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
9,026
Insurances with rates
12
CPT / HCPCS codes
4,630
Source MRF
Most expensive procedures (gross)
25682-0028-01
$105,666
Ultomiris
Gross
$211,332
55566-1050-00
$90,000
Adstiladrin
Gross
$180,000
25682-0025-01
$86,454
Ultomiris
Gross
$172,908
J9029
$80,745
INSTILL ADSTILADRIN, TX DOSE
Gross
$161,490
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
50242-0150-01
$72,243
Ocrevus
Gross
$144,487
69794-0304-01
$70,110
Crysvita
Gross
$140,221
00310-4535-30
$69,615
Imjudo
Gross
$139,230
00003-2328-22
$60,922
Yervoy
Gross
$121,844
25682-0001-01
$45,661
Soliris
Gross
$91,322
50546
$43,986
REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE
Gross
$87,972
00003-2327-11
$43,516
Yervoy
Gross
$87,031
75987-0080-10
$40,846
Krystexxa
Gross
$81,692
51144-0050-01
$39,528
Adcetris
Gross
$79,056
50543
$38,500
PARTIAL REMOVAL OF KIDNEY USING AN ENDOSCOPE
Gross
$77,000
73475-3041-05
$37,142
Vyvgart
Gross
$74,285
58573
$36,285
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G
Gross
$72,569
34847
$33,718
REPAIR OF AORTA IN ABDOMEN BETWEEN AND BELOW KIDNEYS WITH GRAFT; INCLUDING 3 GRAFTS IN ABDOMINAL ORG
Gross
$67,436
00003-6120-01
$31,772
Opdivo Qvantig
Gross
$63,545
55513-0069-01
$30,000
Imdelltra
Gross
$60,000
55513-0077-01
$30,000
Imdelltra
Gross
$60,000
33225
$28,893
L VENTRIC PACING LEAD ADD-ON
Gross
$57,785
50081
$27,653
REMOVAL OR CRUSHING KIDNEY STONE OR INSERTION OF KIDNEY STENT USING AN ENDOSCOPE; MORE THAN 2.0 CM
Gross
$55,305
65597-0406-01
$27,234
Enhertu
Gross
$54,469
50242-0245-01
$26,635
Phesgo
Gross
$53,269
57894-0470-01
$26,310
Talvey
Gross
$52,621
C1820
$25,471
GENERATOR NEURO RECHG BAT SY
Gross
$50,942
00310-4611-50
$24,767
Imfinzi
Gross
$49,535
68727-0712-01
$24,090
Zepzelca
Gross
$48,180
00006-3026-02
$23,591
Keytruda
Gross
$47,182
43282
$23,414
REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE
Gross
$46,827
00006-3026-01
$23,128
Keytruda
Gross
$46,257
00006-3026-04
$23,128
Keytruda
Gross
$46,257
00173-0898-03
$23,126
Jemperli
Gross
$46,252
43284
$22,886
INSERTION OF MAGNETIC BAND AROUND BASE OF ESOPHAGUS TO TIGHTEN OPENING INTO STOMACH USING AN ENDOSCO
Gross
$45,772
850162904
$22,500
HCHG ICD SYSTEM INSERTION - SINGLE
Gross
$45,000
50242-0917-01
$21,848
Tecentriq
Gross
$43,696
905601904
$21,814
HCHG KIT RESTORE 37714
Gross
$43,628
52270
$21,726
INCISION OF URETHRA IN FEMALE USING AN ENDOSCOPE
Gross
$43,451
61755-0008-01
$21,214
Libtayo
Gross
$42,427
93613
$20,962
INSERTION OF TUBE FOR 3D MAPPING OF ELECTRICAL IMPULSES TO HEART MUSCLE
Gross
$41,923
49651
$20,776
REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE
Gross
$41,552
63267
$20,463
REMOVAL OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE
Gross
$40,927
850324904
$20,007
HCHG PACEMAKER UPGRADE
Gross
$40,014
43280
$19,983
STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS U
Gross
$39,966
57894-0503-01
$19,945
Darzalex Faspro
Gross
$39,890
00310-4505-25
$19,890
Imjudo
Gross
$39,780
C9606
$19,798
PERC D-E COR REVASC W AMI S
Gross
$39,595
58570
$19,616
REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$39,231
00074-5015-01
$19,531
Skyrizi 600MG/10ML
Gross
$39,062
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0028-01 | Ultomiris | $211,332 | $105,666 | — | — | 16 |
| 55566-1050-00 | Adstiladrin | $180,000 | $90,000 | — | — | 16 |
| 25682-0025-01 | Ultomiris | $172,908 | $86,454 | — | — | 16 |
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $161,490 | $80,745 | — | — | 17 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 17 |
