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
3,087
Insurances with rates
25
CPT / HCPCS codes
1,744
Source MRF
Most expensive procedures (gross)
J2997
$31,681
50242-0085-27 - alteplase 100 mg intravenous injection [CLMH]
Gross
$31,681
J2997
$31,681
50242-0085-27 - alteplase 100 mg intravenous injection [CLMH]
Gross
$31,681
45347
$6,538
45347 Sigmoidoscopy, flexible; with placement of endoscopic stent
Gross
$13,075
45347
$6,538
45347 Sigmoidoscopy, flexible; with placement of endoscopic stent
Gross
$13,075
J0840
$11,513
50633-0110-12 - antivenin (Crotalidae ovine) polyvalent intravenous injection [CLMH]
Gross
$11,513
J0840
$11,513
50633-0110-12 - antivenin (Crotalidae ovine) polyvalent intravenous injection [CLMH]
Gross
$11,513
42367-0540-32 - dantrolene 250 mg intravenous in
$11,256
42367-0540-32 - dantrolene 250 mg intravenous injection [CLMH]
Gross
$11,256
42367-0540-32 - dantrolene 250 mg intravenous in
$11,256
42367-0540-32 - dantrolene 250 mg intravenous injection [CLMH]
Gross
$11,256
31622
$5,237
31622 BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG CHARGE
Gross
$10,475
31623
$5,237
31623 BRNCHSC BRUSHING/PROTECTED BRUSHINGS CHARGE
Gross
$10,475
31624
$5,237
31624 BRNCHSC W/BRNCL ALVEOLAR LAVAGE CHARGE
Gross
$10,475
31625
$5,237
31625 BRNCHSC/ENDOBRNCL BX 1+ SITES CHARGE
Gross
$10,475
31622
$5,237
31622 BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG CHARGE
Gross
$10,475
31623
$5,237
31623 BRNCHSC BRUSHING/PROTECTED BRUSHINGS CHARGE
Gross
$10,475
31624
$5,237
31624 BRNCHSC W/BRNCL ALVEOLAR LAVAGE CHARGE
Gross
$10,475
31625
$5,237
31625 BRNCHSC/ENDOBRNCL BX 1+ SITES CHARGE
Gross
$10,475
J0897
$6,765
55513-0730-01 - denosumab 120 mg/1.7 mL subcutaneous solution 1.7 mL [CLMH]
Gross
$6,765
J0897
$6,765
55513-0730-01 - denosumab 120 mg/1.7 mL subcutaneous solution 1.7 mL [CLMH]
Gross
$6,765
J0875
$6,405
57970-0100-01 - dalbavancin 500 mg intravenous injection [CLMH]
Gross
$6,405
J0875
$6,405
57970-0100-01 - dalbavancin 500 mg intravenous injection [CLMH]
Gross
$6,405
G0105
$2,909
G0105 COLORECTAL CA SCREEN HIGH RISK
Gross
$5,817
G0105
$2,909
G0105 COLORECTAL CA SCREEN HIGH RISK
Gross
$5,817
J0129
$5,142
00003-2187-13 - abatacept 250 mg intravenous injection [CLMH]
Gross
$5,142
J0129
$5,142
00003-2187-13 - abatacept 250 mg intravenous injection [CLMH]
Gross
$5,142
J9217
$4,878
62935-0223-05 - leuprolide 22.5 mg/3 months subcutaneous injection, extended release [CLMH]
Gross
$4,878
J9217
$4,878
62935-0223-05 - leuprolide 22.5 mg/3 months subcutaneous injection, extended release [CLMH]
Gross
$4,878
44363
$2,128
44363 SMALL ENDO W/ REMOVE FOREIGN BDY CHARGE
Gross
$4,255
44363
$2,128
44363 SMALL ENDO W/ REMOVE FOREIGN BDY CHARGE
Gross
$4,255
43244
$2,113
43244 EGD FLEX TRANSORAL W/BAND LIGATION ESOPHAGEAL/GASTRIC VARICES
Gross
$4,225
43246
$2,113
43246 EGD FLEX TRANSORAL W/DIRECTED PLCMNT PERC GASTROSTOMY TUBE
Gross
$4,225
43249
$2,113
43249 Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esop
Gross
$4,225
43250
$2,113
43250 EGD CAUTERY TUMOR POLYP CHARGE
Gross
$4,225
43251
$2,113
43251 EGD REMOVE LESION SNARE CHARGE
Gross
$4,225
43255
$2,113
43255 EGD BLEEDING CONTROL ANY METHOD
Gross
$4,225
44360
$2,113
