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
1,402
Insurances with rates
8
CPT / HCPCS codes
1,179
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | alteplase 100 mg (1 mg/mL) Solr 1 Each VIAL | $24,562 | $13,509 | — | — | 18 |
| J3101 | tenecteplase 50 mg Solr 1 Each VIAL | $20,224 | $11,123 | — | — | 18 |
| J2353 | octreotide,microspheres 30 mg Serr 1 Each VIAL | $17,207 | $9,464 | — | — | 9 |
| 81455 | HCHG NGS 50 PLUS GENES | $11,154 | $6,135 | — | — | 9 |
| 36558 | PR INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/> | $8,971 | $4,934 | — | — | 9 |
| 114492 | HCHG ENDO LEVEL 6 (+SETUP) | $8,496 | $4,673 | — | — | 7 |
| 113141 | HCHG VENDOR/LITHO SUPPORT STAFF UNILAT | $6,514 | $3,583 | — | — | 7 |
| L0710 | HCHG CSTM L0710 CTLSO A-P-L CONTROL W/ INTER | $6,051 | $3,328 | — | — | 9 |
| L3460 | HCHG CSTM L3460 SHOE HEEL NEW RUBBER STANDAR | $6,051 | $3,328 | — | — | 9 |
| L0484 | HCHG CSTM L0484 TLSO RIGID PLASTIC CUST FAB | $5,845 | $3,215 | — | — | 9 |
| 404 | HCHG RAD PET CT SKULL BASE TO MID THIGH INITIAL TREAT | $5,424 | $2,983 | — | — | 9 |
| 112453 | HCHG ENDO LEVEL 6 | $5,395 | $2,967 | — | — | 7 |
| 113142 | HCHG VENDOR/LITHO SUPPORT STAFF BILAT | $5,395 | $2,967 | — | — | 7 |
| 278 | HCHG OPTIME OCULAR IMPLANT AQUEOUS DRAIN DEV | $5,172 | $2,844 | — | — | 9 |
| L1200 | HCHG TLSO INCL FURNSH INITIAL ORTHOSIS ONLY SCRMC ONLY | $4,784 | $2,631 | — | — | 9 |
| 114490 | HCHG ENDO LEVEL 4 (+SETUP) | $4,719 | $2,596 | — | — | 7 |
| 114491 | HCHG ENDO LEVEL 5 (+SETUP) | $4,719 | $2,596 | — | — | 7 |
| L0482 | HCHG TLSO CUSTOM FAB 1 PC SHELL W LINER SCRMC ONLY | $4,511 | $2,481 | — | — | 9 |
| 36561 | PR INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/> | $4,255 | $2,340 | — | — | 9 |
| V2788 | HCHG OPTIME IOL MULTIFOCAL CORRECTING FUNCTION | $3,830 | $2,107 | — | — | 9 |
| 50390 | HCHG CT ASPIRATION RENAL CYST,Technical | $3,777 | $2,077 | — | — | 9 |
| 114487 | HCHG ENDO LEVEL 1 (+SETUP) | $3,777 | $2,077 | — | — | 7 |
| 114488 | HCHG ENDO LEVEL 2 (+SETUP) | $3,777 | $2,077 | — | — | 7 |
| 114489 | HCHG ENDO LEVEL 3 (+SETUP) | $3,777 | $2,077 | — | — | 7 |
| J1561 | immune globulin 10% 10 gram/100 mL (10 %) Soln 100 mL VIAL | $3,634 | $1,998 | — | — | 18 |
| 95807 | HCHG SLEEP STUDY ATTENDED BY TECH,Technical | $3,623 | $1,992 | — | — | 9 |
| L0637 | HCHG LSO SC CNTRL RIGID ANT/POS PANEL PREFAB CUSTOM FIT SCRMC | $3,464 | $1,905 | — | — | 9 |
| J9207 | ixabepilone 15 mg Solr 1 Each VIAL | $3,449 | $1,897 | — | — | 9 |
| J9312 | riTUXimab 10 mg/mL Conc 10 mL VIAL | $3,176 | $1,747 | — | — | 9 |
| 78814 | HCHG RAD PET CT LIMITED INITIAL TREATMENT | $3,172 | $1,745 | — | — | 9 |
| 78815 | PR PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,Technical | $3,172 | $1,745 | — | — | 9 |
| L0631 | HCHG CSTM L0631 LSO RIGID SAG CNTRL ANT POS PNL PREFAB CSTM FIT | $3,007 | $1,654 | — | — | 9 |
| 81265 | HCHG MCC, POC MML | $2,741 | $1,507 | — | — | 10 |
| 610 | HCHG RAD MRI NECK SOFT TISSUE ORBIT FACE WWO | $2,652 | $1,459 | — | — | 9 |
| L0456 | HCHG ASPEN SUMMIT 456 TLSO SM SCRMC ONLY | $2,643 | $1,454 | — | — | 9 |
| J0178 | PR INJECTION AFLIBERCEPT 1 MG | $2,572 | $1,415 | — | — | 9 |
| 26910 | PR AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER | $2,554 | $1,405 | — | — | 9 |
| 11006 | PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL | $2,551 | $1,403 | — | — | 9 |
| 200 | HCHG INTENSIVE CARE | $2,512 | $1,382 | — | — | 8 |
| 27752 | PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ | $2,474 | $1,361 | — | — | 9 |
| A4264 | HCHG ESSURE INTRATUBAL OCCLUSION DEVICE SCRMC ONLY | $2,467 | $1,357 | — | — | 9 |
| 26350 | PR RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON | $2,461 | $1,353 | — | — | 9 |
| 24535 | PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ | $2,391 | $1,315 | — | — | 9 |
| 27252 | PR CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA | $2,345 | $1,290 | — | — | 9 |
| 27562 | PR CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA | $2,308 | $1,270 | — | — | 9 |
| 523969 | HCHG TENEX 2 PROCEDURE PACK SCRMC ONLY | $2,241 | $1,233 | — | — | 9 |
| 450 | HCHG ED CRITICAL CARE LEVEL VI | $2,183 | $1,201 | — | — | 7 |
| 27502 | PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ | $2,162 | $1,189 | — | — | 9 |
| 91010 | HCHG RAD ESOPHAGEAL MOTILITY STUDY | $2,158 | $1,187 | — | — | 9 |
| 27510 | PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ | $2,153 | $1,184 | — | — | 9 |
Showing top 50 of 1,402 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.