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
2,596
Insurances with rates
4
CPT / HCPCS codes
923
Source MRF
Most expensive procedures (gross)
J7330
$109,425
HC SUPP 1 MEMBRANE MACI IMPLANT
Gross
$109,425
J3380
$15,135
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$15,135
E0749
$14,188
STIMULATOR BONE OSTEOGEN 20M MESH ELECTRODE
Gross
$14,188
J2505
$13,349
PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR
Gross
$13,349
J2353
$13,283
OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE
Gross
$13,283
J3101
$12,935
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$12,935
C1763
$11,066
Cartilage Implant Synth 10mm
Gross
$11,066
J3358
$10,976
USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION
Gross
$10,976
26951
$8,074
HC AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR
Gross
$8,074
31578
$8,007
HC LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER
Gross
$8,007
J0129
$7,666
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION
Gross
$7,666
C9363
$7,412
Skin Sub Meshed Bilayer 2X2" Wound Matrix 5cmx5cm
Gross
$7,412
59412
$7,302
HC EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS
Gross
$7,302
27603
$7,115
HC INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA
Gross
$7,115
20205
$7,097
HC BIOPSY MUSCLE DEEP
Gross
$7,097
C1783
$6,924
iStent Inject Trabecular Micro-Bypass
Gross
$6,924
C1874
$6,799
Stent Esoph Covered 23mmx10cm Fully Covered Wallflex
Gross
$6,799
J2182
$6,587
MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION
Gross
$6,587
HC OR LEVEL 4 PROC 1ST 15MIN
$6,379
HC OR LEVEL 4 PROC 1ST 15MIN
Gross
$6,379
J1459
$6,334
IMMUNE GLOBULIN (HUMAN) (PRIVIGEN) 10% INJECTION SOLUTION
Gross
$6,334
74178
$5,582
HC CT ABDOMEN & PELVIS W/O CONTRST FOLLOWED BY W CONTRST 1/> BODY RE
Gross
$5,582
HC OR LEVEL 3 PROC 1ST 15MIN
$5,510
HC OR LEVEL 3 PROC 1ST 15MIN
Gross
$5,510
C9132
$5,304
PROTHROMBIN CPLX HUMAN (PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION
Gross
$5,304
HC ROOM ICU MEDICAL
$5,300
HC ROOM ICU MEDICAL
Gross
$5,300
74174
$5,154
HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG
Gross
$5,154
74177
$5,140
HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL
Gross
$5,140
70543
$4,876
HC MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL
Gross
$4,876
J1745
$4,858
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION
Gross
$4,858
49406
$4,837
HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ
Gross
$4,837
32557
$4,815
HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING
Gross
$4,815
74183
$4,814
HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL
Gross
$4,814
15271
$4,787
HC APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25
Gross
$4,787
C1762
$4,738
Allograft Anterior Tibialis
Gross
$4,738
72197
$4,711
HC MRI PELVIS W/O & W/CONTRAST MATERIAL
Gross
$4,711
73220
$4,691
HC MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS
Gross
$4,691
73223
$4,610
HC MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL
Gross
$4,610
72156
$4,574
HC MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL
Gross
$4,574
HC OR LEVEL 2 PROC 1ST 15MIN
$4,514
HC OR LEVEL 2 PROC 1ST 15MIN
Gross
$4,514
67457-675-02
$4,493
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION
Gross
$4,493
73720
$4,472
HC MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR
Gross
$4,472
72158
$4,463
HC MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL
Gross
$4,463
72157
$4,415
HC MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL
Gross
$4,415
95811
$4,386
HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND
Gross
$4,386
23700
$4,338
HC MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS
Gross
$4,338
24505
$4,338
HC CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION
Gross
$4,338
25505
$4,338
HC CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION
Gross
$4,338
25565
$4,338
HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ
Gross
$4,338
27752
$4,338
HC CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
Gross
$4,338
27818
$4,338
HC CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
Gross
$4,338
32408
$4,305
HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG
Gross
$4,305
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330 | HC SUPP 1 MEMBRANE MACI IMPLANT | $109,425 | $109,425 | $38,844 | $106,142 | 4 |
| J3380 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $15,135 | $15,135 | $6,198 | $14,681 | 4 |
| E0749 | STIMULATOR BONE OSTEOGEN 20M MESH ELECTRODE | $14,188 | $14,188 | $5,618 | $13,762 | 4 |
| J2505 | PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR | $13,349 | $13,349 | $8,010 | $76,268 | 4 |
| J2353 | OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE | $13,283 | $13,283 | $6,217 | $12,885 | 4 |
| J3101 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $12,935 | $12,935 | $6,453 | $12,547 | 4 |
