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
2,984
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-151077
$70,198
USTEKINUMAB 90 MG/ML SUBQ SOSY
Gross
$70,198
RX-169866
$53,405
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$53,405
RX-212251
$43,376
EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SUBQ SOLN
Gross
$43,376
SUP-DHAM044S
$32,000
BIOVANCE 3L TRI-LAYER HUMAN AMNIOTIC MEM
Gross
$32,000
SUP-ABS-2090-10
$25,000
ARTHROCELL PLUS ALLOGRAFT, 10CC
Gross
$25,000
RX-148911
$23,714
VEDOLIZUMAB 300 MG IV SOLR
Gross
$23,714
RX-40120
$22,576
NATALIZUMAB 300 MG/15ML IV CONC
Gross
$22,576
RX-74707388
$19,735
TENECTEPLASE 50 MG IV KIT (STROKE)
Gross
$19,735
RX-24436
$17,254
OCTREOTIDE ACETATE 30 MG IM KIT
Gross
$17,254
SUP-DHAM024S
$16,000
BIOVANCE 3L TRI-LAYER HUMAN AMNIOTIC MEM
Gross
$16,000
RX-87861
$15,380
LANREOTIDE ACETATE 120 MG/0.5ML SUBQ SOLN
Gross
$15,380
PX-36010338
$14,265
Shock wave crushing of kidney stones
Gross
$14,265
RX-31432
$12,059
DIGOXIN IMMUNE FAB 40 MG IV SOLR
Gross
$12,059
RX-28530
$11,841
TENECTEPLASE 50 MG IV KIT
Gross
$11,841
RX-151959
$11,326
GAMUNEX-C 40 GM/400ML INJECTION SOLN
Gross
$11,326
RX-168493
$10,398
BEZLOTOXUMAB 1000 MG/40ML IV SOLN
Gross
$10,398
RX-181868
$10,094
MEPOLIZUMAB 100 MG/ML SUBQ SOSY
Gross
$10,094
PX-25051568OCU
$9,507
HC Implant Toe Joint Biplanar Lapiplasty Anatomic
Gross
$9,507
PX-25053306OCU
$9,307
HC Pack Lapiplasty System 2
Gross
$9,307
RX-194718
$9,253
INCLISIRAN SODIUM 284 MG/1.5ML SUBQ SOSY
Gross
$9,253
SUP-AR-8942W-1808
$9,148
BIOSYNC EVANS WEDGE, 18 X 18 X 8 MM
Gross
$9,148
PX-25053634OCU
$9,041
HC Dressing Biological Puraply Am-Com Sheet 5x5cm 25sqcm
Gross
$9,041
PX-25056081OCU
$8,507
HC Puraply 4.91x4.91 Am Ef Xt
Gross
$8,507
PX-61010059
$7,567
MRI scan of arm before and after contrast
Gross
$7,567
PX-61010068
$7,346
MRI scan of arm joint before and after contrast
Gross
$7,346
PX-61110015
$7,317
MRI scan of brain before and after contrast
Gross
$7,317
PX-61010007
$7,313
MRI scan of bone of eye socket, face, and/or neck
Gross
$7,313
PX-61010012
$7,273
MRI scan of blood vessels of head before and after contrast
Gross
$7,273
PX-61010025
$7,273
MRI scan of chest before and after contrast
Gross
$7,273
PX-35010072
$7,216
CT scan of blood vessels of abdomen and pelvis w/contrast
Gross
$7,216
RX-97853
$7,102
CERTOLIZUMAB PEGOL 200 MG/ML SUBQ PSKT
Gross
$7,102
PX-61010053
$6,995
MRI scan of leg before and after contrast
Gross
$6,995
PX-61210017
$6,865
MRI scan of lower spinal canal before and after contrast
Gross
$6,865
RX-181020
$6,851
ROMOSOZUMAB-AQQG 105 MG/1.17ML SUBQ SOSY
Gross
$6,851
PX-61010044
$6,826
MRI scan of pelvis before and after contrast
Gross
$6,826
RX-105843
$6,696
TOCILIZUMAB 400 MG/20ML IV SOLN
Gross
$6,696
PX-97510586
$6,659
HC PR 44141 Partial Removal of Colon, W/ Skin Level Cecostomy or Colos
