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
5,944
Insurances with rates
13
CPT / HCPCS codes
3,743
Source MRF
Most expensive procedures (gross)
25682-0028-01
$96,060
Ultomiris
Gross
$192,120
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
00310-4505-25
$69,615
Imjudo
Gross
$139,230
00310-4535-30
$69,615
Imjudo
Gross
$139,230
63020
$60,902
PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; 1
Gross
$121,804
00003-7125-11
$51,881
Opdualag
Gross
$103,762
25682-0001-01
$45,661
Soliris
Gross
$91,322
72903-0853-01
$44,275
Elahere
Gross
$88,550
51144-0050-01
$38,064
Adcetris
Gross
$76,128
23474
$37,070
REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER
Gross
$74,140
50242-0105-01
$36,139
Polivy
Gross
$72,277
68727-0712-01
$35,533
Zepzelca
Gross
$71,066
58546
$35,084
REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE; MORE THAN 250.0 G
Gross
$70,168
22856
$34,919
INSERTION OF ARTIFICIAL UPPER SPINE DISC; ANTERIOR APPROACH
Gross
$69,837
73475-3041-05
$34,666
Vyvgart
Gross
$69,332
75987-0130-15
$32,922
Tepezza
Gross
$65,844
0275T
$32,150
REMOVAL OF BONE FROM LOWER SPINE FOR DECOMPRESSION OF NERVE TISSUE USING IMAGING GUIDANCE; ACCESSED
Gross
$64,299
00003-6120-01
$31,772
Opdivo Qvantig
Gross
$63,545
00003-3734-13
$30,539
Opdivo
Gross
$61,077
50881-0006-03
$29,486
Zynyz
Gross
$58,972
43282
$29,457
REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE
Gross
$58,914
43860
$29,457
REVISION OF SURGICALLY CREATED CONNECTION OF STOMACH TO SMALL BOWEL
Gross
$58,914
49616
$29,292
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$58,583
00003-2327-11
$29,243
Yervoy
Gross
$58,485
44055
$28,795
CORRECTION OF ABNORMAL ROTATION OF SMALL BOWEL
Gross
$57,590
49651
$28,133
REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE
Gross
$56,266
24635
$28,131
TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW
Gross
$56,262
69641
$26,962
COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE
Gross
$53,924
58150
$26,937
REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN
Gross
$53,874
49596
$26,644
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$53,287
00078-0825-81
$26,416
SandoSTATIN LAR Depot
Gross
$52,831
27828
$26,147
TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES
Gross
$52,294
50242-0145-01
$26,107
Perjeta
Gross
$52,214
44180
$25,742
RELEASE OF SMALL BOWEL SCAR TISSUE USING AN ENDOSCOPE
Gross
$51,483
58554
$25,320
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; MORE THAN 250.0 G
Gross
$50,639
00310-4611-50
$24,767
Imfinzi
Gross
$49,535
23473
$24,492
REVISION OF TOTAL SHOULDER REPAIR
Gross
$48,984
43281
$24,492
REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE
Gross
$48,984
57283
$24,492
REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA
Gross
$48,984
42420
$24,478
REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE
Gross
$48,956
38570
$24,327
BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE
Gross
$48,653
27702
$24,056
RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS
Gross
$48,112
27487
$23,830
REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS
Gross
$47,660
50242-0088-01
$23,584
Kadcyla
Gross
$47,168
19318
$23,360
BREAST REDUCTION
Gross
$46,720
00006-3026-01
$23,128
Keytruda
Gross
$46,257
00006-3026-02
$23,128
Keytruda
Gross
$46,257
00006-3026-04
$23,128
Keytruda
Gross
$46,257
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0028-01 | Ultomiris | $192,120 | $96,060 | — | — | 13 |
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $161,490 | $80,745 | — | — | 13 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 13 |
| 50242-0150-01 | Ocrevus | $144,487 | $72,243 | — | — | 13 |
| 00310-4505-25 | Imjudo | $139,230 | $69,615 | — | — | 12 |
| 00310-4535-30 | Imjudo | $139,230 | $69,615 | — | — | 12 |
