrg >4 Cm | $7,396 | $4,438 | — | — | 8 |
| 11772 | Ed Remove Pilonidal Cyst Compl | $7,396 | $4,438 | — | — | 8 |
| 78608 | Pet Ct Metabloc Evaluation | $7,107 | $4,264 | — | — | 8 |
| 78816 | Pet Ct Whole Body | $6,891 | $4,135 | — | — | 8 |
| 78815 | Pet Ct Skull Base Mid Thigh | $6,647 | $3,988 | — | — | 8 |
| J2426 | Paliperidone Palmitate 234Mg/1.5Ml Syrin | $6,525 | $3,915 | — | — | 8 |
| Q5108 | Fulphila [6 Mg/0.6 Ml] | $6,263 | $3,758 | — | — | 8 |
| Independent Living Room Per Month | Independent Living Room Per Month | $5,750 | $3,450 | — | — | 8 |
| 95810 | Sleep Study W/O Positive Airflow | $5,709 | $3,425 | — | — | 9 |
| J0881 | Darbepoetin Alfa Single [200 Mcg/1 Ml] | $5,573 | $3,344 | — | — | 8 |
| 74178TC | Ct Abdomen Pelvis W And Wo Contrast | $5,337 | $3,202 | — | — | 9 |
| 74182TC | Mri Abdomen W Contrast | $5,224 | $3,135 | — | — | 8 |
| J1439 | Ferric Carboxymaltose Inj [750 Mg/15 Ml] | $5,205 | $3,123 | — | — | 8 |
| 74181TC | Mri Abdomen Wo Contrast | $5,174 | $3,105 | — | — | 8 |
| 74183TC | Mri Abdomen W And Wo Contrast | $5,174 | $3,105 | — | — | 8 |
| 74177TC | Ct Abdomen Pelvis W Contrast | $4,962 | $2,977 | — | — | 10 |
| J7325 | Synvisc One Syringe 48 Mg | $4,931 | $2,958 | — | — | 8 |
| Or Schedule B 151-165 Min | Or Schedule B 151-165 Min | $4,839 | $2,904 | — | — | 3 |
| Or Schedule B 136-150 Min | Or Schedule B 136-150 Min | $4,632 | $2,779 | — | — | 3 |
| 95811 | Sleep Study- Split Night | $4,598 | $2,759 | — | — | 9 |
| J0585 | Botulinum Toxin-A [200 Units] | $4,565 | $2,739 | — | — | 8 |
| 11044 | Debridement-Bone-First 20 Sq Cm | $4,534 | $2,720 | — | — | 8 |
| Or Schedule B 121-135 Min | Or Schedule B 121-135 Min | $4,425 | $2,655 | — | — | 3 |
| 74176TC | Ct Abdomen Pelvis Wo Contrast | $4,351 | $2,611 | — | — | 9 |
| 10121 | Ed Remove Foreign Body | $4,220 | $2,532 | — | — | 8 |
| 10140 | Ed Drainage Of Hematoma/Fluid | $4,220 | $2,532 | — | — | 8 |
| 11406 | Ed Exc Tr-Ext B9+Marg >4.0 Cm | $4,220 | $2,532 | — | — | 8 |
| 11423 | Ed Exc H-F-Nk-Sp B9+Marg 2.1-3 | $4,220 | $2,532 | — | — | 8 |
| 11443 | Exc Face-Mm B9+Marg 2.1-3 Cm | $4,220 | $2,532 | — | — | 8 |
| 11606 | Ed Exc Tr-Ext Mal+Marg >4 Cm | $4,220 | $2,532 | — | — | 8 |
| 11643 | Ed Exc F/E/E/N/L Mal+Mrg 2.1-3 | $4,220 | $2,532 | — | — | 8 |
| Or Schedule B 106-120 Min | Or Schedule B 106-120 Min | $4,218 | $2,531 | — | — | 3 |
| J2700 | Oxacillin Inj [10 Gm] | $4,205 | $2,523 | — | — | 8 |
| 71552TC | Mri Chest W And Wo Contrast | $4,188 | $2,513 | — | — | 8 |
| J2997 | Alteplase Iv Soln [ 50Mg ] | $4,130 | $2,478 | — | — | 8 |
| 72157TC | Mri Thoracic Spine W And Wo Contrast | $4,122 | $2,473 | — | — | 8 |
| 72156TC | Mri Cervical Spine W And Wo Contrast | $4,095 | $2,457 | — | — | 8 |
| 70553TC | Mri Brain W And Wo Contrast | $4,042 | $2,425 | — | — | 8 |
| Mri Face Neck Orbits W And Wo Contrast | Mri Face Neck Orbits W And Wo Contrast | $4,025 | $2,415 | — | — | 8 |
| Or Schedule B 91-105 Min | Or Schedule B 91-105 Min | $4,011 | $2,407 | — | — | 3 |
| 70546TC | Mra Angiography Head W And Wo Contrast | $3,992 | $2,395 | — | — | 8 |
| 72158TC | Mri Lumbar Spine W And Wo Contrast | $3,951 | $2,371 | — | — | 8 |
| 72197TC | Mri Pelvis W And Wo Contrast | $3,859 | $2,316 | — | — | 9 |
| Or Schedule B 76-90 Min | Or Schedule B 76-90 Min | $3,804 | $2,283 | — | — | 3 |
| J3111 | Romosozumab-Aqqg [105Mg/1.17Ml]Syr 105Mg | $3,745 | $2,247 | — | — | 8 |
Showing top 50 of 1,676 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.