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
1,968
Insurances with rates
8
CPT / HCPCS codes
1,941
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab Soln For IV Infusion 300 MG/10ML | $35,669 | $28,535 | — | — | 20 |
| J1950 | Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG | $21,953 | $17,562 | — | — | 21 |
| J2323 | Natalizumab for IV Inj Conc 300 MG/15ML | $16,494 | $13,195 | — | — | 20 |
| J2997 | Alteplase For Inj 100 MG | $16,063 | $12,850 | — | — | 40 |
| 58661 | SURG 58661 LAPAROSCOPY W REMOVAL ADNEXAL STRUCTURES | $14,163 | $11,330 | — | — | 20 |
| J3380 | Vedolizumab For IV Solution 300 MG | $13,531 | $10,824 | — | — | 20 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $12,147 | $9,718 | — | — | 40 |
| J0717 | Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML | $11,060 | $8,848 | — | — | 20 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $10,062 | $8,049 | — | — | 20 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $9,917 | $7,933 | — | — | 20 |
| J9299 | Nivolumab IV Soln 240 MG/24ML | $9,817 | $7,854 | — | — | 20 |
| 33210 | ED 33210 INSERT/REPLACE LEAD TEMPORARY SINGLE CHAMBER | $8,703 | $6,962 | — | — | 20 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,270 | $6,616 | — | — | 20 |
| 11770 | SURG 11770 EXC PILONIDAL CYST SINUS SMPL | $8,162 | $6,530 | — | — | 20 |
| J9271 | Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML) | $8,018 | $6,415 | — | — | 40 |
| J2353 | Octreotide Acetate For IM Inj Kit 20 MG | $7,918 | $6,334 | — | — | 20 |
| 27372 | ED 27372 REMOVE FB THIGH KNEE DEEP | $7,026 | $5,621 | — | — | 20 |
| Q5111 | Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML | $6,892 | $5,513 | — | — | 20 |
| 36558 | SURG 36558 INS TUN CVA >5 | $6,688 | $5,350 | — | — | 20 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $6,575 | $5,260 | — | — | 20 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $6,561 | $5,249 | — | — | 20 |
| A9548 | IN111PENTETATE PER 0.5 MCI | $6,468 | $5,174 | — | — | 20 |
| 20100 | ED 20100 EXPLORE PENETRATING WOUND NECK | $6,445 | $5,156 | — | — | 20 |
| 46250 | SURG 46250 HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP | $6,413 | $5,130 | — | — | 20 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $6,238 | $4,990 | — | — | 20 |
| 11005 | TX RM 11005 DEBRIDE SKIN/SUBQ/MUSCLE NECROTIZ ABDOMINAL WALL | $6,208 | $4,966 | — | — | 20 |
| 35206 | ED 35206 RPR BLD VESL DIR UPPR EXTR | $6,174 | $4,939 | — | — | 20 |
| J2182 | Mepolizumab For Inj 100 MG | $6,155 | $4,924 | — | — | 20 |
| 37609 | SURG 37609 LIGATION/BIOPSY TEMPORAL ARTERY | $6,147 | $4,918 | — | — | 20 |
| 27301 | TX RM 27301 I&D ABCESS HEMATOMA THIGH KNEE | $6,071 | $4,857 | — | — | 20 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,773 | $4,618 | — | — | 20 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,750 | $4,600 | — | — | 20 |
| 20102 | ED 20102 EXPLORE PENETRATING WOUND ABDOMEN/BACK/FLANK | $5,706 | $4,565 | — | — | 20 |
| 70553 | MRI BRAIN WO THEN W CONT | $5,618 | $4,494 | — | — | 20 |
| 11426 | SURG 11426 EXC BNGN LSN S/N/H/F/G >4.0 CM | $5,593 | $4,474 | — | — | 20 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,586 | $4,469 | — | — | 20 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,557 | $4,446 | — | — | 20 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,532 | $4,426 | — | — | 20 |
| J9217 | Leuprolide Acetate (6 Month) For Subcutaneous Inj Kit 45 MG | $5,495 | $4,396 | — | — | 40 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,408 | $4,326 | — | — | 20 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,388 | $4,310 | — | — | 20 |
| 27599 | ED 27599 FEMUR/KNEE UNLISTED PROCEDURE | $5,387 | $4,310 | — | — | 20 |
| 10121 | ED 10121 INC&REMV FB COMPL | $5,274 | $4,219 | — | — | 20 |
| 95810 | PSG 4+ PARAMETERS | $5,270 | $4,216 | — | — | 20 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $5,194 | $4,155 | — | — | 20 |
| Q5117 | Trastuzumab-anns For IV Soln 420 MG | $5,177 | $4,142 | — | — | 20 |
| 72197 | MRI PELVIS WO THEN W CONT | $5,173 | $4,138 | — | — | 20 |
| 71552 | MRI CHEST WO THEN W CONT | $5,087 | $4,070 | — | — | 20 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $5,087 | $4,070 | — | — | 20 |
| 31238 | TX RM 31238 NSL SINUS ENDO WCNTRL EPISTXS | $5,081 | $4,065 | — | — | 20 |
Showing top 50 of 1,968 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.