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
2,232
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
1914268
$20,450
Alteplase 100mg Vial [Gch]
Gross
$25,562
1914315
$19,190
Tenecteplase 50 Mg Pow[gch]
Gross
$23,987
1900601
$18,180
Heparin 25,000 Units/500 Ml-d5w Iv Sol [Gch]
Gross
$22,725
1910044
$10,177
Alteplase 50 Mg Pow [Gch]
Gross
$12,721
1920190
$9,674
Pegfilgrastim 6 Mg/0.6 Ml Sol [Non-form][gch]
Gross
$12,092
1920439
$6,757
Immune Globulin Intravenous 10% Sol [Gch]
Gross
$8,446
1910730
$5,763
Denosumab 120 Mg/1.7 Ml Sol [Gch]
Gross
$7,204
1907140
$4,608
Calcitonin Inj. 200iu/ml Mdv [Gch]
Gross
$5,760
1380060-TC
$3,923
CT scan of abdomen and pelvis with contrast
Gross
$4,904
1920438
$3,378
Immune Globulin Intravenous 10% Sol [Gch]
Gross
$4,223
15240
$3,006
Full Thickness Graft, Free, Including Direct Closure Of Dono
Gross
$3,758
1920710
$2,975
Denosumab 60 Mg/ml Sol [Gch]
Gross
$3,719
10121
$2,937
Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated
Gross
$3,671
27086
$2,911
Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue
Gross
$3,639
31612
$2,911
Tracheal Puncture, Percutaneous With Transtracheal Aspiratio
Gross
$3,639
32551
$2,911
Tube Thoracostomy, Includes Connection To Drainage System (E
Gross
$3,639
21320
$2,911
Closed Treatment Of Nasal Bone Fracture With Manipulation; W
Gross
$3,639
1100078
$2,814
Room/bed Telemetry
Gross
$3,518
1920215
$2,790
Omalizumab 150 Mg/ml Sol [Gch]
Gross
$3,487
28192
$2,670
Removal Of Foreign Body, Foot; Deep
Gross
$3,337
20520
$2,669
Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple
Gross
$3,336
24200
$2,669
Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneo
Gross
$3,336
31622
$2,658
Bronchoscopy, Rigid Or Flexible, Including Fluoroscopic Guidance, When Performed; Diagnostic, With C
Gross
$3,322
25505
$2,550
Closed Treatment Of Radial Shaft Fracture; With Manipulation
Gross
$3,187
27752
$2,550
Closed Treatment Of Tibial Shaft Fracture (With Or Without F
Gross
$3,187
31603
$2,482
Tracheostomy, Emergency Procedure; Transtracheal
Gross
$3,103
21315
$2,482
Closed Treatment Of Nasal Bone Fracture With Manipulation; W
Gross
$3,103
23655
$2,232
Closed Treatment Of Shoulder Dislocation, With Manipulation;
Gross
$2,790
1910386
$2,232
Prothrombin Complexpow [Gch]
Gross
$2,790
27846
$2,194
Open Treatment Of Ankle Dislocation, With Or Without Percuta
Gross
$2,743
10140
$2,134
Incision And Drainage Of Hematoma, Seroma Or Fluid Collection
Gross
$2,668
33010
$2,123
Pericardiocentesis; Initial
Gross
$2,654
36555
$2,123
Insertion Of Non-tunneled Centrally Inserted Central Venous
Gross
$2,654
36556
$2,123
Insertion Of Non-tunneled Centrally Inserted Central Venous
Gross
$2,654
46040
$2,092
Incision And Drainage Of Ischiorectal And/or Perirectal Abscess (Separate Procedure)
Gross
$2,615
2903025
$2,092
Anoscopy; Diagnostic, Including Collection Of Specimen(s) By Brushing Or Washing, When Performed (Se
Gross
$2,615
46320
$2,092
Excision Of Thrombosed Hemorrhoid, External
Gross
$2,615
1910370
$2,050
Hydroxocobalamin 5 G Pow[gch]
Gross
$2,563
1380029-2
$2,006
Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner Ear; Without Contra
Gross
$2,507
1913641
$1,995
Leuprolide 3.75 Mg/month Pwd [Gch]
Gross
$2,494
1000073
$1,940
Observation/telemetry Hourly
Gross
$2,425
H0046
$1,862
Mental Health Service, Nos
Gross
$2,328
1100053
$1,750
Critical Care, Evaluation And Management Of The Critically I
Gross
$2,187
25605
$1,693
Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Sm
Gross
$2,116
1920437
$1,689
Immune Globulin Intravenous 10% Sol [Gch]
Gross
$2,111
1403092
$1,636
Bcr/abl1 (T(9;22)) (Eg, Chronic Myelogenous Leukemia) Translocation Analysis; Other Breakpoint, Qual
Gross
$2,045
49082
$1,626
Paracentesis Charge
Gross
$2,032
46608
$1,591
Anoscopy; With Removal Of Foreign Body
Gross
$1,989
46050
$1,591
Incision And Drainage, Perianal Abscess, Superficial
Gross
$1,989
19020
$1,586
Mastotomy With Exploration Or Drainage Of Abscess, Deep
Gross
$1,983
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1914268 | Alteplase 100mg Vial [Gch] | $25,562 | $20,450 | $7,669 | $25,562 | 9 |
| 1914315 | Tenecteplase 50 Mg Pow[gch] | $23,987 | $19,190 | $7,196 | $23,987 | 9 |
| 1900601 | Heparin 25,000 Units/500 Ml-d5w Iv Sol [Gch] | $22,725 | $18,180 | $6,818 | $22,725 | 9 |
| 1910044 | Alteplase 50 Mg Pow [Gch] | $12,721 | $10,177 | $3,816 | $12,721 | 9 |
| 1920190 | Pegfilgrastim 6 Mg/0.6 Ml Sol [Non-form][gch] | $12,092 | $9,674 | $3,628 | $12,092 | 9 |
| 1920439 | Immune Globulin Intravenous 10% Sol [Gch] | $8,446 | $6,757 | $2,534 | $8,446 | 9 |
| 1910730 | Denosumab 120 Mg/1.7 Ml Sol [Gch] | $7,204 | $5,763 | $2,161 | $7,204 | 9 |
| 1907140 | Calcitonin Inj. 200iu/ml Mdv [Gch] | $5,760 | $4,608 | $1,728 | $5,760 | 9 |
| 1380060-TC | CT scan of abdomen and pelvis with contrast | $4,904 | $3,923 | $1,471 | $4,904 | 8 |
| 1920438 | Immune Globulin Intravenous 10% Sol [Gch] | $4,223 | $3,378 | $1,267 | $4,223 | 9 |
| 15240 | Full Thickness Graft, Free, Including Direct Closure Of Dono | $3,758 | $3,006 | $1,127 | $3,758 | 8 |
| 1920710 | Denosumab 60 Mg/ml Sol [Gch] | $3,719 | $2,975 | $1,116 | $3,719 | 9 |
| 10121 | Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated | $3,671 | $2,937 | $1,101 | $3,671 | 8 |
| 27086 | Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue | $3,639 | $2,911 | $1,092 | $3,639 | 8 |
| 31612 | Tracheal Puncture, Percutaneous With Transtracheal Aspiratio | $3,639 | $2,911 | $1,092 | $3,639 | 8 |
| 32551 | Tube Thoracostomy, Includes Connection To Drainage System (E | $3,639 | $2,911 | $1,092 | $3,639 | 8 |
| 21320 | Closed Treatment Of Nasal Bone Fracture With Manipulation; W | $3,639 | $2,911 | $1,092 | $3,639 | 8 |
| 1100078 | Room/bed Telemetry | $3,518 | $2,814 | $1,055 | $3,518 | 8 |
| 1920215 | Omalizumab 150 Mg/ml Sol [Gch] | $3,487 | $2,790 | $1,046 | $3,487 | 9 |
| 28192 | Removal Of Foreign Body, Foot; Deep | $3,337 | $2,670 | $1,001 | $3,337 | 8 |
| 20520 | Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple | $3,336 | $2,669 | $1,001 | $3,336 | 8 |
| 24200 | Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneo | $3,336 | $2,669 | $1,001 | $3,336 | 8 |
