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
3,769
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
2000038
$17,628
Alteplase 100 Mg Vial
Gross
$23,504
2000667
$13,275
Pegfilgrastim 6 Mg/0.6 Ml Pfs
Gross
$17,700
2000793
$9,449
Tenecteplase 50 Mg Injection Kit
Gross
$12,598
2000418
$7,350
Immune Globulin 30 Gm/300 Ml 10%
Gross
$9,800
2000071
$6,975
Aranesp 500 Mg Syringe
Gross
$9,300
2000206
$6,792
Crotalide Polyvalent Fab Vial
Gross
$9,056
100133
$6,029
Vaginal Delivery
Gross
$8,038
2001570
$5,063
Prolia 60mg/ml Syringe
Gross
$6,750
2001071
$4,725
Bebtelovimab Inj 175mg/2ml
Gross
$6,300
2001158
$4,725
Bebtelovimab Inj 175mg/2ml
Gross
$6,300
2001125
$4,704
Synagis 50mg Vial
Gross
$6,272
200022
$4,115
Pf-insertion Of Suprapubic Catheter
Gross
$5,486
100070
$4,114
Insertion Of Suprapubic Catheter
Gross
$5,485
200009
$4,114
Insertion Of Suprapubic Catheter
Gross
$5,485
100146
$3,900
Pleural Drainage W/cath W/maging
Gross
$5,200
100095
$3,732
Pleural Drainage W/cath W/o Imaging
Gross
$4,976
100102
$3,233
Removal Of Implant, Superficial
Gross
$4,311
100059
$3,233
Inc/drain Hematoma Coll
Gross
$4,310
100060
$3,233
Inc/rem Foreign Body Comp
Gross
$4,310
100138
$3,233
Ex Ben Les 2.13.0 Cm
Gross
$4,310
2001535
$3,224
Feraheme 510 Mg Iron Vial
Gross
$4,298
4350509
$3,218
Mri Abdomen With & W/o
Gross
$4,290
4300004
$3,209
Mri Orbit Face Or Neck W & W/o
Gross
$4,279
100021
$3,201
Cl Tx Prox Hum Fx W/m
Gross
$4,268
100025
$3,201
Cls Tx Shoul Dis W/m&anes
Gross
$4,268
100027
$3,201
Clsd Tx Bimal Ank/fx W/ma
Gross
$4,268
100030
$3,201
Clsd Tx Radial Shft W/man
Gross
$4,268
100125
$3,201
Treat Frac Radius & Ulna
Gross
$4,268
100130
$3,201
Trmt Ankle Fx W/ma
Gross
$4,268
100053
$3,200
Fx Trmnt W/manipulation
Gross
$4,267
4000261
$3,030
Brca 1 & Brca 2
Gross
$4,040
4350558
$2,945
MRI Scan
Gross
$3,927
4350932
$2,805
Mri Spine Lumbar W&w/o
Gross
$3,740
4350938
$2,805
Mri Spine Sacrum Coccyx W&w/o
Gross
$3,740
4350929
$2,488
Mri Spinal Canal Cerv W&w/o
Gross
$3,317
4350935
$2,261
Mri Spinal Canal Thor W&w/o
Gross
$3,015
100123
$2,189
Trauma Team Activate
Gross
$2,918
5700026
$2,189
Trauma Team Activation
Gross
$2,918
4300034
$2,169
Mri Up Ext Not Joint W&wo
Gross
$2,892
4350525-LT
$2,169
Mri Ankle Joint W & W/o Contrast Left
Gross
$2,892
4350526-RT
$2,169
Mri Ankle Joint W & W/o Contrast Right
Gross
$2,892
4350590-LT
$2,169
Mri Elbow Joint Left W & W/o Contrast
Gross
$2,892
4350593-RT
$2,169
Mri Elbow Joint Right W & W/o Contrast
Gross
$2,892
4350610-LT
$2,169
Mri Femur Thigh Left W & W/o Contrast
Gross
$2,892
4350613-RT
$2,169
Mri Femur Thigh Right W & W/o Contrast
Gross
$2,892
4350630-LT
$2,169
Mri Forearm Radius Ulna Lt W & W/o Cont
Gross
$2,892
4350633-RT
$2,169
Mri Forearm Radius Ulna Rt W & W/o Cont
Gross
$2,892
4350669-LT
$2,169
Mri Hand Left With/without Contrast
Gross
$2,892
4350672-RT
$2,169
Mri Hand Right With/without Contrast
Gross
$2,892
4350706-50
$2,169
Mri Hip Joint Bilateral W & W/o Contrast
Gross
$2,892
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2000038 | Alteplase 100 Mg Vial | $23,504 | $17,628 | $14,337 | $23,504 | 10 |
| 2000667 | Pegfilgrastim 6 Mg/0.6 Ml Pfs | $17,700 | $13,275 | $10,797 | $17,700 | 10 |
| 2000793 | Tenecteplase 50 Mg Injection Kit | $12,598 | $9,449 | $7,685 | $12,598 | 10 |
| 2000418 | Immune Globulin 30 Gm/300 Ml 10% | $9,800 | $7,350 | $5,978 | $9,800 | 10 |
| 2000071 | Aranesp 500 Mg Syringe | $9,300 | $6,975 | $5,673 | $9,300 | 10 |
| 2000206 | Crotalide Polyvalent Fab Vial | $9,056 | $6,792 | $5,524 | $9,056 | 10 |
| 100133 | Vaginal Delivery | $8,038 | $6,029 | $4,903 | $8,038 | 10 |
| 2001570 | Prolia 60mg/ml Syringe | $6,750 | $5,063 | $4,118 | $6,750 | 10 |
