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
8,596
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
203704
$22,239
Stelara Subq Sol. 90mg/1ml
Gross
$34,214
CP17509732640762534
$20,074
Major joint replacement or reattachment of lower extremity without MCC
Gross
$30,883
200532
$13,380
Alteplase 100mg Vial ( Activase)
Gross
$20,584
200538
$11,218
Tenecteplase 50mg (Tnkase Kit)
Gross
$17,258
204049
$8,099
Nf-humira Subcutaneous Solution 40mg/0.4
Gross
$12,460
223235
$7,371
Ortho/femoral Stem
Gross
$11,340
202989
$7,106
Alteplase 50mg Vial ( Activase)
Gross
$10,933
223554
$6,866
Ortho/large Hip Stem
Gross
$10,563
200682
$6,723
Digoxin Immune Fab 40mg (Digifab)
Gross
$10,343
CP17509732640761340
$6,579
Uterine and adnexa procedures for non-malignancy without CC or MCC
Gross
$10,122
222903
$6,404
Ortho/femoral Stem 10.5mm 155mmx40mm
Gross
$9,852
200661
$5,717
Crotalidae Poly Immune (Crofab) 1 Vial
Gross
$8,795
204849
$5,492
Nf-farydak Oral Capsule 10mg
Gross
$8,449
223501
$5,144
2 Head 22mm L
Gross
$7,914
CP17509732640767059
$4,904
Removal of gallbladder using an endoscope
Gross
$7,544
203247
$4,793
Dantrolene Sodium 20mg Iv (Ryanodex)
Gross
$7,374
223597
$4,598
Pt/9x9 Aminof
Gross
$7,074
CP17509732640760275
$4,540
Repair of groin hernia patient age 5 years or older
Gross
$6,984
200635
$4,480
Calcitonin-salmon 200iu/ml (Miacalcin)
Gross
$6,892
201088
$4,248
Immune Globulin 100mg/1ml (Gammagard)
Gross
$6,535
223425
$4,018
Preshaped Hem
Gross
$6,181
19610
$3,988
Obstetric care, planned cesarean delivery
Gross
$6,135
CP17509732640766374
$3,988
Obstetric care, planned cesarean delivery
Gross
$6,135
223332
$3,935
Ortho/knee Revision
Gross
$6,054
CP17509732640764477
$3,831
Removal of one or more breast growth, open procedure
Gross
$5,894
19615
$3,788
Obstetric care, planned vaginal delivery (post delivery by cesarean section)
Gross
$5,828
CP17509732640766150
$3,788
Obstetric care, planned vaginal delivery (post delivery by cesarean section)
Gross
$5,828
CP17509732640764758
$3,626
Removal of one knee cartilage using an endoscope
Gross
$5,579
223126
$3,554
Or/attune Knee System Size 5
Gross
$5,468
223155
$3,554
Ortho/knee System Tibial
Gross
$5,468
19600
$3,539
Obstetric care, planned vaginal delivery
Gross
$5,445
CP17509732640764407
$3,539
Obstetric care, planned vaginal delivery
Gross
$5,445
223614
$3,409
Amnio 6x10cm
Gross
$5,244
3077
$3,393
Ct Abd And Pelvis W&w/o Contrast
Gross
$5,220
203589
$3,199
Inclisiran Inj 284mg Pfs (Leqvio)
Gross
$4,922
CP17509732640767385
$3,152
Biopsy exam of esophagus, stomach or small bowel using an endoscope
Gross
$4,849
222897
$3,121
Ortho/standard Stem Size 12mmx145mm
Gross
$4,801
222758
$3,120
Ortho/porocoat Standard Stem Size 12
