45 CFR § 180 compliance
A · 100
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
2,227
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4141707 | Ustekinumab 90 Mg/1 Ml Inj [Brwn] | $38,246 | $28,685 | $2,173 | $76,492 | 7 |
| 4141759 | Paliperidone 1560 Mg/5 Ml Sus [Brwn] | $29,875 | $22,406 | $2,173 | $59,750 | 7 |
| 4141652 | Leuprolide 45 Mg/6 Months Kit (Lupron) [Brwn] | $16,687 | $12,515 | $2,173 | $33,374 | 7 |
| 4141823 | Risankizumab-rzaa 60 Mg/ml Sol [Brwn] | $15,180 | $11,385 | $2,173 | $30,360 | 7 |
| 4141726 | Vedolizumab 300 Mg Pwd [Brwn] | $13,885 | $10,414 | $2,173 | $27,770 | 7 |
| 4141264 | Alteplase 100 Mg Iv Inj [Brwn] | $13,201 | $9,901 | $2,173 | $26,402 | 7 |
| 4141742 | Pegfilgrastim Jmdb 6 Mg/0.6 Ml [Brwn] | $12,526 | $9,395 | $2,173 | $25,052 | 7 |
| 4140826 | Tenecteplase 50 Mg Iv Inj [Brwn] | $12,471 | $9,353 | $2,173 | $24,942 | 7 |
| 4141276 | Octreotide 30 Mg Im Inj [Brwn] | $11,496 | $8,622 | $2,173 | $22,992 | 7 |
| 4141671 | Certolizumab 400mg/2ml Kit [Brwn] | $10,800 | $8,100 | $2,173 | $21,600 | 7 |
| 4141803 | Pembrolizumab 100mg/4ml Sol [Brwn] | $10,005 | $7,504 | $2,173 | $20,010 | 7 |
| 4140274 | Digoxin Immune Fab 40 Mg Inj [Brwn] | $8,679 | $6,509 | $2,173 | $17,358 | 7 |
| 4141818 | Durvalumab 50 Mg/ml Sol 10ml [Brwn] | $8,457 | $6,343 | $2,173 | $16,914 | 7 |
| 4140738 | Rituximab 500 Mg/50 Ml Iv Sol [Brwn] | $8,457 | $6,343 | $2,173 | $16,914 | 7 |
| 4140069 | Darbepoetin Alfa 500 Mcg/1 Ml Inj Sol [Brwn] | $8,127 | $6,095 | $2,173 | $16,254 | 7 |
| 4141825 | Aripiprazole 1064 Mg/3.9 Ml Sus-inj [Brwn] | $8,061 | $6,046 | $2,173 | $16,122 | 7 |
| 16977 | Puraply Am 6x9 | $7,722 | $5,792 | $5,405 | $15,444 | 7 |
| 4141696 | Paliperidone 819 Mg/2.63 Ml [Brwn] | $7,423 | $5,567 | $2,173 | $14,846 | 7 |
| 16500 | Bioinductive Implant W/ Arth Del Med | $7,157 | $5,368 | $5,010 | $14,314 | 7 |
| 16741 | Open Bioinductive Implant 1 Large | $7,140 | $5,355 | $4,998 | $14,280 | 7 |
| 4141574 | Adalimumab 40 Mg/0.8 Ml Subq Sol [Brwn] | $7,085 | $5,314 | $2,173 | $14,170 | 7 |
| 4141795 | Inclisiran 284 Mg/1.5 Ml Sol [Brwn] | $6,825 | $5,119 | $2,173 | $13,650 | 7 |
| 4140233 | Antivenin (Crotalidae) Polyvalentpwd [Brwn] | $6,716 | $5,037 | $2,173 | $13,432 | 7 |
| 16756 | Perform Humeral Stem Sz 3 | $6,440 | $4,830 | $4,508 | $12,880 | 7 |
| CP17546872100363595 | Removal of tonsils and adenoid glands, patient younger than age 12 | $6,073 | $4,555 | $544 | $12,146 | 7 |
