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
1,569
Insurances with rates
1
CPT / HCPCS codes
1,528
Source MRF
Most expensive procedures (gross)
J2350
$11,841
OCREVUS 300 MG/NS 250 ML IVPB
Gross
$24,980
J2993
$8,548
RETAVASE (RETEPLASE) 2 X 10 UNITS (KIT)
Gross
$18,034
C1767
$7,823
NEUROSTIMULATOR IMPLANT (S11)
Gross
$16,505
J2323
$6,826
TYSABRI IV SOLUTION 20 MG/ML 15 ML VIAL
Gross
$14,400
J3380
$5,925
ENTYVIO 300 MG/250 ML INF
Gross
$12,500
J2505
$5,397
pegfilgrastim 6 MG/0.6 ML SYR
Gross
$11,386
J1162
$3,651
DIGIFAB 40 MG INJ VIAL
Gross
$7,703
J0840
$3,538
antivenin crotalidae: 1 VIAL
Gross
$7,464
J1439
$3,494
ferric carboxymaltose 750MG/15ML VIAL
Gross
$7,371
90375
$3,247
rabies immune glob 150 UNITS/ML 10 ML
Gross
$6,850
J2997
$2,719
ACTIVASE VIAL: 100 MG
Gross
$5,737
36556
$2,666
CENTRAL LINE >5YO
Gross
$5,625
J3101
$2,398
TNKASE: 50MG KIT
Gross
$5,059
C1778
$2,383
INTERSTIM LEAD IMPLANT
Gross
$5,028
J1306
$2,352
inclisiran 284 MG/1.5 ML INJ
Gross
$4,963
74178
$2,300
CT ABD/PELVIS WO FOLLOWED BY W/
Gross
$4,853
70498
$2,274
CTA NECK WO/W
Gross
$4,798
74174
$2,252
CTA ABD/PELVIS
Gross
$4,750
75635
$2,252
CTA AORTO ILIOFEMORAL RUNOFF W CONTRAST
Gross
$4,750
74177
$2,169
CT ABD PELVIS W/ ONLY
Gross
$4,576
70553
$2,057
MRI BRAIN WO FOLLOWED BY W/
Gross
$4,340
73223
$2,052
MRI UP RIGHT EXT/JT W/WO,Right
Gross
$4,330
278
$2,021
ESSURE IMPLANT
Gross
$4,263
73206
$1,978
CTA UPPER EXT WO/W CONTRAST
Gross
$4,173
95811
$1,950
SLEEP STAGING W/CPAP
Gross
$4,113
72156
$1,938
MRI C-SPINE WO FOLLOWED BY W/
Gross
$4,089
74176
$1,930
CT STONE PROT ABD/PEL WO
Gross
$4,071
72157
$1,900
MRI T-SPINE W/WO CONTRAST
Gross
$4,009
70543
$1,899
MRI ORBIT FACE/NECK W/WO
Gross
$4,007
74183
$1,894
MRA ABDOMEN W/WO
Gross
$3,996
78806
$1,886
NM WBC WHOLE BODY
Gross
$3,979
72158
$1,842
MRI L-SPINE W/WO CONTRAST
Gross
$3,886
72197
$1,827
MRI HIP W/WO
Gross
$3,855
19283
$1,764
MM STEREOTATIC LOCALIZATION
Gross
$3,721
J3358
$1,746
STELARA 130 MG/26 ML VIAL
Gross
$3,684
J1569
$1,745
immune globulin 10% LIQ 300 ML VIAL
Gross
$3,682
J2426
$1,742
INVEGA SUSTENNA 156MG INJ
Gross
$3,676
78805
$1,724
NM WBC LIMITED AREA
Gross
$3,637
95810
$1,724
SLEEP STAGING W/4 OR MORE PARAMETERS OF
Gross
$3,637
C1771
$1,721
PINNACLE IMPLANT DEVICE
Gross
$3,630
73220
$1,689
MRI UP RIGHT EXT W/WO,Right
Gross
$3,563
73725
$1,677
MRA BILAT LOWER EXT W/WO
Gross
$3,538
73720
$1,677
MRI LOWER EXT RT W/WO,Right
Gross
$3,538
70496
$1,648
CTA HEAD WO/W
Gross
$3,477
73706
$1,648
CTA LOWER EXT WO/W CONTRAST
Gross
$3,477
790
$1,643
ESWL
Gross
$3,467
J3489
$1,614
ZOMETA (ZOLEDRONIC ACID) 4 MG/5 ML INJ
Gross
$3,404
C1762
$1,600
FASCIAL SLING
Gross
$3,375
A9569
$1,542
NM CERETEC WBC
Gross
$3,254
73723
$1,510
MRI KNEE RT W/WO,Right
Gross
$3,185
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | OCREVUS 300 MG/NS 250 ML IVPB | $24,980 | $11,841 | — | — | 1 |
| J2993 | RETAVASE (RETEPLASE) 2 X 10 UNITS (KIT) | $18,034 | $8,548 | — | — | 1 |
| C1767 | NEUROSTIMULATOR IMPLANT (S11) | $16,505 | $7,823 | — | — | 0 |
| J2323 | TYSABRI IV SOLUTION 20 MG/ML 15 ML VIAL | $14,400 | $6,826 | — | — | 1 |
