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
4,852
Insurances with rates
37
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
1710080_1
$22,565
Insertion of tube and injection of substance into lower spine canal using imaging guidance
Gross
$32,236
3900222_1
$19,548
INJECTION, TILDRAKIZUMAB, 1 MG
Gross
$27,925
1710085_1
$15,205
Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)
Gross
$21,721
1260050_1
$7,207
Removal of uterus through abdomen using an endoscope, 250.0 g or less
Gross
$10,296
3900065_1
$6,335
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$9,050
1800105_1
$6,300
GRAFIX PRIME, GRAFIXPL PRIME, STRAVIX AND STRAVIXPL, PER SQUARE CENTIMETER
Gross
$9,000
3900076_1
$6,052
INJECTION, ORITAVANCIN (KIMYRSA), 10 MG
Gross
$8,646
3900233_1
$5,328
INJECTION, RITUXIMAB, 10 MG
Gross
$7,611
3900234_1
$5,328
RITUXIMAB/NS: 1000MG/1000ML
Gross
$7,611
1710112_1
$5,121
Destruction of nerve branches of knee using imaging guidance
Gross
$7,316
3200122_1
$5,100
INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 6 MILLICURIES
Gross
$7,286
1260045_1
$4,842
Removal of uterus through vagina, more than 250.0 g
Gross
$6,917
3900160_1
$4,806
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$6,865
3900068_1
$4,735
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$6,764
1710113_1
$4,708
Destruction of nerves supplying joint between spine and pelvis using imaging guidance
Gross
$6,726
3900099_1
$4,708
INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$6,725
3900061_1
$4,388
INJECTION, ORITAVANCIN (ORBACTIV), 10 MG
Gross
$6,269
1260052_1
$4,187
Removal or destruction of cervix with cold knife or laser
Gross
$5,982
3407056_1
$4,183
CT scan of blood vessels of abdomen and pelvis with contrast
Gross
$5,975
3900092_1
$4,147
INJECTION, INCLISIRAN, 1 MG
Gross
$5,924
1260043_1
$4,134
Diagnostic exam of abdomen using an endoscope
Gross
$5,906
1260044_1
$4,134
Removal of scar tissue of ovaries or fallopian tubes using an endoscope
Gross
$5,906
1260049_1
$4,134
Destruction of fallopian tubes using an endoscope
Gross
$5,906
1260037_1
$3,964
Removal of ovarian or tubal pregnancy with removal of ovary and/or tube using an endoscope
Gross
$5,663
3900175_1
$3,940
RYANODEX 250 MG VIAL
Gross
$5,629
3900180_1
$3,912
DIGOXIN IMMUNE FAB/NS: 40MG/50ML
Gross
$5,589
3407051_1
$3,804
CT scan of abdomen and pelvis before and after contrast
Gross
$5,434
3407052_1
$3,804
CT scan of abdomen and pelvis before and after contrast
Gross
$5,434
1506122_1
$3,738
Complex drainage of wound infection after surgery
Gross
$5,340
1505086_1
$3,706
Insertion of 2 central venous tubes in 2 veins with port
Gross
$5,294
1260042_1
$3,676
Removal of cysts of ovaries
Gross
$5,251
3900093_1
$3,646
INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$5,208
1710119_1
$3,632
Other procedure on nervous system
Gross
$5,189
1710120_1
$3,632
Other procedure on nervous system
Gross
$5,189
3600040_1
$3,620
MRI scan of bone of eye socket, face, and/or neck before and after contrast
Gross
$5,171
3600045_1
$3,620
MRI scan of bone of eye socket, face, and/or neck before and after contrast
Gross
$5,171
1260040_1
$3,598
Plastic repair of vagina and tissue separating vagina, rectum, and bladder
Gross
$5,140
3407050_1
$3,495
CT scan of abdomen and pelvis with contrast
Gross
$4,993
1260046_1
$3,457
Removal of uterus through vagina using an endoscope, 250.0 g or less
Gross
$4,938
1260032_1
$3,454
Repair of bladder hernia into vaginal wall
Gross
$4,934
1710144_1
$3,452
HYALURONAN OR DERIVITIVE, GENVISC 850, FOR INTRA-ARTICULAR INJECTION, 1 MG
Gross
$4,931
1710123_1
$3,441
Limited ultrasound scan of joint or other extremity structure except blood vessels
Gross
$4,916
1260041_1
$3,417
Removal of uterus through vagina, 250.0 g or less
Gross
$4,882
3900109_1
$3,402
INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$4,860
1710114_1
$3,359
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Gross
$4,799
1800005_1
$3,351
Removal of bone, 20.0 sq cm or less
Gross
$4,787
2002150_1
$3,337
Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion vari
Gross
$4,767
3200068_1
$3,314
Nuclear medicine studies of heart muscle at rest and with stress and SPECT
Gross
$4,734
3900214_1
$3,313
INJECTION, ROMOSOZUMAB-AQQG, 1 MG
Gross
$4,733
27058556_1
$3,236
Exam of uterus with destruction of lining of uterus using an endoscope
Gross
$4,623
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1710080_1 | Insertion of tube and injection of substance into lower spine canal using imaging guidance | $32,236 | $22,565 | — | — | 40 |
| 3900222_1 | INJECTION, TILDRAKIZUMAB, 1 MG | $27,925 | $19,548 | — | — | 38 |
| 1710085_1 | Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve) | $21,721 | $15,205 | — | — | 44 |