44360 ENDOSCOPY UPPER SMALL INTESTINE CHARGE
Gross
$4,225
44361
$2,113
44361 ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY CHARGE
Gross
$4,225
44364
$2,113
44364 SMALL BOWEL ENDOSCOPY/ SNARE POLYP CHARGE
Gross
$4,225
44366
$2,113
44366 SMALL BOWEL ENDOSCOP W/ CONTROL OF BLEED CHARGE
Gross
$4,225
44369
$2,113
44369 SMALL BWL ENDO W/ABLATION TUMOR POLY CHARGE
Gross
$4,225
44372
$2,113
44372 SMALL ENDO W/PERQ JEJ PLC CHARGE
Gross
$4,225
44373
$2,113
44373 SMALL ENDO CONV GSTRST TUBE CHARGE
Gross
$4,225
43244
$2,113
43244 EGD FLEX TRANSORAL W/BAND LIGATION ESOPHAGEAL/GASTRIC VARICES
Gross
$4,225
43246
$2,113
43246 EGD FLEX TRANSORAL W/DIRECTED PLCMNT PERC GASTROSTOMY TUBE
Gross
$4,225
43249
$2,113
43249 Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esop
Gross
$4,225
43250
$2,113
43250 EGD CAUTERY TUMOR POLYP CHARGE
Gross
$4,225
43251
$2,113
43251 EGD REMOVE LESION SNARE CHARGE
Gross
$4,225
43255
$2,113
43255 EGD BLEEDING CONTROL ANY METHOD
Gross
$4,225
44360
$2,113
44360 ENDOSCOPY UPPER SMALL INTESTINE CHARGE
Gross
$4,225
44361
$2,113
44361 ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY CHARGE
Gross
$4,225
44364
$2,113
44364 SMALL BOWEL ENDOSCOPY/ SNARE POLYP CHARGE
Gross
$4,225
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | 50242-0085-27 - alteplase 100 mg intravenous injection [CLMH] | $31,681 | $31,681 | — | — | 19 |
| J2997 | 50242-0085-27 - alteplase 100 mg intravenous injection [CLMH] | $31,681 | $31,681 | — | — | 19 |
| 45347 | 45347 Sigmoidoscopy, flexible; with placement of endoscopic stent | $13,075 | $6,538 | — | — | 19 |
| 45347 | 45347 Sigmoidoscopy, flexible; with placement of endoscopic stent | $13,075 | $6,538 | — | — | 19 |
| J0840 | 50633-0110-12 - antivenin (Crotalidae ovine) polyvalent intravenous injection [CLMH] | $11,513 | $11,513 | — | — | 19 |
| J0840 | 50633-0110-12 - antivenin (Crotalidae ovine) polyvalent intravenous injection [CLMH] | $11,513 | $11,513 | — | — | 19 |
| 42367-0540-32 - dantrolene 250 mg intravenous in | 42367-0540-32 - dantrolene 250 mg intravenous injection [CLMH] | $11,256 | $11,256 | — | — | 19 |
| 42367-0540-32 - dantrolene 250 mg intravenous in | 42367-0540-32 - dantrolene 250 mg intravenous injection [CLMH] | $11,256 | $11,256 | — | — | 19 |
| 31622 | 31622 BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31623 | 31623 BRNCHSC BRUSHING/PROTECTED BRUSHINGS CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31624 | 31624 BRNCHSC W/BRNCL ALVEOLAR LAVAGE CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31625 | 31625 BRNCHSC/ENDOBRNCL BX 1+ SITES CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31622 | 31622 BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31623 | 31623 BRNCHSC BRUSHING/PROTECTED BRUSHINGS CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31624 | 31624 BRNCHSC W/BRNCL ALVEOLAR LAVAGE CHARGE | $10,475 | $5,237 | — | — | 19 |
| 31625 | 31625 BRNCHSC/ENDOBRNCL BX 1+ SITES CHARGE | $10,475 | $5,237 | — | — | 19 |
| J0897 | 55513-0730-01 - denosumab 120 mg/1.7 mL subcutaneous solution 1.7 mL [CLMH] | $6,765 | $6,765 | — | — | 19 |
| J0897 | 55513-0730-01 - denosumab 120 mg/1.7 mL subcutaneous solution 1.7 mL [CLMH] | $6,765 | $6,765 | — | — | 19 |
