FROEDTERT SOUTH INC. — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little 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

16,015

Insurances with rates

CPT / HCPCS codes

12,377

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3357	ustekinumab 90 mg/mL Solution Prefilled Syringe 1 mL Syringe	$122,446	$67,345	—	—	14
J3245	tildrakizumab-asmn 100 MG/ML Solution Prefilled Syringe 1 mL Syringe	$75,448	$41,496	—	—	15
J1323	elranatamab-bcmm 76 mg/1.9 mL Solution 1.9 mL Vial	$56,444	$31,044	—	—	14
C9047	caplacizumab-yhdp 11 MG Kit 1 Each Box	$36,011	$19,806	—	—	11
J3101	tenecteplase 50 mg/10 mL Kit 1 Each Box	$28,260	$15,543	—	—	14
J0717	certolizumab pegol 200 mg/mL Kit 1 Each Box	$25,208	$13,864	—	—	14
81416	HC WHOLE EXOME, SEQUENCE ANALYSIS, EA COMPARATOR EXOME, EA ADDL	$18,982	$10,440	—	—	11
J2356	Tezepelumab-ekko 210 MG/1.91ML Solution Prefilled Syringe 1.91 mL Syringe	$18,360	$10,098	—	—	15
Q5127	Pegfilgrastim-fpgk 6 MG/0.6ML Solution Prefilled Syringe 0.6 mL Syringe	$18,071	$9,939	—	—	14
J0739	cabotegravir 600 mg/3 mL Suspension Extended Release 3 mL Vial	$16,916	$9,304	—	—	14
21235	HC GRAFT, EAR CARTILAGE, AUTOGENOUS, TO NOSE/EAR, INCLUDES OBTAINING GRAFT	$13,797	$7,588	—	—	11
J0401	ARIPiprazole ER 400 mg/2 mL Suspension Reconstituted ER 1 Each Vial	$12,209	$6,715	—	—	14
81229	HC DNA DELET DUP, CYTOGENOM ANLYS CONST CHR ABNORM,INTERROG COPY NUM&SNP V	$11,105	$6,108	—	—	10
J1950	leuprolide acetate 3.75 MG Kit 1 Each Box	$9,741	$5,358	—	—	15
81455	HC NEURO EXP, SOL ORG/HEMLYMPH NEOPL, 51+GENES, GEN SEQ PNL, DNA/DNA&RNA	$9,500	$5,225	—	—	11
81415	HC CONGENITAL ANOMALIES PANEL, EXONE; SEQUENCE ANALYSIS	$9,428	$5,185	—	—	10
J2315	naltrexone 380 MG Recon Susp 1 Each Vial	$9,143	$5,029	—	—	14
15731	HC FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE	$8,722	$4,797	—	—	11
15600	HC DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET), AT TRUNK	$8,722	$4,797	—	—	10
15730	HC MIDFACE FLAP W/ PRESERVATION OF VASCULAR PEDICLES	$8,722	$4,797	—	—	10
15120	HC SPLIT A-GRAFT FACE/MOUTH/NECK/EARS/HANDS/FEET MULT DIGITS FIRST 100 CM	$8,722	$4,797	—	—	10
81443	HC MAYO HERED HA, GENET TST SEVERE INHER COND,GENOM SEQ ANLYS PNL, 15 GENES	$8,721	$4,797	—	—	10
J1944	ARIPiprazole lauroxil ER 441 mg/1.6 mL Prefilled Syringe 1.6 mL Syringe	$8,606	$4,734	—	—	14
J0897	denosumab 60 MG/ML Solution Prefilled Syringe 1 mL Syringe	$8,464	$4,655	—	—	14
23066	HC BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP	$8,108	$4,459	—	—	10
27324	HC BX SOFT TISSUE OF THIGH OR KNEE AREA DEEP (SUBFASCIAL OR INTRAMUSCULAR)	$8,083	$4,446	—	—	10
24066	HC BX SOFT TISSUE OF UPPER ARM/ELBOW AREA DEEP (SUBFASCIAL / INTRAMUSCULAR)	$7,992	$4,396	—	—	10
15121	HC SPLIT AUTOGRAFT, FACE, EA ADDL 100 SQ CM	$7,861	$4,324	—	—	10
40525	HC EXC OF LIP; FULL THICKNESS, RECONSTR W/ LOCAL FLAP	$7,828	$4,305	—	—	10
15760	HC COMPOSITE SKIN GRAFT	$7,707	$4,239	—	—	11
81459	HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS	$7,301	$4,016	—	—	10
11426	HC EXC, BEN LES INCL MARG, EXCPT SKN TG, SCLP NK HND FT GEN, DIA OVR 4.0 CM	$7,291	$4,010	—	—	21
15273	HC APL HI SK SUB GFT TK AR LG, TOT WND SA GR THN/EQ 100 SQCM, 1ST 100 SQCM	$7,251	$3,988	—	—	10
47532	HC INJ FOR CHOLANGIOGRAPHY, PERC, INCL IMAGE GUID, NEW ACCESS	$7,068	$3,887	—	—	11
15780	HC DERMABRASION TOTAL FACE	$6,909	$3,800	—	—	10
22905	HC RADICAL RESECT TUMOR SOFT TISS ABD WALL, 5 CM OR GREATER	$6,909	$3,800	—	—	10
11446	HC EXC BENIGN LESION INCL MARGIN FACE, DIAM OVER 4.0 CM	$6,909	$3,800	—	—	10
11462	HC EXC SKIN & SUBCUT TISSUE FOR HIDRADENITIS, INGUINAL SIMPLE/INTERM RPR	$6,909	$3,800	—	—	10
11450	HC EXC SKIN SUBQ TISS HIDRADENITIS AXILLARY SIMPL-INTERMED REPR	$6,909	$3,800	—	—	10
27614	HC BX SOFT TISSUE OF LEG OR ANKLE AREA DEEP (SUBFASCIAL OR INTRAMUSCULAR)	$6,778	$3,728	—	—	10
21925	HC BIOPSY, SOFT TISSUE OF BACK OR FLANK, DEEP	$6,630	$3,647	—	—	10
81457	HC MAYOCOMPLETE SARCOMA PANEL,DNA ANLYS, MICROSATELLITE INSTABILITY	$6,441	$3,543	—	—	11
11626	HC EXC, MALG LES INCL MARG, SCALP, NECK, HANDS, FT, GENIT, DIA OVER 4.0 CM	$6,114	$3,363	—	—	10
11646	HC EXC, MALG LES INCL MARG, FACE, EARS, EYLDS, NOSE, LIPS, DIA OVER 4.0 CM	$6,114	$3,363	—	—	10
25066	HC BIOPSY SOFT TISSUE OF FOREARM A/OR WRIST DEEP (SUBFASCIAL/INTRAMUSCULAR)	$6,113	$3,362	—	—	10
14301	HC ADJCNT TISS TRANSFR ANY AREA 30.1-60.0 SQ CM	$6,059	$3,332	—	—	10
15822	HC BLEPHAROPLASTY UPR EYELID	$5,934	$3,264	—	—	10
75710	HC ANGIOGRAPY, EXTREMITY, UNILAT	$5,925	$3,259	—	—	10
15572	HC FORMATION OF DIRECT OR TUBED PEDICLE, W/WO TRANSFER, SCALP, ARM, OR LEG	$5,709	$3,140	—	—	11
67973	HC RECONSTRUCTION OF EYELID FULL THICKNESS LOWER EYELID 1 STAGE	$5,682	$3,125	—	—	10

Showing top 50 of 16,015 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.