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
13,677
Insurances with rates
6
CPT / HCPCS codes
47
Source MRF
Most expensive procedures (gross)
50242015001
$23,657
ocrelizumab 300 mg/10 mL Sol
Gross
$29,572
9848587
$17,186
MESH 8X10 BIOLOGIC
Gross
$21,483
9849102
$15,880
INTERSTIM NERVESTIMULATOR
Gross
$19,850
00006302604
$13,709
pembrolizumab 25 mg/mL Sol
Gross
$17,136
00074501501
$12,084
risankizumab rzaa 60 mg/mL Sol
Gross
$15,105
64764030020
$10,400
vedolizumab 300 mg Pow
Gross
$13,000
50242008527
$10,225
alteplase 100 mg IV Inj
Gross
$12,781
12305553
$9,854
AMNIO EXCEL AMNIOTIC ALLOGRAFT MEMBRANE 10CM X10CM
Gross
$12,318
10031072-1036
$9,085
95811 PSG WITH CPAP - TECH PORTION
Gross
$11,356
10037808
$9,085
95811 SL BIPAP - TECH PORTION
Gross
$11,356
10037810
$9,085
95811 SL CPAP - TECH PORTION
Gross
$11,356
10037812
$9,085
95811 SL Oral Appliance with CPAP - TECH PORTION
Gross
$11,356
10037816
$9,085
95811 SL Split Night - TECH PORTION
Gross
$11,356
10037822
$9,085
95811 SL Split Night Pedi - TECH PORTION
Gross
$11,356
10037824
$9,085
95811 SL CPAP Pedi - TECH PORTION
Gross
$11,356
10037806
$9,085
95811 SL Adaptive Servo Ventiliation - TECH PORTION
Gross
$11,356
9399351
$9,085
RT Polysomnography w/CPAP CHARGE
Gross
$11,356
50242012047
$8,621
tenecteplase 50 mg Pow
Gross
$10,776
9929693
$8,161
47532 XR CHOLE PERCUTANEOUS-NEW ACC
Gross
$10,202
10073168
$8,161
47490 US CHOLECYSTOSTOMY, PERC
Gross
$10,202
8022718
$8,095
19101 BIOPSY OF BREAST; OPEN, INCISIONAL TechFee
Gross
$10,119
10073088
$7,887
73206 CT CTA UPPER EXT BILAT
Gross
$9,859
9929647
$7,854
47531 XR CHOLE PERCUTANEOUS-EXIST ACC
Gross
$9,817
10073089
$7,763
73706 CT CTA LOWER EXT BILAT
Gross
$9,704
9929606
$7,598
78816 NM PET SCAN: WHOLE BODY- SUBSEQUENT
Gross
$9,498
00078082581
$7,567
octreotide 30 mg IM Inj
Gross
$9,459
11026195
$7,524
78831 NM Spect Multi Area or Multi Day
Gross
$9,405
10031067-1034
$7,348
95810 POLYSOMNOGRAPHY -TECH PORTION
Gross
$9,185
10037815
$7,348
95810 SL Oral Appliance with out CPAP -TECH PORTION
Gross
$9,185
10037821
$7,348
95810 SL Polysomogram Pedi -TECH PORTION
Gross
$9,185
8078488
$7,348
RT Polysomnography CHARGE
Gross
$9,185
8080172
$7,336
36556-Central Line Greater Than/Equal to 5 Years
Gross
$9,171
8211304
$7,336
36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee
Gross
$9,171
73475304105
$7,140
efgartigimod alfa 400 mg/20 mL Sol
Gross
$8,925
9929603
$7,085
78816 NM PET SCAN: WHOLE BODY-INITIAL
Gross
$8,856
9883004
$6,803
70498 CT Angio Neck
Gross
$8,504
9846656
$6,784
HYDROSET BONE SUBS 10 CC
Gross
$8,480
8418604
$6,725
EXTERNAL CEPHALIC VERSION CHARGE
Gross
$8,406
13213291
$6,620
33210 Pacemaker or Implantable Defibrillator Pro Fee
Gross
$8,275
9929602
$6,590
78815 NM PET SCAN:EYES TO THIGHS-INITIAL
Gross
$8,238
9929605
$6,577
78815 NM PET SCAN:EYES TO THIGHS- SUBSEQUENT
Gross
$8,221
9883002
$6,569
70496 CT Angio Brain/Head
Gross
$8,212
10122014102
$6,548
reteplase 10 units IV kit
Gross
$8,185
9883298
$6,412
73720 MRI Foot w/ + w/o Contrast Left
Gross
$8,015
9883300
$6,412
73720 MRI Foot w/ + w/o Contrast Right
Gross
$8,015
9883338
$6,412
73720 MRI LE Non Joint w/ + w/o Contrast Lt
Gross
$8,015
9883340
$6,412
73720 MRI LE Non Joint w/ + w/o Contrast Rt
Gross
$8,015
9849103
$6,191
SURE SCAN PACING LEAD
Gross
$7,739
8040803
$6,065
95811 Polysomnography; 6 yrs or older, w/ C-Pap therapy or bilev
Gross
$7,582
9883320
$5,999
73721 MRI Hip w/o Contrast Bilateral
Gross
$7,499
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242015001 | ocrelizumab 300 mg/10 mL Sol | $29,572 | $23,657 | — | — | 11 |
| 9848587 | MESH 8X10 BIOLOGIC | $21,483 | $17,186 | — | — | 11 |
| 9849102 | INTERSTIM NERVESTIMULATOR | $19,850 | $15,880 | — | — | 11 |
| 00006302604 | pembrolizumab 25 mg/mL Sol | $17,136 | $13,709 | — | — | 11 |
| 00074501501 | risankizumab rzaa 60 mg/mL Sol | $15,105 | $12,084 | — | — | 11 |