Gross
$6,659
PX-25056063OCU
$6,623
HC Allograft Tissue Affinity 2.5x2.5cm
Gross
$6,623
PX-61010015
$6,461
MRI scan of blood vessels of neck before and after contrast
Gross
$6,461
PX-61010079
$6,262
MRI scan of leg joint before and after contrast
Gross
$6,262
SUP-AR-1547BC-CP
$6,230
FDL IMPLANT SYSTEM, 4.75MM
Gross
$6,230
PX-97510730
$5,971
HC PR 44626 Repair Bowel Opening, Hartmann Method
Gross
$5,971
PX-97510846
$5,938
HC PR 49020 Drain Abdominal Abscess, Open
Gross
$5,938
PX-35210054
$5,932
CT scan of abdomen and pelvis before and after contrast
Gross
$5,932
PX-97510587
$5,926
HC PR 44143 Partial Removal of Colon, Hartmann Procedure
Gross
$5,926
RX-89486
$5,866
PRIVIGEN 20 GM/200ML IV SOLN
Gross
$5,866
PX-96910214
$5,634
HC PR 44204 Laparoscopy Partial Colectomy
Gross
$5,634
RX-176922
$5,261
PEGFILGRASTIM-JMDB 6 MG/0.6ML SUBQ SOSY
Gross
$5,261
PX-97510702
$5,197
Laparoscopy, surgical; enterectomy, resection of small intestine
Gross
$5,197
PX-97510562
$5,070
HC PR 43840 Repair of Stomach Lesion
Gross
$5,070
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-151077 | USTEKINUMAB 90 MG/ML SUBQ SOSY | $70,198 | $70,198 | — | — | 0 |
| RX-169866 | OCRELIZUMAB 300 MG/10ML IV SOLN | $53,405 | $53,405 | — | — | 0 |
| RX-212251 | EFGARTIGIMOD ALFA-HYALUR-QVFC 180-2000 MG-UNIT/ML SUBQ SOLN | $43,376 | $43,376 | — | — | 0 |
| SUP-DHAM044S | BIOVANCE 3L TRI-LAYER HUMAN AMNIOTIC MEM | $32,000 | $32,000 | — | — | 0 |
| SUP-ABS-2090-10 | ARTHROCELL PLUS ALLOGRAFT, 10CC | $25,000 | $25,000 | — | — | 0 |
| RX-148911 | VEDOLIZUMAB 300 MG IV SOLR | $23,714 | $23,714 | — | — | 0 |
| RX-40120 | NATALIZUMAB 300 MG/15ML IV CONC | $22,576 | $22,576 | — | — | 0 |
| RX-74707388 | TENECTEPLASE 50 MG IV KIT (STROKE) | $19,735 | $19,735 | — | — | 0 |
| RX-24436 | OCTREOTIDE ACETATE 30 MG IM KIT | $17,254 | $17,254 | — | — | 0 |
| SUP-DHAM024S | BIOVANCE 3L TRI-LAYER HUMAN AMNIOTIC MEM | $16,000 | $16,000 | — | — | 0 |
| RX-87861 | LANREOTIDE ACETATE 120 MG/0.5ML SUBQ SOLN | $15,380 | $15,380 | — | — | 0 |
| PX-36010338 | Shock wave crushing of kidney stones | $14,265 | $14,265 | — | — | 0 |
| RX-31432 | DIGOXIN IMMUNE FAB 40 MG IV SOLR | $12,059 | $12,059 | — | — | 0 |
| RX-28530 | TENECTEPLASE 50 MG IV KIT | $11,841 | $11,841 | — | — | 0 |
| RX-151959 | GAMUNEX-C 40 GM/400ML INJECTION SOLN | $11,326 | $11,326 | — | — | 0 |
| RX-168493 | BEZLOTOXUMAB 1000 MG/40ML IV SOLN | $10,398 | $10,398 | — | — | 0 |
| RX-181868 | MEPOLIZUMAB 100 MG/ML SUBQ SOSY | $10,094 | $10,094 | — | — | 0 |
| PX-25051568OCU | HC Implant Toe Joint Biplanar Lapiplasty Anatomic | $9,507 | $9,507 | — | — | 0 |
| PX-25053306OCU | HC Pack Lapiplasty System 2 | $9,307 | $9,307 | — | — | 0 |
| RX-194718 | INCLISIRAN SODIUM 284 MG/1.5ML SUBQ SOSY | $9,253 | $9,253 | — | — | 0 |
| SUP-AR-8942W-1808 | BIOSYNC EVANS WEDGE, 18 X 18 X 8 MM | $9,148 | $9,148 | — | — | 0 |
