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
4,039
Insurances with rates
15
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
6417301_1
$31,520
INJECTION, TEPROTUMUMAB-TRBW, 10 MG
Gross
$31,520
6096169_1
$19,381
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$19,381
4983143_1
$18,360
NITHIODOTE 300 MG-12.5 GRAM
Gross
$18,360
4983151_1
$15,841
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$15,841
6181586_1
$12,106
INJECTION, TENECTEPLASE, 1 MG
Gross
$12,106
5385015_1
$11,000
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a
Gross
$11,000
5385016_1
$11,000
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq
Gross
$11,000
5905349_1
$11,000
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals,
Gross
$11,000
6157275_1
$9,987
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$9,987
5977699_1
$8,132
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
Gross
$8,132
6525582_1
$6,907
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$6,907
2384299_1
$6,432
CT scan of blood vessels of abdomen and pelvis with contrast
Gross
$6,432
5240483_1
$6,429
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$6,429
4322694_1
$6,300
CT scan of abdomen and pelvis with contrast
Gross
$6,300
4646450_1
$6,300
CT scan of abdomen and pelvis with contrast
Gross
$6,300
4983101_1
$6,235
INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL
Gross
$6,235
6235288_1
$6,085
INJECTION, INCLISIRAN, 1 MG
Gross
$6,085
4322693_1
$5,942
CT scan of abdomen and pelvis before and after contrast
Gross
$5,942
5699456_1
$5,942
CT scan of abdomen and pelvis before and after contrast
Gross
$5,942
631401_1
$5,550
Nuclear medicine studies of heart muscle at rest and with stress and SPECT
Gross
$5,550
4982897_1
$5,538
INJECTION, DENOSUMAB, 1 MG
Gross
$5,538
6004569_1
$5,529
INJECTION, PEGFILGRASTIM-BMEZ (ZIEXTENZO), BIOSIMILAR, 0.5 MG
Gross
$5,529
5385013_1
$5,500
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1
Gross
$5,500
5385014_1
$5,500
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of
Gross
$5,500
5385021_1
$5,500
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$5,500
5385022_1
$5,500
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$5,500
5385027_1
$5,500
Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun
Gross
$5,500
5385028_1
$5,500
Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun
Gross
$5,500
5905334_1
$5,500
Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and chi
Gross
$5,500
5905339_1
$5,500
Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants a
Gross
$5,500
5905344_1
$5,500
Outer layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands
Gross
$5,500
4633385_1
$5,135
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with
Gross
$5,135
4322695_1
$5,000
CT scan of abdomen and pelvis without contrast
Gross
$5,000
5699470_1
$5,000
CT scan of abdomen and pelvis without contrast
Gross
$5,000
6242914_1
$4,921
INJECTION, SOTALOL HYDROCHLORIDE, 1 MG
Gross
$4,921
4348070_1
$4,875
Removal of bone, 20.0 sq cm or less
Gross
$4,875
4348073_1
$4,875
Removal of bone, each additional 20.0 sq cm or less
Gross
$4,875
4358035_1
$4,825
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Gross
$4,825
5699195_1
$4,707
CT scan of abdomen before and after contrast
Gross
$4,707
615590_1
$4,707
CT scan of abdomen before and after contrast
Gross
$4,707
631287_1
$4,700
MRI scan of lower spinal canal without contrast
Gross
$4,700
5389550_1
$4,663
MRI scan of blood vessels of leg
Gross
$4,663
625604_1
$4,663
MRI scan of abdomen before and after contrast
Gross
$4,663
675636_1
$4,663
MRI scan of blood vessels of abdomen
Gross
$4,663
675639_1
$4,663
MRI scan of blood vessels of leg
Gross
$4,663
675640_1
$4,663
MRI scan of blood vessels of leg
Gross
$4,663
675641_1
$4,663
MRI scan of blood vessels of leg
Gross
$4,663
627682_1
$4,637
MRI scan of brain with contrast
Gross
$4,637
629594_1
$4,637
MRI scan of upper spinal canal before and after contrast
Gross
$4,637
630853_1
$4,637
MRI scan of bone of eye socket, face, and/or neck before and after contrast
Gross
$4,637
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6417301_1 | INJECTION, TEPROTUMUMAB-TRBW, 10 MG | $31,520 | $31,520 | — | — | 15 |
| 6096169_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $19,381 | $19,381 | — | — | 15 |
| 4983143_1 | NITHIODOTE 300 MG-12.5 GRAM | $18,360 | $18,360 | — | — | 15 |
| 4983151_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $15,841 | $15,841 | — | — | 15 |