Gross
$4,800
3076
$3,028
CT scan of abdomen and pelvis with contrast
Gross
$4,658
223214
$3,008
9.5 Prox Hume
Gross
$4,627
223301
$2,948
Ortho/tibial Base Knee System
Gross
$4,535
223502
$2,876
8.0mmx6.0m St
Gross
$4,424
3085
$2,865
Ct Angio Abd And Pelvis W Contrast
Gross
$4,408
201089
$2,828
Immune Globulin 20gm/200ml (Gammagard)
Gross
$4,351
12087
$2,795
Insrt/replac Temp One Chmbr Elect/cath
Gross
$4,300
24464
$2,751
Braca Panel Braca1 Braca2
Gross
$4,232
223164
$2,706
12mm Fix Nail
Gross
$4,163
223526
$2,685
4hole Plate
Gross
$4,131
CP17509732640768668
$2,680
Diagnostic exam of esophagus, stomach or small bowel using an endoscope
Gross
$4,123
203633
$2,674
Vyepti 100 Mg/ml Inj
Gross
$4,114
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 203704 | Stelara Subq Sol. 90mg/1ml | $34,214 | $22,239 | $23,950 | $29,082 | 7 |
| CP17509732640762534 | Major joint replacement or reattachment of lower extremity without MCC | $30,883 | $20,074 | $20,074 | $24,706 | 5 |
| 200532 | Alteplase 100mg Vial ( Activase) | $20,584 | $13,380 | $14,409 | $17,496 | 7 |
| 200538 | Tenecteplase 50mg (Tnkase Kit) | $17,258 | $11,218 | $12,081 | $14,669 | 7 |
| 204049 | Nf-humira Subcutaneous Solution 40mg/0.4 | $12,460 | $8,099 | $8,722 | $10,591 | 7 |
| 223235 | Ortho/femoral Stem | $11,340 | $7,371 | $7,938 | $9,639 | 7 |
| 202989 | Alteplase 50mg Vial ( Activase) | $10,933 | $7,106 | $7,653 | $9,293 | 7 |
| 223554 | Ortho/large Hip Stem | $10,563 | $6,866 | $7,394 | $8,979 | 7 |
| 200682 | Digoxin Immune Fab 40mg (Digifab) | $10,343 | $6,723 | $7,240 | $8,792 | 7 |
| CP17509732640761340 | Uterine and adnexa procedures for non-malignancy without CC or MCC | $10,122 | $6,579 | $6,579 | $8,098 | 5 |
| 222903 | Ortho/femoral Stem 10.5mm 155mmx40mm | $9,852 | $6,404 | $6,896 | $8,374 | 7 |
| 200661 | Crotalidae Poly Immune (Crofab) 1 Vial | $8,795 | $5,717 | $6,157 | $7,476 | 7 |
| 204849 | Nf-farydak Oral Capsule 10mg | $8,449 | $5,492 | $5,914 | $7,182 | 7 |
| 223501 | 2 Head 22mm L | $7,914 | $5,144 | $5,540 | $6,727 | 7 |
| CP17509732640767059 | Removal of gallbladder using an endoscope | $7,544 | $4,904 | $5,281 | $6,412 | 7 |
| 203247 | Dantrolene Sodium 20mg Iv (Ryanodex) | $7,374 | $4,793 | $5,162 | $6,268 | 7 |
| 223597 | Pt/9x9 Aminof | $7,074 | $4,598 | $4,952 | $6,013 | 7 |
| CP17509732640760275 | Repair of groin hernia patient age 5 years or older | $6,984 | $4,540 | $4,889 | $5,936 | 7 |
| 200635 | Calcitonin-salmon 200iu/ml (Miacalcin) | $6,892 | $4,480 | $4,824 | $5,858 | 7 |
| 201088 | Immune Globulin 100mg/1ml (Gammagard) | $6,535 | $4,248 | $4,575 | $5,555 | 7 |
| 223425 | Preshaped Hem | $6,181 | $4,018 | $4,327 | $5,254 | 7 |