| 50242-0150-01 | Ocrevus | $144,487 | $72,243 | — | — | 17 |
| 69794-0304-01 | Crysvita | $140,221 | $70,110 | — | — | 16 |
| 00310-4535-30 | Imjudo | $139,230 | $69,615 | — | — | 17 |
| 00003-2328-22 | Yervoy | $121,844 | $60,922 | — | — | 16 |
| 25682-0001-01 | Soliris | $91,322 | $45,661 | — | — | 16 |
| 50546 | REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE | $87,972 | $43,986 | — | — | 16 |
| 00003-2327-11 | Yervoy | $87,031 | $43,516 | — | — | 17 |
| 75987-0080-10 | Krystexxa | $81,692 | $40,846 | — | — | 17 |
| 51144-0050-01 | Adcetris | $79,056 | $39,528 | — | — | 17 |
| 50543 | PARTIAL REMOVAL OF KIDNEY USING AN ENDOSCOPE | $77,000 | $38,500 | — | — | 16 |
| 73475-3041-05 | Vyvgart | $74,285 | $37,142 | — | — | 16 |
| 58573 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G | $72,569 | $36,285 | — | — | 18 |
| 34847 | REPAIR OF AORTA IN ABDOMEN BETWEEN AND BELOW KIDNEYS WITH GRAFT; INCLUDING 3 GRAFTS IN ABDOMINAL ORG | $67,436 | $33,718 | — | — | 2 |
| 00003-6120-01 | Opdivo Qvantig | $63,545 | $31,772 | — | — | 16 |
| 55513-0069-01 | Imdelltra | $60,000 | $30,000 | — | — | 16 |
| 55513-0077-01 | Imdelltra | $60,000 | $30,000 | — | — | 16 |
| 33225 | L VENTRIC PACING LEAD ADD-ON | $57,785 | $28,893 | — | — | 18 |
| 50081 | REMOVAL OR CRUSHING KIDNEY STONE OR INSERTION OF KIDNEY STENT USING AN ENDOSCOPE; MORE THAN 2.0 CM | $55,305 | $27,653 | — | — | 16 |
| 65597-0406-01 | Enhertu | $54,469 | $27,234 | — | — | 17 |
| 50242-0245-01 | Phesgo | $53,269 | $26,635 | — | — | 16 |
| 57894-0470-01 | Talvey | $52,621 | $26,310 | — | — | 16 |
| C1820 | GENERATOR NEURO RECHG BAT SY | $50,942 | $25,471 | — | — | 0 |
| 00310-4611-50 | Imfinzi | $49,535 | $24,767 | — | — | 17 |
| 68727-0712-01 | Zepzelca | $48,180 | $24,090 | — | — | 17 |
| 00006-3026-02 | Keytruda | $47,182 | $23,591 | — | — | 16 |
| 43282 | REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE | $46,827 | $23,414 | — | — | 18 |
| 00006-3026-01 | Keytruda | $46,257 | $23,128 | — | — | 17 |
| 00006-3026-04 | Keytruda | $46,257 | $23,128 | — | — | 17 |
| 00173-0898-03 | Jemperli | $46,252 | $23,126 | — | — | 16 |
| 43284 | INSERTION OF MAGNETIC BAND AROUND BASE OF ESOPHAGUS TO TIGHTEN OPENING INTO STOMACH USING AN ENDOSCO | $45,772 | $22,886 | — | — | 18 |
| 850162904 | HCHG ICD SYSTEM INSERTION - SINGLE | $45,000 | $22,500 | — | — | 0 |
| 50242-0917-01 | Tecentriq | $43,696 | $21,848 | — | — | 17 |
| 905601904 | HCHG KIT RESTORE 37714 | $43,628 | $21,814 | — | — | 0 |
| 52270 | INCISION OF URETHRA IN FEMALE USING AN ENDOSCOPE | $43,451 | $21,726 | — | — | 18 |
| 61755-0008-01 | Libtayo | $42,427 | $21,214 | — | — | 17 |
| 93613 | INSERTION OF TUBE FOR 3D MAPPING OF ELECTRICAL IMPULSES TO HEART MUSCLE | $41,923 | $20,962 | — | — | 18 |
| 49651 | REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $41,552 | $20,776 | — | — | 16 |
| 63267 | REMOVAL OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE | $40,927 | $20,463 | — | — | 16 |
| 850324904 | HCHG PACEMAKER UPGRADE | $40,014 | $20,007 | — | — | 0 |
| 43280 | STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS U | $39,966 | $19,983 | — | — | 18 |
| 57894-0503-01 | Darzalex Faspro | $39,890 | $19,945 | — | — | 17 |
| 00310-4505-25 | Imjudo | $39,780 | $19,890 | — | — | 17 |
| C9606 | PERC D-E COR REVASC W AMI S | $39,595 | $19,798 | — | — | 0 |
| 58570 | REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $39,231 | $19,616 | — | — | 18 |
| 00074-5015-01 | Skyrizi 600MG/10ML | $39,062 | $19,531 | — | — | 17 |
Showing top 50 of 9,026 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.