| 1260050_1 | Removal of uterus through abdomen using an endoscope, 250.0 g or less | $10,296 | $7,207 | — | — | 44 |
| 3900065_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $9,050 | $6,335 | — | — | 38 |
| 1800105_1 | GRAFIX PRIME, GRAFIXPL PRIME, STRAVIX AND STRAVIXPL, PER SQUARE CENTIMETER | $9,000 | $6,300 | — | — | 38 |
| 3900076_1 | INJECTION, ORITAVANCIN (KIMYRSA), 10 MG | $8,646 | $6,052 | — | — | 38 |
| 3900233_1 | INJECTION, RITUXIMAB, 10 MG | $7,611 | $5,328 | — | — | 38 |
| 3900234_1 | RITUXIMAB/NS: 1000MG/1000ML | $7,611 | $5,328 | — | — | 40 |
| 1710112_1 | Destruction of nerve branches of knee using imaging guidance | $7,316 | $5,121 | — | — | 40 |
| 3200122_1 | INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 6 MILLICURIES | $7,286 | $5,100 | — | — | 38 |
| 1260045_1 | Removal of uterus through vagina, more than 250.0 g | $6,917 | $4,842 | — | — | 44 |
| 3900160_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $6,865 | $4,806 | — | — | 38 |
| 3900068_1 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $6,764 | $4,735 | — | — | 38 |
| 1710113_1 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | $6,726 | $4,708 | — | — | 40 |
| 3900099_1 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $6,725 | $4,708 | — | — | 38 |
| 3900061_1 | INJECTION, ORITAVANCIN (ORBACTIV), 10 MG | $6,269 | $4,388 | — | — | 38 |
| 1260052_1 | Removal or destruction of cervix with cold knife or laser | $5,982 | $4,187 | — | — | 44 |
| 3407056_1 | CT scan of blood vessels of abdomen and pelvis with contrast | $5,975 | $4,183 | — | — | 44 |
| 3900092_1 | INJECTION, INCLISIRAN, 1 MG | $5,924 | $4,147 | — | — | 38 |
| 1260043_1 | Diagnostic exam of abdomen using an endoscope | $5,906 | $4,134 | — | — | 44 |
| 1260044_1 | Removal of scar tissue of ovaries or fallopian tubes using an endoscope | $5,906 | $4,134 | — | — | 44 |
| 1260049_1 | Destruction of fallopian tubes using an endoscope | $5,906 | $4,134 | — | — | 44 |
| 1260037_1 | Removal of ovarian or tubal pregnancy with removal of ovary and/or tube using an endoscope | $5,663 | $3,964 | — | — | 43 |
| 3900175_1 | RYANODEX 250 MG VIAL | $5,629 | $3,940 | — | — | 40 |
| 3900180_1 | DIGOXIN IMMUNE FAB/NS: 40MG/50ML | $5,589 | $3,912 | — | — | 40 |
| 3407051_1 | CT scan of abdomen and pelvis before and after contrast | $5,434 | $3,804 | — | — | 44 |
| 3407052_1 | CT scan of abdomen and pelvis before and after contrast | $5,434 | $3,804 | — | — | 44 |
| 1506122_1 | Complex drainage of wound infection after surgery | $5,340 | $3,738 | — | — | 44 |
| 1505086_1 | Insertion of 2 central venous tubes in 2 veins with port | $5,294 | $3,706 | — | — | 44 |
| 1260042_1 | Removal of cysts of ovaries | $5,251 | $3,676 | — | — | 44 |
| 3900093_1 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $5,208 | $3,646 | — | — | 38 |
| 1710119_1 | Other procedure on nervous system | $5,189 | $3,632 | — | — | 44 |
| 1710120_1 | Other procedure on nervous system | $5,189 | $3,632 | — | — | 44 |
| 3600040_1 | MRI scan of bone of eye socket, face, and/or neck before and after contrast | $5,171 | $3,620 | — | — | 44 |
| 3600045_1 | MRI scan of bone of eye socket, face, and/or neck before and after contrast | $5,171 | $3,620 | — | — | 44 |
| 1260040_1 | Plastic repair of vagina and tissue separating vagina, rectum, and bladder | $5,140 | $3,598 | — | — | 43 |
| 3407050_1 | CT scan of abdomen and pelvis with contrast | $4,993 | $3,495 | — | — | 44 |
| 1260046_1 | Removal of uterus through vagina using an endoscope, 250.0 g or less | $4,938 | $3,457 | — | — | 44 |
| 1260032_1 | Repair of bladder hernia into vaginal wall | $4,934 | $3,454 | — | — | 43 |
| 1710144_1 | HYALURONAN OR DERIVITIVE, GENVISC 850, FOR INTRA-ARTICULAR INJECTION, 1 MG | $4,931 | $3,452 | — | — | 38 |
| 1710123_1 | Limited ultrasound scan of joint or other extremity structure except blood vessels | $4,916 | $3,441 | — | — | 44 |
| 1260041_1 | Removal of uterus through vagina, 250.0 g or less | $4,882 | $3,417 | — | — | 43 |
| 3900109_1 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $4,860 | $3,402 | — | — | 38 |
| 1710114_1 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | $4,799 | $3,359 | — | — | 44 |
| 1800005_1 | Removal of bone, 20.0 sq cm or less | $4,787 | $3,351 | — | — | 44 |
| 2002150_1 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion vari | $4,767 | $3,337 | — | — | 42 |
| 3200068_1 | Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $4,734 | $3,314 | — | — | 44 |
| 3900214_1 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG | $4,733 | $3,313 | — | — | 38 |
| 27058556_1 | Exam of uterus with destruction of lining of uterus using an endoscope | $4,623 | $3,236 | — | — | 43 |
Showing top 50 of 4,852 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.