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
2,104
Insurances with rates
9
CPT / HCPCS codes
2,046
Source MRF
Most expensive procedures (gross)
C9364
$51,154
PERMACOL MESH 28X40
Gross
$51,154
J2507
$36,761
KRYSTEXXA 8MG/ NS 250 ML
Gross
$36,761
C1767
$27,338
PULSE GENERATOR IV
Gross
$27,338
Q4110
$19,683
PRIMATRIX AG 8CMX12CM
Gross
$19,683
J2327
$18,215
RISANKIZUMAB (SKYRIZI) 600MG/10ML SDV
Gross
$18,215
C1764
$16,570
RECORDER EVENT, CARDIAC REVEAL
Gross
$16,570
J2997
$15,841
ALTEPLASE (ACTIVASE) 100MG SDV
Gross
$15,841
J3101
$14,935
TENECTEPLASE (TNKASE) 50MG SDV
Gross
$14,935
320
$14,278
..ANGIOPLAS, TRANS BALLOON RENAL/VISCERA
Gross
$14,278
33285
$13,782
INSERT SQ CARDIAC RHY MONITOR, INCL PROG
Gross
$13,782
323
$12,907
..ANGIO, CERVICOCEREBRAL CATH w/VESL
Gross
$12,907
C1747
$12,600
URETEROSCOPE DISP
Gross
$12,600
C1776
$11,258
JOINT DEVICE (IMPLANTABLE)
Gross
$11,258
75726
$11,000
ANGIO, VISCERAL, SELECT OR SUPRASE
Gross
$11,000
Q4180
$10,800
REVITA CLEAR 6X8
Gross
$10,800
53850
$10,667
TUMT (TRANSURETHRAL MICROWAVE THERAPY)
Gross
$10,667
A9548
$9,981
NM INDIUM III PENETATE, PER 0.5 MCI
Gross
$9,981
Q4145
$9,918
EPIFIX PARTICULATE 160.0MG
Gross
$9,918
15120
$9,660
SPLIT AUTOGRAFT FAC/NCK/HND/FT/GEN
Gross
$9,660
15273
$9,660
APPLY SKIN SUB GRAFT TRUNK/ARM/LEG 100CM
Gross
$9,660
36475
$9,100
..ENDOVENOUS ABL THER VEIN EXT 1ST DISC.
Gross
$9,100
75741
$9,073
ANGIO, PULMONARY, UNLATERAL
Gross
$9,073
75893
$9,073
VENOUS SAMPLING THRU CATH w/wo ANGIOGRAP
Gross
$9,073
75831
$9,073
VENOGRAM RENAL UNILAT
Gross
$9,073
A2007
$9,000
RESTRATA, PER SQ CM
Gross
$9,000
Q4133
$8,610
GRAFIX 5X5CM
Gross
$8,610
J9312
$8,456
riTUXimab (RITUXAN) 500MG/50ML SDV
Gross
$8,456
Q4107
$8,430
OR GRAFT JACKET
Gross
$8,430
81162
$8,400
BRCA 1/2 FULL GENE ANALYSIS
Gross
$8,400
J1162
$7,960
DIGOXIN IMMUNE FAB (DIGIFAB) 40MG SDV
Gross
$7,960
C2625
$7,920
ALTEPLASE (ACTIVASE-TPA) 50MG SDV
Gross
$7,920
J0597
$7,689
C1 ESTERASE INHIBITOR(BERINERT)
Gross
$7,689
81408
$7,478
..ARPKD, FULL GENE ANALYSIS (DISC)
Gross
$7,478
C1874
$7,193
STENT, COATED/COV W/DEL SYS
Gross
$7,193
10180
$6,868
INCISION & DRAINAGE, COMPL, POST OP INFE
Gross
$6,868
J0565
$6,840
BEZLOTOXUMAB (ZINPLAVA) 1000MG SDV
Gross
$6,840
A9572
$6,785
NM INDIUM 111 OCTREOSCAN Dose
Gross
$6,785
C1726
$6,720
CATH, BAL DIL, NON-VASCULAR