| C1763 | Cartilage Implant Synth 10mm | $11,066 | $11,066 | $4,382 | $10,734 | 4 |
| J3358 | USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION | $10,976 | $10,976 | $1,582 | $10,647 | 4 |
| 26951 | HC AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR | $8,074 | $8,074 | $3,197 | $7,832 | 4 |
| 31578 | HC LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER | $8,007 | $8,007 | $3,171 | $7,767 | 4 |
| J0129 | ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION | $7,666 | $7,666 | $1,242 | $7,436 | 4 |
| C9363 | Skin Sub Meshed Bilayer 2X2" Wound Matrix 5cmx5cm | $7,412 | $7,412 | $2,935 | $7,190 | 4 |
| 59412 | HC EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS | $7,302 | $7,302 | $2,892 | $7,083 | 4 |
| 27603 | HC INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA | $7,115 | $7,115 | $2,818 | $6,902 | 4 |
| 20205 | HC BIOPSY MUSCLE DEEP | $7,097 | $7,097 | $2,810 | $6,884 | 4 |
| C1783 | iStent Inject Trabecular Micro-Bypass | $6,924 | $6,924 | $2,742 | $6,716 | 4 |
| C1874 | Stent Esoph Covered 23mmx10cm Fully Covered Wallflex | $6,799 | $6,799 | $2,692 | $6,595 | 4 |
| J2182 | MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION | $6,587 | $6,587 | $2,905 | $6,390 | 4 |
| HC OR LEVEL 4 PROC 1ST 15MIN | HC OR LEVEL 4 PROC 1ST 15MIN | $6,379 | $6,379 | $2,526 | $6,188 | 4 |
| J1459 | IMMUNE GLOBULIN (HUMAN) (PRIVIGEN) 10% INJECTION SOLUTION | $6,334 | $6,334 | $3,800 | $7,482 | 4 |
| 74178 | HC CT ABDOMEN & PELVIS W/O CONTRST FOLLOWED BY W CONTRST 1/> BODY RE | $5,582 | $5,582 | $2,210 | $5,415 | 4 |
| HC OR LEVEL 3 PROC 1ST 15MIN | HC OR LEVEL 3 PROC 1ST 15MIN | $5,510 | $5,510 | $2,182 | $5,345 | 4 |
| C9132 | PROTHROMBIN CPLX HUMAN (PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION | $5,304 | $5,304 | $2,090 | $5,145 | 4 |
| HC ROOM ICU MEDICAL | HC ROOM ICU MEDICAL | $5,300 | $5,300 | $2,099 | $5,141 | 4 |
| 74174 | HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG | $5,154 | $5,154 | $2,041 | $4,999 | 4 |
| 74177 | HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $5,140 | $5,140 | $2,035 | $4,986 | 4 |
| 70543 | HC MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL | $4,876 | $4,876 | $1,931 | $4,730 | 4 |
| J1745 | INFLIXIMAB 100 MG INTRAVENOUS SOLUTION | $4,858 | $4,858 | $485 | $4,712 | 4 |
| 49406 | HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ | $4,837 | $4,837 | $1,915 | $4,692 | 4 |
| 32557 | HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING | $4,815 | $4,815 | $1,907 | $4,671 | 4 |
| 74183 | HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $4,814 | $4,814 | $1,906 | $4,670 | 4 |
| 15271 | HC APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25 | $4,787 | $4,787 | $1,896 | $4,643 | 4 |
| C1762 | Allograft Anterior Tibialis | $4,738 | $4,738 | $1,876 | $4,596 | 4 |
| 72197 | HC MRI PELVIS W/O & W/CONTRAST MATERIAL | $4,711 | $4,711 | $1,866 | $4,570 | 4 |
| 73220 | HC MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS | $4,691 | $4,691 | $1,858 | $4,550 | 4 |
| 73223 | HC MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL | $4,610 | $4,610 | $1,826 | $4,472 | 4 |
| 72156 | HC MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $4,574 | $4,574 | $1,811 | $4,437 | 4 |
| HC OR LEVEL 2 PROC 1ST 15MIN | HC OR LEVEL 2 PROC 1ST 15MIN | $4,514 | $4,514 | $1,788 | $4,379 | 4 |
| 67457-675-02 | CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION | $4,493 | $4,493 | $1,779 | $4,358 | 4 |
| 73720 | HC MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR | $4,472 | $4,472 | $1,771 | $4,338 | 4 |
| 72158 | HC MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $4,463 | $4,463 | $1,767 | $4,329 | 4 |
| 72157 | HC MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL | $4,415 | $4,415 | $1,748 | $4,283 | 4 |
| 95811 | HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $4,386 | $4,386 | $1,737 | $4,254 | 4 |
| 23700 | HC MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS | $4,338 | $4,338 | $1,718 | $4,208 | 4 |
| 24505 | HC CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION | $4,338 | $4,338 | $1,718 | $4,208 | 4 |
| 25505 | HC CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION | $4,338 | $4,338 | $1,718 | $4,208 | 4 |
| 25565 | HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ | $4,338 | $4,338 | $1,718 | $4,208 | 4 |
| 27752 | HC CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ | $4,338 | $4,338 | $1,718 | $4,208 | 4 |
| 27818 | HC CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION | $4,338 | $4,338 | $1,718 | $4,208 | 4 |
| 32408 | HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG | $4,305 | $4,305 | $1,705 | $4,176 | 4 |
Showing top 50 of 2,596 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.