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
4,027
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
1601800
$15,619
Tri Ts Femur Right
Gross
$15,619
1601818
$15,142
Rest Mod Conical Distal Stem
Gross
$15,142
1601743
$15,142
Reunion Tsa Modular Humeral Stem
Gross
$15,142
1601929
$14,560
Confirm Rx Icm (Impant Cardiac Monitor)
Gross
$14,560
CP17640152376526652
$14,085
Obinutuzumab 25 Mg/ml40 Ml Sdpf [Chas]
Gross
$14,085
1602078
$14,000
Assert-iq Icm El (Implant Cardiac Monitor)
Gross
$14,000
CP17640152376551914
$13,870
Tysabri(natalizumab) 300mg/15ml [Chas]
Gross
$13,870
1601996
$13,476
Restrata-12.5cm X 17.5cm
Gross
$13,476
CP17640152376557667
$12,969
Tenecteplase 25 Mg (Tnkase) Rec [Chas]
Gross
$12,969
CP17640152376524450
$12,487
Nivolumab 10 Mg/ml24 Ml Sdpf [Chas]
Gross
$12,487
CP17640152376558526
$12,236
Tenecteplase (Tnk) 50 Mg Rec [Chas]
Gross
$12,236
12523410
$12,054
23410-repair Rotator Cuff Acute-surg Tech
Gross
$12,054
CP17640152376476589
$11,725
Eflapegrastim Xnst 13.2 Mg/0.6 Ml Syrn [Chas]
Gross
$11,725
12550590
$11,624
50590 Lithotripsy Esl
Gross
$11,624
1601817
$10,642
Rest Mod Prox Cone Body
Gross
$10,642
CP17640152376524168
$10,036
Neulasta Onpro Kit 6mg/0.6ml [Chas]
Gross
$10,036
CP17640152376430764
$9,911
Ado-trastuzumab Emtansine 160 Mg Rec [Chas]
Gross
$9,911
CP17640152376535038
$9,746
Pegfilgrastim 6 Mg/0.6 Ml Syringe [Chas]
Gross
$9,746
12547562
$9,649
Removal of gallbladder using an endoscope
Gross
$9,649
CP17640152376531430
$9,484
Pembrolizumab 25 Mg/ml4 Ml Sdv [Chas]
Gross
$9,484
1601964
$8,355
Triathlon Cr Fem Component-beaded W/pa
Gross
$8,355
1601918
$8,172
Reunion Tsa Cemented Humeral Stem
Gross
$8,172
14064561
$8,088
64561 Implant Neuroelectrodesop Tech
Gross
$8,088
CP17640152376494957
$7,958
Immune Globulin 10%30 Gm / 300 Ml [Chas]
Gross
$7,958
37573725B
$7,794
Mra Lower Ext W/ + W/o Contrast
Gross
$7,794
1601680
$7,738
Secur-fit Max 132 Hip Stem #9
Gross
$7,738
CP17640152376490629
$7,671
Leuprolide 11.25 Mg/3 Months Kit [Chas]
Gross
$7,671
12527726
$7,663
27726 Repair Fibula Nonunioned Tech
Gross
$7,663
1602009
$7,544
Restrata-10cm X 12.5cm
Gross
$7,544
36574178
$7,502
Ct Abdomen/pelvis W/wo Contrastcap Panel
Gross
$7,502
CP17640152376549064
$7,353
Rituximab 10mg/ml50 Ml Sdv [Chas]
Gross
$7,353
36574174
$7,313
Ct Angiography Abdomen/pelvis W/ + W/o C
Gross
$7,313
12552287
$7,145
52287-cysto W/ Botox-tech
Gross
$7,145
37572156
$6,855
Mri Spine Cervical W/ + W/o Contrast
Gross
$6,855
37572158
$6,855
Mri Spine Lumbar W/ + W/o Contrast
Gross
$6,855
37572157
$6,855
Mri Spine Thoracic W/ + W/o Contrast
Gross
$6,855
1602022
$6,852
Puraply Am Xt Ef (4.91 X 4.91) 25 Sq Cm
Gross
$6,852
125000
$6,831
Lithotripsy Kidney W/o Charge
Gross
$6,831
CP17640152376493434
$6,822
Leuprolide 22.5 Mg/3 Months Pwd[chas]
