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
1,639
Insurances with rates
10
CPT / HCPCS codes
1,612
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab Soln For IV Infusion 300 MG/10ML | $21,608 | $17,286 | — | — | 35 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $7,515 | $6,012 | — | — | 35 |
| J0717 | Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML | $6,267 | $5,013 | — | — | 35 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $5,976 | $4,781 | — | — | 35 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $5,658 | $4,526 | — | — | 35 |
| 95811 | PSG CPAP BIPAP 4+ PARAMETERS | $5,367 | $4,294 | — | — | 35 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $5,219 | $4,175 | — | — | 35 |
| 66984 | SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $5,201 | $4,161 | — | — | 35 |
| 66982 | SURG 66982 RMVL ECCR IOL INSRT CMPLX | $5,201 | $4,161 | — | — | 35 |
| 95810 | PSG 4+ PARAMETERS | $4,956 | $3,965 | — | — | 35 |
| Q5111 | Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML | $4,944 | $3,955 | — | — | 35 |
| 72158 | MRI L SPINE WO THEN W CONT | $4,905 | $3,924 | — | — | 35 |
| 72157 | MRI T SPINE WO THEN W CONT | $4,820 | $3,856 | — | — | 35 |
| J1301 | Edaravone Inj 30 MG/100ML (0.3 MG/ML) | $4,772 | $3,818 | — | — | 70 |
| 72156 | MRI C SPINE WO THEN W CONT | $4,748 | $3,798 | — | — | 35 |
| 72197 | MRI PELVIS WO THEN W CONT | $4,730 | $3,784 | — | — | 35 |
| 0474T | SURG 0474T INSERT ANT SEG AQUEOUS DRG DEV W/IO RSVR | $4,697 | $3,758 | — | — | 35 |
| 70553 | MRI BRAIN WO THEN W CONT | $4,663 | $3,730 | — | — | 35 |
| 65235 | ED 65235 REMV FB EYE INTRAOCULAR | $4,603 | $3,682 | — | — | 35 |
| 71552 | MRI CHEST WO THEN W CONT | $4,585 | $3,668 | — | — | 35 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $4,570 | $3,656 | — | — | 35 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,543 | $3,634 | — | — | 35 |
| 70546 | MRA HEAD WO THEN W CONT | $4,504 | $3,603 | — | — | 35 |
| 67904 | SURG 67904 RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL | $4,477 | $3,582 | — | — | 35 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $4,458 | $3,566 | — | — | 35 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $4,389 | $3,511 | — | — | 35 |
| 70549 | MRA NECK WO THEN W CONT | $4,346 | $3,477 | — | — | 35 |
| 15823 | SURG 15823 BLEPHROPL UPPER EXC SKIN | $4,280 | $3,424 | — | — | 35 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $4,249 | $3,399 | — | — | 35 |
| 59409 | ED 59409 ED DELIVERY VAGINAL ONLY | $4,173 | $3,338 | — | — | 35 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,131 | $3,305 | — | — | 35 |
| 72147 | MRI T SPINE W CONTRAST | $3,979 | $3,183 | — | — | 35 |
| 26607 | ED 26607 CLSD TX MTCRPAL FX WMANIP | $3,955 | $3,164 | — | — | 35 |
| 72149 | MRI L SPINE W CONTRAST | $3,953 | $3,162 | — | — | 35 |
| 72142 | MRI C SPINE W CONTRAST | $3,951 | $3,161 | — | — | 35 |
| 70552 | MRI BRAIN W CONTRAST | $3,861 | $3,089 | — | — | 35 |
| 73222 | MRI UP EXT JT WCONT | $3,855 | $3,084 | — | — | 35 |
| 12037 | ED 12037 LYR CLSR OF WND >30.0CM | $3,838 | $3,070 | — | — | 35 |
| 52281 | CYSTO WDILATATION OFURETHRA | $3,795 | $3,036 | — | — | 35 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $3,755 | $3,004 | — | — | 35 |
| 37609 | SURG 37609 LIGATION/BIOPSY TEMPORAL ARTERY | $3,710 | $2,968 | — | — | 35 |
| 74170 | CT ABDOMEN WO THEN W CONT | $3,673 | $2,938 | — | — | 35 |
| J3262 | Tocilizumab IV Inj 400 MG/20ML | $3,669 | $2,936 | — | — | 35 |
| 67917 | SURG 67917 REPAIR ECTROPION EXTENSIVE | $3,656 | $2,925 | — | — | 35 |
| 27603 | TX RM 27603 I&D ABSCESS HEMATOMA LEG ANKLE DEEP | $3,650 | $2,920 | — | — | 35 |
| J3111 | Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML | $3,571 | $2,857 | — | — | 70 |
| 67924 | SURG 67924 REPAIR ENTROPION EXTENSIVE | $3,571 | $2,857 | — | — | 35 |
| 21337 | ED 21337 CLSD TX NOSE FXW WO STABL | $3,443 | $2,754 | — | — | 35 |
| 70545 | MRA HEAD W CONTRAST | $3,415 | $2,732 | — | — | 35 |
| 71550 | MRI CHEST WO CONTRAST | $3,312 | $2,650 | — | — | 35 |
Showing top 50 of 1,639 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.