| J3380 | ENTYVIO 300 MG/250 ML INF | $12,500 | $5,925 | — | — | 1 |
| J2505 | pegfilgrastim 6 MG/0.6 ML SYR | $11,386 | $5,397 | — | — | 1 |
| J1162 | DIGIFAB 40 MG INJ VIAL | $7,703 | $3,651 | — | — | 1 |
| J0840 | antivenin crotalidae: 1 VIAL | $7,464 | $3,538 | — | — | 1 |
| J1439 | ferric carboxymaltose 750MG/15ML VIAL | $7,371 | $3,494 | — | — | 1 |
| 90375 | rabies immune glob 150 UNITS/ML 10 ML | $6,850 | $3,247 | — | — | 1 |
| J2997 | ACTIVASE VIAL: 100 MG | $5,737 | $2,719 | — | — | 1 |
| 36556 | CENTRAL LINE >5YO | $5,625 | $2,666 | — | — | 1 |
| J3101 | TNKASE: 50MG KIT | $5,059 | $2,398 | — | — | 1 |
| C1778 | INTERSTIM LEAD IMPLANT | $5,028 | $2,383 | — | — | 0 |
| J1306 | inclisiran 284 MG/1.5 ML INJ | $4,963 | $2,352 | — | — | 1 |
| 74178 | CT ABD/PELVIS WO FOLLOWED BY W/ | $4,853 | $2,300 | — | — | 1 |
| 70498 | CTA NECK WO/W | $4,798 | $2,274 | — | — | 1 |
| 74174 | CTA ABD/PELVIS | $4,750 | $2,252 | — | — | 1 |
| 75635 | CTA AORTO ILIOFEMORAL RUNOFF W CONTRAST | $4,750 | $2,252 | — | — | 1 |
| 74177 | CT ABD PELVIS W/ ONLY | $4,576 | $2,169 | — | — | 1 |
| 70553 | MRI BRAIN WO FOLLOWED BY W/ | $4,340 | $2,057 | — | — | 1 |
| 73223 | MRI UP RIGHT EXT/JT W/WO,Right | $4,330 | $2,052 | — | — | 1 |
| 278 | ESSURE IMPLANT | $4,263 | $2,021 | — | — | 0 |
| 73206 | CTA UPPER EXT WO/W CONTRAST | $4,173 | $1,978 | — | — | 1 |
| 95811 | SLEEP STAGING W/CPAP | $4,113 | $1,950 | — | — | 1 |
| 72156 | MRI C-SPINE WO FOLLOWED BY W/ | $4,089 | $1,938 | — | — | 1 |
| 74176 | CT STONE PROT ABD/PEL WO | $4,071 | $1,930 | — | — | 1 |
| 72157 | MRI T-SPINE W/WO CONTRAST | $4,009 | $1,900 | — | — | 1 |
| 70543 | MRI ORBIT FACE/NECK W/WO | $4,007 | $1,899 | — | — | 1 |
| 74183 | MRA ABDOMEN W/WO | $3,996 | $1,894 | — | — | 1 |
| 78806 | NM WBC WHOLE BODY | $3,979 | $1,886 | — | — | 1 |
| 72158 | MRI L-SPINE W/WO CONTRAST | $3,886 | $1,842 | — | — | 1 |
| 72197 | MRI HIP W/WO | $3,855 | $1,827 | — | — | 1 |
| 19283 | MM STEREOTATIC LOCALIZATION | $3,721 | $1,764 | — | — | 1 |
| J3358 | STELARA 130 MG/26 ML VIAL | $3,684 | $1,746 | — | — | 1 |
| J1569 | immune globulin 10% LIQ 300 ML VIAL | $3,682 | $1,745 | — | — | 1 |
| J2426 | INVEGA SUSTENNA 156MG INJ | $3,676 | $1,742 | — | — | 1 |
| 78805 | NM WBC LIMITED AREA | $3,637 | $1,724 | — | — | 1 |
| 95810 | SLEEP STAGING W/4 OR MORE PARAMETERS OF | $3,637 | $1,724 | — | — | 1 |
| C1771 | PINNACLE IMPLANT DEVICE | $3,630 | $1,721 | — | — | 0 |
| 73220 | MRI UP RIGHT EXT W/WO,Right | $3,563 | $1,689 | — | — | 1 |
| 73725 | MRA BILAT LOWER EXT W/WO | $3,538 | $1,677 | — | — | 0 |
| 73720 | MRI LOWER EXT RT W/WO,Right | $3,538 | $1,677 | — | — | 1 |
| 70496 | CTA HEAD WO/W | $3,477 | $1,648 | — | — | 1 |
| 73706 | CTA LOWER EXT WO/W CONTRAST | $3,477 | $1,648 | — | — | 1 |
| 790 | ESWL | $3,467 | $1,643 | — | — | 0 |
| J3489 | ZOMETA (ZOLEDRONIC ACID) 4 MG/5 ML INJ | $3,404 | $1,614 | — | — | 0 |
| C1762 | FASCIAL SLING | $3,375 | $1,600 | — | — | 0 |
| A9569 | NM CERETEC WBC | $3,254 | $1,542 | — | — | 1 |
| 73723 | MRI KNEE RT W/WO,Right | $3,185 | $1,510 | — | — | 1 |
Showing top 50 of 1,569 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.