| 19610 | Obstetric care, planned cesarean delivery | $6,135 | $3,988 | $4,295 | $5,215 | 7 |
| CP17509732640766374 | Obstetric care, planned cesarean delivery | $6,135 | $3,988 | $4,295 | $5,215 | 7 |
| 223332 | Ortho/knee Revision | $6,054 | $3,935 | $4,238 | $5,146 | 7 |
| CP17509732640764477 | Removal of one or more breast growth, open procedure | $5,894 | $3,831 | $4,126 | $5,010 | 7 |
| 19615 | Obstetric care, planned vaginal delivery (post delivery by cesarean section) | $5,828 | $3,788 | $4,080 | $4,954 | 7 |
| CP17509732640766150 | Obstetric care, planned vaginal delivery (post delivery by cesarean section) | $5,828 | $3,788 | $4,080 | $4,954 | 7 |
| CP17509732640764758 | Removal of one knee cartilage using an endoscope | $5,579 | $3,626 | $3,905 | $4,742 | 7 |
| 223126 | Or/attune Knee System Size 5 | $5,468 | $3,554 | $3,828 | $4,648 | 7 |
| 223155 | Ortho/knee System Tibial | $5,468 | $3,554 | $3,828 | $4,648 | 7 |
| 19600 | Obstetric care, planned vaginal delivery | $5,445 | $3,539 | $3,811 | $4,628 | 7 |
| CP17509732640764407 | Obstetric care, planned vaginal delivery | $5,445 | $3,539 | $3,811 | $4,628 | 7 |
| 223614 | Amnio 6x10cm | $5,244 | $3,409 | $3,671 | $4,457 | 7 |
| 3077 | Ct Abd And Pelvis W&w/o Contrast | $5,220 | $3,393 | $3,654 | $4,437 | 7 |
| 203589 | Inclisiran Inj 284mg Pfs (Leqvio) | $4,922 | $3,199 | $3,445 | $4,184 | 7 |
| CP17509732640767385 | Biopsy exam of esophagus, stomach or small bowel using an endoscope | $4,849 | $3,152 | $3,394 | $4,122 | 7 |
| 222897 | Ortho/standard Stem Size 12mmx145mm | $4,801 | $3,121 | $3,361 | $4,081 | 7 |
| 222758 | Ortho/porocoat Standard Stem Size 12 | $4,800 | $3,120 | $3,360 | $4,080 | 7 |
| 3076 | CT scan of abdomen and pelvis with contrast | $4,658 | $3,028 | $3,261 | $3,959 | 7 |
| 223214 | 9.5 Prox Hume | $4,627 | $3,008 | $3,239 | $3,933 | 7 |
| 223301 | Ortho/tibial Base Knee System | $4,535 | $2,948 | $3,175 | $3,855 | 7 |
| 223502 | 8.0mmx6.0m St | $4,424 | $2,876 | $3,097 | $3,760 | 7 |
| 3085 | Ct Angio Abd And Pelvis W Contrast | $4,408 | $2,865 | $3,086 | $3,747 | 7 |
| 201089 | Immune Globulin 20gm/200ml (Gammagard) | $4,351 | $2,828 | $3,046 | $3,698 | 7 |
| 12087 | Insrt/replac Temp One Chmbr Elect/cath | $4,300 | $2,795 | $3,010 | $3,655 | 7 |
| 24464 | Braca Panel Braca1 Braca2 | $4,232 | $2,751 | $2,962 | $3,597 | 7 |
| 223164 | 12mm Fix Nail | $4,163 | $2,706 | $2,914 | $3,539 | 7 |
| 223526 | 4hole Plate | $4,131 | $2,685 | $2,892 | $3,511 | 7 |
| CP17509732640768668 | Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $4,123 | $2,680 | $2,886 | $3,505 | 7 |
| 203633 | Vyepti 100 Mg/ml Inj | $4,114 | $2,674 | $2,880 | $3,497 | 7 |
Showing top 50 of 8,596 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.