| 64764030020 | vedolizumab 300 mg Pow | $13,000 | $10,400 | — | — | 11 |
| 50242008527 | alteplase 100 mg IV Inj | $12,781 | $10,225 | — | — | 11 |
| 12305553 | AMNIO EXCEL AMNIOTIC ALLOGRAFT MEMBRANE 10CM X10CM | $12,318 | $9,854 | — | — | 11 |
| 10031072-1036 | 95811 PSG WITH CPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037808 | 95811 SL BIPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037810 | 95811 SL CPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037812 | 95811 SL Oral Appliance with CPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037816 | 95811 SL Split Night - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037822 | 95811 SL Split Night Pedi - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037824 | 95811 SL CPAP Pedi - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037806 | 95811 SL Adaptive Servo Ventiliation - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 9399351 | RT Polysomnography w/CPAP CHARGE | $11,356 | $9,085 | — | — | 11 |
| 50242012047 | tenecteplase 50 mg Pow | $10,776 | $8,621 | — | — | 11 |
| 9929693 | 47532 XR CHOLE PERCUTANEOUS-NEW ACC | $10,202 | $8,161 | — | — | 11 |
| 10073168 | 47490 US CHOLECYSTOSTOMY, PERC | $10,202 | $8,161 | — | — | 11 |
| 8022718 | 19101 BIOPSY OF BREAST; OPEN, INCISIONAL TechFee | $10,119 | $8,095 | — | — | 11 |
| 10073088 | 73206 CT CTA UPPER EXT BILAT | $9,859 | $7,887 | — | — | 11 |
| 9929647 | 47531 XR CHOLE PERCUTANEOUS-EXIST ACC | $9,817 | $7,854 | — | — | 11 |
| 10073089 | 73706 CT CTA LOWER EXT BILAT | $9,704 | $7,763 | — | — | 11 |
| 9929606 | 78816 NM PET SCAN: WHOLE BODY- SUBSEQUENT | $9,498 | $7,598 | — | — | 11 |
| 00078082581 | octreotide 30 mg IM Inj | $9,459 | $7,567 | — | — | 11 |
| 11026195 | 78831 NM Spect Multi Area or Multi Day | $9,405 | $7,524 | — | — | 11 |
| 10031067-1034 | 95810 POLYSOMNOGRAPHY -TECH PORTION | $9,185 | $7,348 | — | — | 11 |
| 10037815 | 95810 SL Oral Appliance with out CPAP -TECH PORTION | $9,185 | $7,348 | — | — | 11 |
| 10037821 | 95810 SL Polysomogram Pedi -TECH PORTION | $9,185 | $7,348 | — | — | 11 |
| 8078488 | RT Polysomnography CHARGE | $9,185 | $7,348 | — | — | 11 |
| 8080172 | 36556-Central Line Greater Than/Equal to 5 Years | $9,171 | $7,336 | — | — | 11 |
| 8211304 | 36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee | $9,171 | $7,336 | — | — | 11 |
| 73475304105 | efgartigimod alfa 400 mg/20 mL Sol | $8,925 | $7,140 | — | — | 11 |
| 9929603 | 78816 NM PET SCAN: WHOLE BODY-INITIAL | $8,856 | $7,085 | — | — | 11 |
| 9883004 | 70498 CT Angio Neck | $8,504 | $6,803 | — | — | 11 |
| 9846656 | HYDROSET BONE SUBS 10 CC | $8,480 | $6,784 | — | — | 11 |
| 8418604 | EXTERNAL CEPHALIC VERSION CHARGE | $8,406 | $6,725 | — | — | 11 |
| 13213291 | 33210 Pacemaker or Implantable Defibrillator Pro Fee | $8,275 | $6,620 | — | — | 11 |
| 9929602 | 78815 NM PET SCAN:EYES TO THIGHS-INITIAL | $8,238 | $6,590 | — | — | 11 |
| 9929605 | 78815 NM PET SCAN:EYES TO THIGHS- SUBSEQUENT | $8,221 | $6,577 | — | — | 11 |
| 9883002 | 70496 CT Angio Brain/Head | $8,212 | $6,569 | — | — | 11 |
| 10122014102 | reteplase 10 units IV kit | $8,185 | $6,548 | — | — | 11 |
| 9883298 | 73720 MRI Foot w/ + w/o Contrast Left | $8,015 | $6,412 | — | — | 11 |
| 9883300 | 73720 MRI Foot w/ + w/o Contrast Right | $8,015 | $6,412 | — | — | 11 |
| 9883338 | 73720 MRI LE Non Joint w/ + w/o Contrast Lt | $8,015 | $6,412 | — | — | 11 |
| 9883340 | 73720 MRI LE Non Joint w/ + w/o Contrast Rt | $8,015 | $6,412 | — | — | 11 |
| 9849103 | SURE SCAN PACING LEAD | $7,739 | $6,191 | — | — | 11 |
| 8040803 | 95811 Polysomnography; 6 yrs or older, w/ C-Pap therapy or bilev | $7,582 | $6,065 | — | — | 11 |
| 9883320 | 73721 MRI Hip w/o Contrast Bilateral | $7,499 | $5,999 | — | — | 11 |
Showing top 50 of 13,677 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.