| 2001071 | Bebtelovimab Inj 175mg/2ml | $6,300 | $4,725 | $3,843 | $6,300 | 10 |
| 2001158 | Bebtelovimab Inj 175mg/2ml | $6,300 | $4,725 | $3,843 | $6,300 | 10 |
| 2001125 | Synagis 50mg Vial | $6,272 | $4,704 | $3,826 | $6,272 | 10 |
| 200022 | Pf-insertion Of Suprapubic Catheter | $5,486 | $4,115 | $3,346 | $5,486 | 10 |
| 100070 | Insertion Of Suprapubic Catheter | $5,485 | $4,114 | $3,346 | $5,485 | 10 |
| 200009 | Insertion Of Suprapubic Catheter | $5,485 | $4,114 | $3,346 | $5,485 | 10 |
| 100146 | Pleural Drainage W/cath W/maging | $5,200 | $3,900 | $3,172 | $5,200 | 10 |
| 100095 | Pleural Drainage W/cath W/o Imaging | $4,976 | $3,732 | $3,035 | $4,976 | 10 |
| 100102 | Removal Of Implant, Superficial | $4,311 | $3,233 | $2,630 | $4,311 | 10 |
| 100059 | Inc/drain Hematoma Coll | $4,310 | $3,233 | $2,629 | $4,310 | 10 |
| 100060 | Inc/rem Foreign Body Comp | $4,310 | $3,233 | $2,629 | $4,310 | 10 |
| 100138 | Ex Ben Les 2.13.0 Cm | $4,310 | $3,233 | $2,629 | $4,310 | 10 |
| 2001535 | Feraheme 510 Mg Iron Vial | $4,298 | $3,224 | $2,622 | $4,298 | 10 |
| 4350509 | Mri Abdomen With & W/o | $4,290 | $3,218 | $2,617 | $4,290 | 10 |
| 4300004 | Mri Orbit Face Or Neck W & W/o | $4,279 | $3,209 | $2,610 | $4,279 | 10 |
| 100021 | Cl Tx Prox Hum Fx W/m | $4,268 | $3,201 | $2,603 | $4,268 | 10 |
| 100025 | Cls Tx Shoul Dis W/m&anes | $4,268 | $3,201 | $2,603 | $4,268 | 10 |
| 100027 | Clsd Tx Bimal Ank/fx W/ma | $4,268 | $3,201 | $2,603 | $4,268 | 10 |
| 100030 | Clsd Tx Radial Shft W/man | $4,268 | $3,201 | $2,603 | $4,268 | 10 |
| 100125 | Treat Frac Radius & Ulna | $4,268 | $3,201 | $2,603 | $4,268 | 10 |
| 100130 | Trmt Ankle Fx W/ma | $4,268 | $3,201 | $2,603 | $4,268 | 10 |
| 100053 | Fx Trmnt W/manipulation | $4,267 | $3,200 | $2,603 | $4,267 | 10 |
| 4000261 | Brca 1 & Brca 2 | $4,040 | $3,030 | $2,464 | $4,040 | 10 |
| 4350558 | MRI Scan | $3,927 | $2,945 | $2,395 | $3,927 | 10 |
| 4350932 | Mri Spine Lumbar W&w/o | $3,740 | $2,805 | $2,281 | $3,740 | 10 |
| 4350938 | Mri Spine Sacrum Coccyx W&w/o | $3,740 | $2,805 | $2,281 | $3,740 | 10 |
| 4350929 | Mri Spinal Canal Cerv W&w/o | $3,317 | $2,488 | $2,023 | $3,317 | 10 |
| 4350935 | Mri Spinal Canal Thor W&w/o | $3,015 | $2,261 | $1,839 | $3,015 | 10 |
| 100123 | Trauma Team Activate | $2,918 | $2,189 | $1,780 | $2,918 | 10 |
| 5700026 | Trauma Team Activation | $2,918 | $2,189 | $1,780 | $2,918 | 10 |
| 4300034 | Mri Up Ext Not Joint W&wo | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350525-LT | Mri Ankle Joint W & W/o Contrast Left | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350526-RT | Mri Ankle Joint W & W/o Contrast Right | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350590-LT | Mri Elbow Joint Left W & W/o Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350593-RT | Mri Elbow Joint Right W & W/o Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350610-LT | Mri Femur Thigh Left W & W/o Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350613-RT | Mri Femur Thigh Right W & W/o Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350630-LT | Mri Forearm Radius Ulna Lt W & W/o Cont | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350633-RT | Mri Forearm Radius Ulna Rt W & W/o Cont | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350669-LT | Mri Hand Left With/without Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350672-RT | Mri Hand Right With/without Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
| 4350706-50 | Mri Hip Joint Bilateral W & W/o Contrast | $2,892 | $2,169 | $1,764 | $2,892 | 10 |
Showing top 50 of 3,769 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.