| 6181586_1 | INJECTION, TENECTEPLASE, 1 MG | $12,106 | $12,106 | — | — | 15 |
| 5385015_1 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a | $11,000 | $11,000 | — | — | 15 |
| 5385016_1 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq | $11,000 | $11,000 | — | — | 15 |
| 5905349_1 | Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, | $11,000 | $11,000 | — | — | 15 |
| 6157275_1 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $9,987 | $9,987 | — | — | 15 |
| 5977699_1 | INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG | $8,132 | $8,132 | — | — | 15 |
| 6525582_1 | INJECTION, MEPOLIZUMAB, 1 MG | $6,907 | $6,907 | — | — | 15 |
| 2384299_1 | CT scan of blood vessels of abdomen and pelvis with contrast | $6,432 | $6,432 | — | — | 15 |
| 5240483_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $6,429 | $6,429 | — | — | 15 |
| 4322694_1 | CT scan of abdomen and pelvis with contrast | $6,300 | $6,300 | — | — | 15 |
| 4646450_1 | CT scan of abdomen and pelvis with contrast | $6,300 | $6,300 | — | — | 15 |
| 4983101_1 | INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL | $6,235 | $6,235 | — | — | 15 |
| 6235288_1 | INJECTION, INCLISIRAN, 1 MG | $6,085 | $6,085 | — | — | 15 |
| 4322693_1 | CT scan of abdomen and pelvis before and after contrast | $5,942 | $5,942 | — | — | 15 |
| 5699456_1 | CT scan of abdomen and pelvis before and after contrast | $5,942 | $5,942 | — | — | 15 |
| 631401_1 | Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $5,550 | $5,550 | — | — | 15 |
| 4982897_1 | INJECTION, DENOSUMAB, 1 MG | $5,538 | $5,538 | — | — | 15 |
| 6004569_1 | INJECTION, PEGFILGRASTIM-BMEZ (ZIEXTENZO), BIOSIMILAR, 0.5 MG | $5,529 | $5,529 | — | — | 15 |
| 5385013_1 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1 | $5,500 | $5,500 | — | — | 15 |
| 5385014_1 | Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of | $5,500 | $5,500 | — | — | 15 |
| 5385021_1 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $5,500 | $5,500 | — | — | 15 |
| 5385022_1 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $5,500 | $5,500 | — | — | 15 |
| 5385027_1 | Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun | $5,500 | $5,500 | — | — | 15 |
| 5385028_1 | Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun | $5,500 | $5,500 | — | — | 15 |
| 5905334_1 | Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and chi | $5,500 | $5,500 | — | — | 15 |
| 5905339_1 | Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants a | $5,500 | $5,500 | — | — | 15 |
| 5905344_1 | Outer layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands | $5,500 | $5,500 | — | — | 15 |
| 4633385_1 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with | $5,135 | $5,135 | — | — | 15 |
| 4322695_1 | CT scan of abdomen and pelvis without contrast | $5,000 | $5,000 | — | — | 15 |
| 5699470_1 | CT scan of abdomen and pelvis without contrast | $5,000 | $5,000 | — | — | 15 |
| 6242914_1 | INJECTION, SOTALOL HYDROCHLORIDE, 1 MG | $4,921 | $4,921 | — | — | 15 |
| 4348070_1 | Removal of bone, 20.0 sq cm or less | $4,875 | $4,875 | — | — | 15 |
| 4348073_1 | Removal of bone, each additional 20.0 sq cm or less | $4,875 | $4,875 | — | — | 15 |
| 4358035_1 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $4,825 | $4,825 | — | — | 15 |
| 5699195_1 | CT scan of abdomen before and after contrast | $4,707 | $4,707 | — | — | 15 |
| 615590_1 | CT scan of abdomen before and after contrast | $4,707 | $4,707 | — | — | 15 |
| 631287_1 | MRI scan of lower spinal canal without contrast | $4,700 | $4,700 | — | — | 15 |
| 5389550_1 | MRI scan of blood vessels of leg | $4,663 | $4,663 | — | — | 15 |
| 625604_1 | MRI scan of abdomen before and after contrast | $4,663 | $4,663 | — | — | 15 |
| 675636_1 | MRI scan of blood vessels of abdomen | $4,663 | $4,663 | — | — | 15 |
| 675639_1 | MRI scan of blood vessels of leg | $4,663 | $4,663 | — | — | 15 |
| 675640_1 | MRI scan of blood vessels of leg | $4,663 | $4,663 | — | — | 15 |
| 675641_1 | MRI scan of blood vessels of leg | $4,663 | $4,663 | — | — | 15 |
| 627682_1 | MRI scan of brain with contrast | $4,637 | $4,637 | — | — | 15 |
| 629594_1 | MRI scan of upper spinal canal before and after contrast | $4,637 | $4,637 | — | — | 15 |
| 630853_1 | MRI scan of bone of eye socket, face, and/or neck before and after contrast | $4,637 | $4,637 | — | — | 15 |
Showing top 50 of 4,039 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.