| PX-25053634OCU | HC Dressing Biological Puraply Am-Com Sheet 5x5cm 25sqcm | $9,041 | $9,041 | — | — | 0 |
| PX-25056081OCU | HC Puraply 4.91x4.91 Am Ef Xt | $8,507 | $8,507 | — | — | 0 |
| PX-61010059 | MRI scan of arm before and after contrast | $7,567 | $7,567 | — | — | 2 |
| PX-61010068 | MRI scan of arm joint before and after contrast | $7,346 | $7,346 | — | — | 2 |
| PX-61110015 | MRI scan of brain before and after contrast | $7,317 | $7,317 | — | — | 2 |
| PX-61010007 | MRI scan of bone of eye socket, face, and/or neck | $7,313 | $7,313 | — | — | 2 |
| PX-61010012 | MRI scan of blood vessels of head before and after contrast | $7,273 | $7,273 | — | — | 2 |
| PX-61010025 | MRI scan of chest before and after contrast | $7,273 | $7,273 | — | — | 2 |
| PX-35010072 | CT scan of blood vessels of abdomen and pelvis w/contrast | $7,216 | $7,216 | — | — | 2 |
| RX-97853 | CERTOLIZUMAB PEGOL 200 MG/ML SUBQ PSKT | $7,102 | $7,102 | — | — | 0 |
| PX-61010053 | MRI scan of leg before and after contrast | $6,995 | $6,995 | — | — | 2 |
| PX-61210017 | MRI scan of lower spinal canal before and after contrast | $6,865 | $6,865 | — | — | 2 |
| RX-181020 | ROMOSOZUMAB-AQQG 105 MG/1.17ML SUBQ SOSY | $6,851 | $6,851 | — | — | 0 |
| PX-61010044 | MRI scan of pelvis before and after contrast | $6,826 | $6,826 | — | — | 2 |
| RX-105843 | TOCILIZUMAB 400 MG/20ML IV SOLN | $6,696 | $6,696 | — | — | 0 |
| PX-97510586 | HC PR 44141 Partial Removal of Colon, W/ Skin Level Cecostomy or Colos | $6,659 | $6,659 | — | — | 1 |
| PX-25056063OCU | HC Allograft Tissue Affinity 2.5x2.5cm | $6,623 | $6,623 | — | — | 0 |
| PX-61010015 | MRI scan of blood vessels of neck before and after contrast | $6,461 | $6,461 | — | — | 2 |
| PX-61010079 | MRI scan of leg joint before and after contrast | $6,262 | $6,262 | — | — | 2 |
| SUP-AR-1547BC-CP | FDL IMPLANT SYSTEM, 4.75MM | $6,230 | $6,230 | — | — | 0 |
| PX-97510730 | HC PR 44626 Repair Bowel Opening, Hartmann Method | $5,971 | $5,971 | — | — | 1 |
| PX-97510846 | HC PR 49020 Drain Abdominal Abscess, Open | $5,938 | $5,938 | — | — | 1 |
| PX-35210054 | CT scan of abdomen and pelvis before and after contrast | $5,932 | $5,932 | — | — | 2 |
| PX-97510587 | HC PR 44143 Partial Removal of Colon, Hartmann Procedure | $5,926 | $5,926 | — | — | 1 |
| RX-89486 | PRIVIGEN 20 GM/200ML IV SOLN | $5,866 | $5,866 | — | — | 0 |
| PX-96910214 | HC PR 44204 Laparoscopy Partial Colectomy | $5,634 | $5,634 | — | — | 1 |
| RX-176922 | PEGFILGRASTIM-JMDB 6 MG/0.6ML SUBQ SOSY | $5,261 | $5,261 | — | — | 0 |
| PX-97510702 | Laparoscopy, surgical; enterectomy, resection of small intestine | $5,197 | $5,197 | — | — | 1 |
| PX-97510562 | HC PR 43840 Repair of Stomach Lesion | $5,070 | $5,070 | — | — | 1 |
Showing top 50 of 2,984 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.