Gross
$6,720
15100
$6,690
SPLIT AUTOGRAFT TRUNK/ARMS/LEGS
Gross
$6,690
C2623
$6,600
CATH, TRANSLUMIN, DRUG-COAT
Gross
$6,600
35207
$6,484
REPAIR BLOOD VESSEL HAND, FINGER
Gross
$6,484
90375
$6,124
RABIES IMMUNE GLOB 1500 INT UNIT/5ML SDV
Gross
$6,124
J7402
$6,120
SINUVA SINUS IMPLANT 1350MCG
Gross
$6,120
15115
$5,909
EPIDERMAL AUTOGRAFT, FACE/HANDS/FEET
Gross
$5,909
15277
$5,909
APPLY SKIN SUB GRAFT FACE/HANDS 100CM
Gross
$5,909
15275
$5,909
APPLY SKIN SUB GRAFT FACE/HANDS 25CM
Gross
$5,909
15002
$5,909
WOUND PREP TRNK/ARM/LEG
Gross
$5,909
C5273
$5,909
APPLY LOW SK SUB GRF TRUN/ARM 100 CM
Gross
$5,909
15271
$5,909
APPLY SKIN SUB GRAFT TRUNK/ARM/LEG 25CM
Gross
$5,909
J1306
$5,850
INCLISIRAN (LEQVIO) 284MG/1.5ML SYRINGE
Gross
$5,850
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9364 | PERMACOL MESH 28X40 | $51,154 | $51,154 | — | — | 4 |
| J2507 | KRYSTEXXA 8MG/ NS 250 ML | $36,761 | $36,761 | — | — | 17 |
| C1767 | PULSE GENERATOR IV | $27,338 | $27,338 | — | — | 4 |
| Q4110 | PRIMATRIX AG 8CMX12CM | $19,683 | $19,683 | — | — | 14 |
| J2327 | RISANKIZUMAB (SKYRIZI) 600MG/10ML SDV | $18,215 | $18,215 | — | — | 34 |
| C1764 | RECORDER EVENT, CARDIAC REVEAL | $16,570 | $16,570 | — | — | 4 |
| J2997 | ALTEPLASE (ACTIVASE) 100MG SDV | $15,841 | $15,841 | — | — | 34 |
| J3101 | TENECTEPLASE (TNKASE) 50MG SDV | $14,935 | $14,935 | — | — | 17 |
| 320 | ..ANGIOPLAS, TRANS BALLOON RENAL/VISCERA | $14,278 | $14,278 | — | — | 4 |
| 33285 | INSERT SQ CARDIAC RHY MONITOR, INCL PROG | $13,782 | $13,782 | — | — | 17 |
| 323 | ..ANGIO, CERVICOCEREBRAL CATH w/VESL | $12,907 | $12,907 | — | — | 11 |
| C1747 | URETEROSCOPE DISP | $12,600 | $12,600 | — | — | 4 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $11,258 | $11,258 | — | — | 16 |
| 75726 | ANGIO, VISCERAL, SELECT OR SUPRASE | $11,000 | $11,000 | — | — | 17 |
| Q4180 | REVITA CLEAR 6X8 | $10,800 | $10,800 | — | — | 14 |
| 53850 | TUMT (TRANSURETHRAL MICROWAVE THERAPY) | $10,667 | $10,667 | — | — | 17 |
| A9548 | NM INDIUM III PENETATE, PER 0.5 MCI | $9,981 | $9,981 | — | — | 42 |
| Q4145 | EPIFIX PARTICULATE 160.0MG | $9,918 | $9,918 | — | — | 4 |
| 15120 | SPLIT AUTOGRAFT FAC/NCK/HND/FT/GEN | $9,660 | $9,660 | — | — | 15 |
| 15273 | APPLY SKIN SUB GRAFT TRUNK/ARM/LEG 100CM | $9,660 | $9,660 | — | — | 17 |