| 31622 | Bronchoscopy, Rigid Or Flexible, Including Fluoroscopic Guidance, When Performed; Diagnostic, With C | $3,322 | $2,658 | $997 | $3,322 | 8 |
| 25505 | Closed Treatment Of Radial Shaft Fracture; With Manipulation | $3,187 | $2,550 | $956 | $3,187 | 8 |
| 27752 | Closed Treatment Of Tibial Shaft Fracture (With Or Without F | $3,187 | $2,550 | $956 | $3,187 | 8 |
| 31603 | Tracheostomy, Emergency Procedure; Transtracheal | $3,103 | $2,482 | $931 | $3,103 | 8 |
| 21315 | Closed Treatment Of Nasal Bone Fracture With Manipulation; W | $3,103 | $2,482 | $931 | $3,103 | 8 |
| 23655 | Closed Treatment Of Shoulder Dislocation, With Manipulation; | $2,790 | $2,232 | $837 | $2,790 | 8 |
| 1910386 | Prothrombin Complexpow [Gch] | $2,790 | $2,232 | $837 | $2,790 | 9 |
| 27846 | Open Treatment Of Ankle Dislocation, With Or Without Percuta | $2,743 | $2,194 | $823 | $2,743 | 8 |
| 10140 | Incision And Drainage Of Hematoma, Seroma Or Fluid Collection | $2,668 | $2,134 | $800 | $2,668 | 8 |
| 33010 | Pericardiocentesis; Initial | $2,654 | $2,123 | $796 | $2,654 | 8 |
| 36555 | Insertion Of Non-tunneled Centrally Inserted Central Venous | $2,654 | $2,123 | $796 | $2,654 | 8 |
| 36556 | Insertion Of Non-tunneled Centrally Inserted Central Venous | $2,654 | $2,123 | $796 | $2,654 | 8 |
| 46040 | Incision And Drainage Of Ischiorectal And/or Perirectal Abscess (Separate Procedure) | $2,615 | $2,092 | $785 | $2,615 | 8 |
| 2903025 | Anoscopy; Diagnostic, Including Collection Of Specimen(s) By Brushing Or Washing, When Performed (Se | $2,615 | $2,092 | $785 | $2,615 | 8 |
| 46320 | Excision Of Thrombosed Hemorrhoid, External | $2,615 | $2,092 | $785 | $2,615 | 8 |
| 1910370 | Hydroxocobalamin 5 G Pow[gch] | $2,563 | $2,050 | $769 | $2,563 | 9 |
| 1380029-2 | Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner Ear; Without Contra | $2,507 | $2,006 | $752 | $2,507 | 8 |
| 1913641 | Leuprolide 3.75 Mg/month Pwd [Gch] | $2,494 | $1,995 | $748 | $2,494 | 9 |
| 1000073 | Observation/telemetry Hourly | $2,425 | $1,940 | $728 | $2,425 | 8 |
| H0046 | Mental Health Service, Nos | $2,328 | $1,862 | $698 | $2,328 | 8 |
| 1100053 | Critical Care, Evaluation And Management Of The Critically I | $2,187 | $1,750 | $656 | $2,187 | 8 |
| 25605 | Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Sm | $2,116 | $1,693 | $635 | $2,116 | 8 |
| 1920437 | Immune Globulin Intravenous 10% Sol [Gch] | $2,111 | $1,689 | $633 | $2,111 | 9 |
| 1403092 | Bcr/abl1 (T(9;22)) (Eg, Chronic Myelogenous Leukemia) Translocation Analysis; Other Breakpoint, Qual | $2,045 | $1,636 | $614 | $2,045 | 8 |
| 49082 | Paracentesis Charge | $2,032 | $1,626 | $610 | $2,032 | 8 |
| 46608 | Anoscopy; With Removal Of Foreign Body | $1,989 | $1,591 | $597 | $1,989 | 8 |
| 46050 | Incision And Drainage, Perianal Abscess, Superficial | $1,989 | $1,591 | $597 | $1,989 | 8 |
| 19020 | Mastotomy With Exploration Or Drainage Of Abscess, Deep | $1,983 | $1,586 | $595 | $1,983 | 8 |
Showing top 50 of 2,232 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.