Gross
$6,822
CP17640152376475679
$6,800
Durvalumab 50 Mg/ml10 Ml Sol [Chas]
Gross
$6,800
1602072
$6,780
Amnioband Membrane 24 Sq Cm
Gross
$6,780
13551102
$6,715
51102 Drain Bl W/cath Insertion -Ed Tech
Gross
$6,715
36574177
$6,471
CT scan of abdomen and pelvis with contrast
Gross
$6,471
37570546
$6,400
Mra Head W/ + W/o Contrast
Gross
$6,400
36574175
$6,287
Ct Angiography Abdomen W/ + W/o Contrast
Gross
$6,287
37078452
$6,252
Nm Myocardial Spect Multi Rest/stress
Gross
$6,252
12543245
$6,251
43245egd W/ Dilation Of Gastric/duodenal
Gross
$6,251
36572191
$6,155
Ct Angiography Pelvis W/ + W/o Contrast
Gross
$6,155
1602155
$6,045
Z1 Std Col Cmtless Sz 3
Gross
$6,045
1602149
$6,045
Z1 Std Col Cmtless Sz 4
Gross
$6,045
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1601800 | Tri Ts Femur Right | $15,619 | $15,619 | $5,467 | $14,838 | 4 |
| 1601818 | Rest Mod Conical Distal Stem | $15,142 | $15,142 | $5,300 | $14,385 | 4 |
| 1601743 | Reunion Tsa Modular Humeral Stem | $15,142 | $15,142 | $5,300 | $14,385 | 4 |
| 1601929 | Confirm Rx Icm (Impant Cardiac Monitor) | $14,560 | $14,560 | $5,096 | $13,832 | 4 |
| CP17640152376526652 | Obinutuzumab 25 Mg/ml40 Ml Sdpf [Chas] | $14,085 | $14,085 | $4,930 | $13,381 | 4 |
| 1602078 | Assert-iq Icm El (Implant Cardiac Monitor) | $14,000 | $14,000 | $4,900 | $13,300 | 4 |
| CP17640152376551914 | Tysabri(natalizumab) 300mg/15ml [Chas] | $13,870 | $13,870 | $4,855 | $13,177 | 4 |
| 1601996 | Restrata-12.5cm X 17.5cm | $13,476 | $13,476 | $4,717 | $12,802 | 4 |
| CP17640152376557667 | Tenecteplase 25 Mg (Tnkase) Rec [Chas] | $12,969 | $12,969 | $4,539 | $12,321 | 4 |
| CP17640152376524450 | Nivolumab 10 Mg/ml24 Ml Sdpf [Chas] | $12,487 | $12,487 | $4,370 | $11,863 | 4 |
| CP17640152376558526 | Tenecteplase (Tnk) 50 Mg Rec [Chas] | $12,236 | $12,236 | $4,283 | $11,624 | 4 |
| 12523410 | 23410-repair Rotator Cuff Acute-surg Tech | $12,054 | $12,054 | $4,219 | $11,451 | 4 |
| CP17640152376476589 | Eflapegrastim Xnst 13.2 Mg/0.6 Ml Syrn [Chas] | $11,725 | $11,725 | $4,104 | $11,139 | 4 |
| 12550590 | 50590 Lithotripsy Esl | $11,624 | $11,624 | $4,068 | $11,043 | 4 |
| 1601817 | Rest Mod Prox Cone Body | $10,642 | $10,642 | $3,725 | $10,110 | 4 |
| CP17640152376524168 | Neulasta Onpro Kit 6mg/0.6ml [Chas] | $10,036 | $10,036 | $3,513 | $9,534 | 4 |
| CP17640152376430764 | Ado-trastuzumab Emtansine 160 Mg Rec [Chas] | $9,911 | $9,911 | $3,469 | $9,415 | 4 |
| CP17640152376535038 | Pegfilgrastim 6 Mg/0.6 Ml Syringe [Chas] | $9,746 | $9,746 | $3,411 | $9,259 | 4 |
| 12547562 | Removal of gallbladder using an endoscope | $9,649 | $9,649 | $3,377 | $9,167 | 4 |
| CP17640152376531430 | Pembrolizumab 25 Mg/ml4 Ml Sdv [Chas] | $9,484 | $9,484 | $3,319 | $9,010 | 4 |