| 36475 | ..ENDOVENOUS ABL THER VEIN EXT 1ST DISC. | $9,100 | $9,100 | — | — | 15 |
| 75741 | ANGIO, PULMONARY, UNLATERAL | $9,073 | $9,073 | — | — | 17 |
| 75893 | VENOUS SAMPLING THRU CATH w/wo ANGIOGRAP | $9,073 | $9,073 | — | — | 17 |
| 75831 | VENOGRAM RENAL UNILAT | $9,073 | $9,073 | — | — | 17 |
| A2007 | RESTRATA, PER SQ CM | $9,000 | $9,000 | — | — | 42 |
| Q4133 | GRAFIX 5X5CM | $8,610 | $8,610 | — | — | 14 |
| J9312 | riTUXimab (RITUXAN) 500MG/50ML SDV | $8,456 | $8,456 | — | — | 34 |
| Q4107 | OR GRAFT JACKET | $8,430 | $8,430 | — | — | 14 |
| 81162 | BRCA 1/2 FULL GENE ANALYSIS | $8,400 | $8,400 | — | — | 16 |
| J1162 | DIGOXIN IMMUNE FAB (DIGIFAB) 40MG SDV | $7,960 | $7,960 | — | — | 17 |
| C2625 | ALTEPLASE (ACTIVASE-TPA) 50MG SDV | $7,920 | $7,920 | — | — | 17 |
| J0597 | C1 ESTERASE INHIBITOR(BERINERT) | $7,689 | $7,689 | — | — | 17 |
| 81408 | ..ARPKD, FULL GENE ANALYSIS (DISC) | $7,478 | $7,478 | — | — | 16 |
| C1874 | STENT, COATED/COV W/DEL SYS | $7,193 | $7,193 | — | — | 12 |
| 10180 | INCISION & DRAINAGE, COMPL, POST OP INFE | $6,868 | $6,868 | — | — | 15 |
| J0565 | BEZLOTOXUMAB (ZINPLAVA) 1000MG SDV | $6,840 | $6,840 | — | — | 15 |
| A9572 | NM INDIUM 111 OCTREOSCAN Dose | $6,785 | $6,785 | — | — | 14 |
| C1726 | CATH, BAL DIL, NON-VASCULAR | $6,720 | $6,720 | — | — | 20 |
| 15100 | SPLIT AUTOGRAFT TRUNK/ARMS/LEGS | $6,690 | $6,690 | — | — | 15 |
| C2623 | CATH, TRANSLUMIN, DRUG-COAT | $6,600 | $6,600 | — | — | 8 |
| 35207 | REPAIR BLOOD VESSEL HAND, FINGER | $6,484 | $6,484 | — | — | 15 |
| 90375 | RABIES IMMUNE GLOB 1500 INT UNIT/5ML SDV | $6,124 | $6,124 | — | — | 17 |
| J7402 | SINUVA SINUS IMPLANT 1350MCG | $6,120 | $6,120 | — | — | 17 |
| 15115 | EPIDERMAL AUTOGRAFT, FACE/HANDS/FEET | $5,909 | $5,909 | — | — | 15 |
| 15277 | APPLY SKIN SUB GRAFT FACE/HANDS 100CM | $5,909 | $5,909 | — | — | 17 |
| 15275 | APPLY SKIN SUB GRAFT FACE/HANDS 25CM | $5,909 | $5,909 | — | — | 17 |
| 15002 | WOUND PREP TRNK/ARM/LEG | $5,909 | $5,909 | — | — | 17 |
| C5273 | APPLY LOW SK SUB GRF TRUN/ARM 100 CM | $5,909 | $5,909 | — | — | 5 |
| 15271 | APPLY SKIN SUB GRAFT TRUNK/ARM/LEG 25CM | $5,909 | $5,909 | — | — | 17 |
| J1306 | INCLISIRAN (LEQVIO) 284MG/1.5ML SYRINGE | $5,850 | $5,850 | — | — | 34 |
Showing top 50 of 2,104 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.