45 CFR § 180 compliance
D · 65
This hospital published part 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
1,070
Insurances with rates
0
CPT / HCPCS codes
1,055
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | TPA (ACTIVASE) BOLUS | $14,950 | $14,950 | — | — | 0 |
| J3101 | TNKASE (TENECTEPLASE) KIT INJ 50MG | $12,537 | $12,537 | — | — | 0 |
| J2505 | NEULASTA INJ 6MG/0.6ML | $5,391 | $5,391 | — | — | 0 |
| J0840 | CROFAB ANTIVENOM INJ 1 GM | $4,306 | $4,306 | — | — | 0 |
| J2796 | N-PLATE (ROMIPLOSTIM) 500MCG | $4,275 | $4,275 | — | — | 0 |
| 64624 | GENICULAR KNEE ABLATION LT,LEFT | $3,850 | $3,850 | — | — | 0 |
| 64635 | RADIOFREQ ABLATION RFA LUMB SAC 1STJT-L,LEFT | $3,700 | $3,700 | — | — | 0 |
| J2426 | INVEGA SUST INJ 234/1.5 | $3,452 | $3,452 | — | — | 0 |
| 300 | COMPREHENSIVE BRAC ANALYSIS | $3,036 | $3,036 | — | — | 0 |
| 64633 | RADIOFREQ ABLATION RFA CERV THOR 1STJT-L,LEFT | $3,000 | $3,000 | — | — | 0 |
| 64493 | INJ PARAVERT FJNT L/S 1 LEV - BILATERAL,BILATERAL, MEDICALLY NECESSARY | $2,800 | $2,800 | — | — | 0 |
| 64490 | INJ PARAVERT FJNT C/T W GUID BIL,BILATERAL | $2,800 | $2,800 | — | — | 0 |
| J0897 | PROLIA (DENOSUMAB) 60 MG INJ | $2,775 | $2,775 | — | — | 0 |
| J1950 | LUPRON DEP-PED INJ 11.25MG | $2,416 | $2,416 | — | — | 0 |
| 74174 | CT ANGIOGRAPHIC, ABD PELVIS W/CONT | $2,350 | $2,350 | — | — | 0 |
| 93306 | US ECHO 2D&M MODE | $2,100 | $2,100 | — | — | 0 |
| 27825 | CLOSED TX DISTAL TIBIA FX W MANIPULATIO | $2,100 | $2,100 | — | — | 0 |
| 64495 | INJ PARAVERT FJNT L/S 3 LEV RIGHT,RIGHT | $2,000 | $2,000 | — | — | 0 |
| 70544 | MRA BRAIN W/O CON | $1,931 | $1,931 | — | — | 0 |
| 70548 | MRA NECK W CON | $1,931 | $1,931 | — | — | 0 |
| 72198 | MRA PELVIS W/WO CON | $1,931 | $1,931 | — | — | 0 |
| 70549 | MRA HEAD & NECK W/WO | $1,931 | $1,931 | — | — | 0 |
| 62321 | INTERLAMINAR CERVICAL THORCIC W/GUIDANCE | $1,900 | $1,900 | — | — | 0 |
| 64454 | GENICULAR NERVE BRANCH INCL GUIDANCE-R,RIGHT | $1,900 | $1,900 | — | — | 0 |
| 64642 | CONTINUOUS ABLATION SUPRASCAPULAR NERVE | $1,900 | $1,900 | — | — | 0 |
| J1439 | INJECTAFER INJ 750MG/15ML | $1,830 | $1,830 | — | — | 0 |
| 27096 | INJ SACROILIAC JT BILATERAL,BILATERAL | $1,800 | $1,800 | — | — | 0 |
| 71275 | CT ANGIOGRAPHIC,CHEST W/CONT | $1,800 | $1,800 | — | — | 0 |
| 70496 | CT ANGIOGRAPHIC, HEAD W/CONT | $1,800 | $1,800 | — | — | 0 |
| 70498 | CT ANGIOGRAPHIC, NECK W/CONT | $1,800 | $1,800 | — | — | 0 |
| 72142 | MRI C-SPINE W CON | $1,716 | $1,716 | — | — | 0 |
| 73221 | MRI JOINT U EXT W/O CON | $1,716 | $1,716 | — | — | 0 |
| 72158 | MRI L-SPINE W/O CON & W CON, F SEQU | $1,716 | $1,716 | — | — | 0 |
| 70551 | MRI BRAIN INCL STEM W/O CON | $1,716 | $1,716 | — | — | 0 |
| 70553 | MRI BRAIN INCL STEM W/WO CON | $1,716 | $1,716 | — | — | 0 |
| 72146 | MRI T-SPINE W/O CON | $1,716 | $1,716 | — | — | 0 |
| 72157 | MRI T-SPINE W/O CON & W CON, F SEQU | $1,716 | $1,716 | — | — | 0 |
| 72141 | MRI C-SPINE W/O CON | $1,716 | $1,716 | — | — | 0 |
| 72147 | MRI T-SPINE W CON | $1,716 | $1,716 | — | — | 0 |
| 72148 | MRI L-SPINE W/O CON | $1,716 | $1,716 | — | — | 0 |
| 72149 | MRI L-SPINE W CON | $1,716 | $1,716 | — | — | 0 |
| 72156 | MRI C-SPINE W/O CON FOL W CON | $1,716 | $1,716 | — | — | 0 |
| 73718 | MRI LOWER EXTREM OTHER THAN JOINT WO CON | $1,716 | $1,716 | — | — | 0 |
| 73722 | MRI ANY JOINT L EXT W CON | $1,716 | $1,716 | — | — | 0 |
| 74183 | MRI ABDOMEN W & WO CONTRAST | $1,716 | $1,716 | — | — | 0 |
| 73218 | MRI UPPER EXT OTHER THAN JOINT WO | $1,716 | $1,716 | — | — | 0 |
| 73223 | MRI UPP EXT ANY JOINT W/WO CONTRAST | $1,716 | $1,716 | — | — | 0 |
| 73723 | MRI JOINT L EXT W & W/O CONTRAST | $1,716 | $1,716 | — | — | 0 |
| 72197 | MRI PELVIS W-W/O CONTRAST | $1,716 | $1,716 | — | — | 0 |
| 71550 | MRI CHEST WO CONTRAST | $1,716 | $1,716 | — | — | 0 |
Showing top 50 of 1,070 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.