| 4141738 | Leuprolide 45 Mg/6 Months Pwd For Inj (Eligard) [Brwn] | $5,691 | $4,268 | $2,173 | $11,382 | 7 |
| 4141774 | Ferric Derisomaltose 100 Mg/ml Sol [Brwn] | $5,490 | $4,118 | $2,173 | $10,980 | 7 |
| 4334178-TC | 74178 Ct Abdomen And Pelvis W/ + W/o Contrast: Addon | $5,471 | $4,103 | $3,830 | $10,942 | 7 |
| 4334178 | Ct Abdomen And Pelvis W/ + W/o Contrast | $5,471 | $4,103 | $541 | $10,942 | 7 |
| CP17546872100363847 | Removal of one knee cartilage using an endoscope | $5,312 | $3,984 | $756 | $10,624 | 7 |
| 4334174 | Ct Angio Abdomen And Pelvis | $5,255 | $3,941 | $598 | $10,510 | 7 |
| 4141767 | Docetaxel 20 Mg/ml Sol [Brwn] | $5,112 | $3,834 | $2,173 | $10,224 | 7 |
| 4141727 | Immune Globulin 10% (Octagam) Iv Sol 300 Ml [Brwn] | $4,998 | $3,749 | $2,173 | $9,996 | 7 |
| 4141699 | Darbepoetin Alfa 300 Mcg/0.6 Ml Inj Sol [Brwn] | $4,876 | $3,657 | $2,173 | $9,752 | 7 |
| 4141668 | Golimumab 50 Mg/4 Ml [Brwn] | $4,798 | $3,599 | $2,173 | $9,596 | 7 |
| 4334177-TC | CT scan of abdomen and pelvis with contrast | $4,689 | $3,517 | $3,282 | $9,378 | 7 |
| 4334177 | CT scan of abdomen and pelvis with contrast | $4,689 | $3,517 | $477 | $9,378 | 7 |
| 4295811 | 95811 Polysom 6/> Yrs Cpap 4/> Parm Charge | $4,600 | $3,450 | $112 | $9,200 | 7 |
| 4328452 | Nm Myocardial Spect Multiple Studies | $4,595 | $3,446 | $1 | $9,190 | 7 |
| 16752 | Tornier Perform Reversed Fullwedge Bp 15 Deg Dia 25mm | $4,480 | $3,360 | $3,136 | $8,960 | 7 |
| 4141755 | Ustekinumab 5 Mg/ml Sol [Brwn] | $4,449 | $3,337 | $2,173 | $8,898 | 7 |
| 4140418 | Eptifibatide 200 Mg/100 Ml Iv Sol [Brwn] | $4,388 | $3,291 | $2,173 | $8,776 | 7 |
| 16755 | Perform Rev Insert Sz 3/4, 39mm Dia, +0 | $4,340 | $3,255 | $3,038 | $8,680 | 7 |
| 4141125 | Bortezomib 3.5 Mg Iv/sq Inj [Brwn] | $4,328 | $3,246 | $2,173 | $8,656 | 7 |
| 4384183 | Mri Abdomen And Pelvis W/ + W/o Contrast | $4,314 | $3,236 | $648 | $8,628 | 7 |
| 4380553 | MRI Scan | $4,314 | $3,236 | $575 | $8,628 | 7 |
| 78451 | Nm Myocardial Spect Single Study | $4,314 | $3,236 | $404 | $8,628 | 7 |
| 4328451 | Nm Myocardial Spect Single Study Eo | $4,314 | $3,236 | $404 | $8,628 | 7 |
| 4295810 | Sleep study | $4,300 | $3,225 | $61 | $8,600 | 7 |
| 4141108 | Denosumab 60 Mg/1 Ml Sq Inj [Brwn] | $4,287 | $3,215 | $2,173 | $8,574 | 7 |
Showing top 50 of 2,227 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.