| J0875 | 57970-0100-01 - dalbavancin 500 mg intravenous injection [CLMH] | $6,405 | $6,405 | — | — | 19 |
| J0875 | 57970-0100-01 - dalbavancin 500 mg intravenous injection [CLMH] | $6,405 | $6,405 | — | — | 19 |
| G0105 | G0105 COLORECTAL CA SCREEN HIGH RISK | $5,817 | $2,909 | — | — | 19 |
| G0105 | G0105 COLORECTAL CA SCREEN HIGH RISK | $5,817 | $2,909 | — | — | 19 |
| J0129 | 00003-2187-13 - abatacept 250 mg intravenous injection [CLMH] | $5,142 | $5,142 | — | — | 19 |
| J0129 | 00003-2187-13 - abatacept 250 mg intravenous injection [CLMH] | $5,142 | $5,142 | — | — | 19 |
| J9217 | 62935-0223-05 - leuprolide 22.5 mg/3 months subcutaneous injection, extended release [CLMH] | $4,878 | $4,878 | — | — | 19 |
| J9217 | 62935-0223-05 - leuprolide 22.5 mg/3 months subcutaneous injection, extended release [CLMH] | $4,878 | $4,878 | — | — | 19 |
| 44363 | 44363 SMALL ENDO W/ REMOVE FOREIGN BDY CHARGE | $4,255 | $2,128 | — | — | 19 |
| 44363 | 44363 SMALL ENDO W/ REMOVE FOREIGN BDY CHARGE | $4,255 | $2,128 | — | — | 19 |
| 43244 | 43244 EGD FLEX TRANSORAL W/BAND LIGATION ESOPHAGEAL/GASTRIC VARICES | $4,225 | $2,113 | — | — | 19 |
| 43246 | 43246 EGD FLEX TRANSORAL W/DIRECTED PLCMNT PERC GASTROSTOMY TUBE | $4,225 | $2,113 | — | — | 19 |
| 43249 | 43249 Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esop | $4,225 | $2,113 | — | — | 19 |
| 43250 | 43250 EGD CAUTERY TUMOR POLYP CHARGE | $4,225 | $2,113 | — | — | 19 |
| 43251 | 43251 EGD REMOVE LESION SNARE CHARGE | $4,225 | $2,113 | — | — | 19 |
| 43255 | 43255 EGD BLEEDING CONTROL ANY METHOD | $4,225 | $2,113 | — | — | 19 |
| 44360 | 44360 ENDOSCOPY UPPER SMALL INTESTINE CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44361 | 44361 ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44364 | 44364 SMALL BOWEL ENDOSCOPY/ SNARE POLYP CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44366 | 44366 SMALL BOWEL ENDOSCOP W/ CONTROL OF BLEED CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44369 | 44369 SMALL BWL ENDO W/ABLATION TUMOR POLY CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44372 | 44372 SMALL ENDO W/PERQ JEJ PLC CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44373 | 44373 SMALL ENDO CONV GSTRST TUBE CHARGE | $4,225 | $2,113 | — | — | 19 |
| 43244 | 43244 EGD FLEX TRANSORAL W/BAND LIGATION ESOPHAGEAL/GASTRIC VARICES | $4,225 | $2,113 | — | — | 19 |
| 43246 | 43246 EGD FLEX TRANSORAL W/DIRECTED PLCMNT PERC GASTROSTOMY TUBE | $4,225 | $2,113 | — | — | 19 |
| 43249 | 43249 Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esop | $4,225 | $2,113 | — | — | 19 |
| 43250 | 43250 EGD CAUTERY TUMOR POLYP CHARGE | $4,225 | $2,113 | — | — | 19 |
| 43251 | 43251 EGD REMOVE LESION SNARE CHARGE | $4,225 | $2,113 | — | — | 19 |
| 43255 | 43255 EGD BLEEDING CONTROL ANY METHOD | $4,225 | $2,113 | — | — | 19 |
| 44360 | 44360 ENDOSCOPY UPPER SMALL INTESTINE CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44361 | 44361 ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY CHARGE | $4,225 | $2,113 | — | — | 19 |
| 44364 | 44364 SMALL BOWEL ENDOSCOPY/ SNARE POLYP CHARGE | $4,225 | $2,113 | — | — | 19 |
Showing top 50 of 3,087 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.