| 63020 | PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; 1 | $121,804 | $60,902 | — | — | 12 |
| 00003-7125-11 | Opdualag | $103,762 | $51,881 | — | — | 12 |
| 25682-0001-01 | Soliris | $91,322 | $45,661 | — | — | 12 |
| 72903-0853-01 | Elahere | $88,550 | $44,275 | — | — | 13 |
| 51144-0050-01 | Adcetris | $76,128 | $38,064 | — | — | 12 |
| 23474 | REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER | $74,140 | $37,070 | — | — | 12 |
| 50242-0105-01 | Polivy | $72,277 | $36,139 | — | — | 12 |
| 68727-0712-01 | Zepzelca | $71,066 | $35,533 | — | — | 13 |
| 58546 | REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE; MORE THAN 250.0 G | $70,168 | $35,084 | — | — | 14 |
| 22856 | INSERTION OF ARTIFICIAL UPPER SPINE DISC; ANTERIOR APPROACH | $69,837 | $34,919 | — | — | 14 |
| 73475-3041-05 | Vyvgart | $69,332 | $34,666 | — | — | 13 |
| 75987-0130-15 | Tepezza | $65,844 | $32,922 | — | — | 12 |
| 0275T | REMOVAL OF BONE FROM LOWER SPINE FOR DECOMPRESSION OF NERVE TISSUE USING IMAGING GUIDANCE; ACCESSED | $64,299 | $32,150 | — | — | 0 |
| 00003-6120-01 | Opdivo Qvantig | $63,545 | $31,772 | — | — | 12 |
| 00003-3734-13 | Opdivo | $61,077 | $30,539 | — | — | 13 |
| 50881-0006-03 | Zynyz | $58,972 | $29,486 | — | — | 12 |
| 43282 | REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE | $58,914 | $29,457 | — | — | 14 |
| 43860 | REVISION OF SURGICALLY CREATED CONNECTION OF STOMACH TO SMALL BOWEL | $58,914 | $29,457 | — | — | 14 |
| 49616 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $58,583 | $29,292 | — | — | 14 |
| 00003-2327-11 | Yervoy | $58,485 | $29,243 | — | — | 13 |
| 44055 | CORRECTION OF ABNORMAL ROTATION OF SMALL BOWEL | $57,590 | $28,795 | — | — | 14 |
| 49651 | REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $56,266 | $28,133 | — | — | 12 |
| 24635 | TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW | $56,262 | $28,131 | — | — | 12 |
| 69641 | COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE | $53,924 | $26,962 | — | — | 12 |
| 58150 | REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN | $53,874 | $26,937 | — | — | 14 |
| 49596 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $53,287 | $26,644 | — | — | 14 |
| 00078-0825-81 | SandoSTATIN LAR Depot | $52,831 | $26,416 | — | — | 13 |
| 27828 | TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES | $52,294 | $26,147 | — | — | 12 |
| 50242-0145-01 | Perjeta | $52,214 | $26,107 | — | — | 13 |
| 44180 | RELEASE OF SMALL BOWEL SCAR TISSUE USING AN ENDOSCOPE | $51,483 | $25,742 | — | — | 14 |
| 58554 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; MORE THAN 250.0 G | $50,639 | $25,320 | — | — | 14 |
| 00310-4611-50 | Imfinzi | $49,535 | $24,767 | — | — | 13 |
| 23473 | REVISION OF TOTAL SHOULDER REPAIR | $48,984 | $24,492 | — | — | 12 |
| 43281 | REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE | $48,984 | $24,492 | — | — | 14 |
| 57283 | REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA | $48,984 | $24,492 | — | — | 14 |
| 42420 | REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE | $48,956 | $24,478 | — | — | 12 |
| 38570 | BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE | $48,653 | $24,327 | — | — | 14 |
| 27702 | RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS | $48,112 | $24,056 | — | — | 12 |
| 27487 | REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS | $47,660 | $23,830 | — | — | 12 |
| 50242-0088-01 | Kadcyla | $47,168 | $23,584 | — | — | 13 |
| 19318 | BREAST REDUCTION | $46,720 | $23,360 | — | — | 12 |
| 00006-3026-01 | Keytruda | $46,257 | $23,128 | — | — | 13 |
| 00006-3026-02 | Keytruda | $46,257 | $23,128 | — | — | 13 |
| 00006-3026-04 | Keytruda | $46,257 | $23,128 | — | — | 13 |
Showing top 50 of 5,944 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.