| 1601964 | Triathlon Cr Fem Component-beaded W/pa | $8,355 | $8,355 | $2,924 | $7,937 | 4 |
| 1601918 | Reunion Tsa Cemented Humeral Stem | $8,172 | $8,172 | $2,860 | $7,763 | 4 |
| 14064561 | 64561 Implant Neuroelectrodesop Tech | $8,088 | $8,088 | $2,831 | $7,684 | 4 |
| CP17640152376494957 | Immune Globulin 10%30 Gm / 300 Ml [Chas] | $7,958 | $7,958 | $2,785 | $7,560 | 4 |
| 37573725B | Mra Lower Ext W/ + W/o Contrast | $7,794 | $7,794 | $2,728 | $7,404 | 4 |
| 1601680 | Secur-fit Max 132 Hip Stem #9 | $7,738 | $7,738 | $2,708 | $7,351 | 4 |
| CP17640152376490629 | Leuprolide 11.25 Mg/3 Months Kit [Chas] | $7,671 | $7,671 | $2,685 | $7,287 | 4 |
| 12527726 | 27726 Repair Fibula Nonunioned Tech | $7,663 | $7,663 | $2,682 | $7,280 | 4 |
| 1602009 | Restrata-10cm X 12.5cm | $7,544 | $7,544 | $2,640 | $7,167 | 4 |
| 36574178 | Ct Abdomen/pelvis W/wo Contrastcap Panel | $7,502 | $7,502 | $2,626 | $7,127 | 4 |
| CP17640152376549064 | Rituximab 10mg/ml50 Ml Sdv [Chas] | $7,353 | $7,353 | $2,574 | $6,985 | 4 |
| 36574174 | Ct Angiography Abdomen/pelvis W/ + W/o C | $7,313 | $7,313 | $2,560 | $6,947 | 4 |
| 12552287 | 52287-cysto W/ Botox-tech | $7,145 | $7,145 | $2,501 | $6,788 | 4 |
| 37572156 | Mri Spine Cervical W/ + W/o Contrast | $6,855 | $6,855 | $2,399 | $6,512 | 4 |
| 37572158 | Mri Spine Lumbar W/ + W/o Contrast | $6,855 | $6,855 | $2,399 | $6,512 | 4 |
| 37572157 | Mri Spine Thoracic W/ + W/o Contrast | $6,855 | $6,855 | $2,399 | $6,512 | 4 |
| 1602022 | Puraply Am Xt Ef (4.91 X 4.91) 25 Sq Cm | $6,852 | $6,852 | $2,398 | $6,509 | 4 |
| 125000 | Lithotripsy Kidney W/o Charge | $6,831 | $6,831 | $2,391 | $6,489 | 4 |
| CP17640152376493434 | Leuprolide 22.5 Mg/3 Months Pwd[chas] | $6,822 | $6,822 | $2,388 | $6,481 | 4 |
| CP17640152376475679 | Durvalumab 50 Mg/ml10 Ml Sol [Chas] | $6,800 | $6,800 | $2,380 | $6,460 | 4 |
| 1602072 | Amnioband Membrane 24 Sq Cm | $6,780 | $6,780 | $2,373 | $6,441 | 4 |
| 13551102 | 51102 Drain Bl W/cath Insertion -Ed Tech | $6,715 | $6,715 | $2,350 | $6,379 | 4 |
| 36574177 | CT scan of abdomen and pelvis with contrast | $6,471 | $6,471 | $2,265 | $6,147 | 4 |
| 37570546 | Mra Head W/ + W/o Contrast | $6,400 | $6,400 | $2,240 | $6,080 | 4 |
| 36574175 | Ct Angiography Abdomen W/ + W/o Contrast | $6,287 | $6,287 | $2,200 | $5,973 | 4 |
| 37078452 | Nm Myocardial Spect Multi Rest/stress | $6,252 | $6,252 | $2,188 | $5,939 | 4 |
| 12543245 | 43245egd W/ Dilation Of Gastric/duodenal | $6,251 | $6,251 | $2,188 | $5,938 | 4 |
| 36572191 | Ct Angiography Pelvis W/ + W/o Contrast | $6,155 | $6,155 | $2,154 | $5,847 | 4 |
| 1602155 | Z1 Std Col Cmtless Sz 3 | $6,045 | $6,045 | $2,116 | $5,743 | 4 |
| 1602149 | Z1 Std Col Cmtless Sz 4 | $6,045 | $6,045 | $2,116 | $5,743 | 4 |
Showing top 50 of 4,027 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.