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
4,264
Insurances with rates
22
CPT / HCPCS codes
1,816
Source MRF
Most expensive procedures (gross)
J3101
$16,958
TENECTEPLASE 50MG KIT
Gross
$16,958
J3101
$16,958
TENECTEPLASE 50MG KIT
Gross
$16,958
90376
$5,656
RABIES IMMUNE GLOBULIN 150U/ML 10ML
Gross
$11,312
90376
$5,656
RABIES IMMUNE GLOBULIN 150U/ML 10ML
Gross
$11,312
J0840
$4,616
SNAKE ANTIVENOM (CROFAB) INJECTION VIAL
Gross
$9,232
J0840
$4,616
SNAKE ANTIVENOM (CROFAB) INJECTION VIAL
Gross
$9,232
J9202
$3,544
ZOLADEX SUBQ IMPLANT 10.8MG
Gross
$7,088
J9202
$3,544
ZOLADEX SUBQ IMPLANT 10.8MG
Gross
$7,088
J1439
$2,605
INJECTAFER INTRAVENOUS SOLUTION 50MG/1ML
Gross
$5,210
J1439
$2,605
INJECTAFER INTRAVENOUS SOLUTION 50MG/1ML
Gross
$5,210
J1745
$4,785
INFLIXIMAB (REMICADE) INJECTION 100MG
Gross
$4,785
J1745
$4,785
INFLIXIMAB (REMICADE) INJECTION 100MG
Gross
$4,785
43880
$2,353
CLOSURE OF GASTROCOLIC FISTULA
Gross
$4,705
43880
$2,353
CLOSURE OF GASTROCOLIC FISTULA
Gross
$4,705
44661
$2,314
Closure enterovesical fistula w/ resecti
Gross
$4,627
44661
$2,314
Closure enterovesical fistula w/ resecti
Gross
$4,627
49204
$2,252
EXC/DES OPEN INTRA ABD TUM,CYS OR ENDO
Gross
$4,504
49204
$2,252
EXC/DES OPEN INTRA ABD TUM,CYS OR ENDO
Gross
$4,504
43840
$1,986
GASTRORRHAPHY,SUTURE PERF DUODENAL ULCER
Gross
$3,971
43840
$1,986
GASTRORRHAPHY,SUTURE PERF DUODENAL ULCER
Gross
$3,971
44130
$1,919
Enteroenterostomy anastomosis intestine
Gross
$3,837
44130
$1,919
Enteroenterostomy anastomosis intestine
Gross
$3,837
19101
$1,863
Biopsy of breast open/incisional
Gross
$3,725
19101
$1,863
Biopsy of breast open/incisional
Gross
$3,725
44125
$1,739
ENTERECTOMY RESECTION SMALL INTESTINE W.
Gross
$3,478
44125
$1,739
ENTERECTOMY RESECTION SMALL INTESTINE W.
Gross
$3,478
J0585
$3,245
BOTULINUM TOXIN (BOTOX) VIAL 100 UNITS
Gross
$3,245
J0585
$3,245
BOTULINUM TOXIN (BOTOX) VIAL 100 UNITS
Gross
$3,245
44604
$1,562
SUTURE LARGE INTESTINE PERFORATED ULCER
Gross
$3,123
44604
$1,562
SUTURE LARGE INTESTINE PERFORATED ULCER
Gross
$3,123
44310
$1,538
IIEOSTOMY OR JEJUNOSTOMY NONTUBE
Gross
$3,076
44310
$1,538
IIEOSTOMY OR JEJUNOSTOMY NONTUBE
Gross
$3,076
74178
$1,494
CT ABDOMEN AND PELVIS WWO CONTRAST
Gross
$2,987
74178
$1,494
CT ABDOMEN AND PELVIS WWO CONTRAST
Gross
$2,987
43610
$1,443
EXC LOCAL ULCER/BENIGN TUMOR OF STOMACH
Gross
$2,885
43610
$1,443
EXC LOCAL ULCER/BENIGN TUMOR OF STOMACH
Gross
$2,885
95811
$1,429
CPAP TITRATION SLEEP STUDY
Gross
$2,857
95811
$1,429
CPAP TITRATION SLEEP STUDY
Gross
$2,857
49010
$1,395
EXPLORATION RETROPERITONEAL AREA W/WO BI
Gross
$2,789
49010
$1,395
EXPLORATION RETROPERITONEAL AREA W/WO BI
Gross
$2,789
J1566
$1,391
GAMMAGARD 10GM INJECTION
Gross
$2,781
J1566
$1,391
GAMMAGARD 10GM INJECTION
Gross
$2,781
45541
$1,354
PROCTOPEXY PERINEAL APPROACH
Gross
$2,707
45541
$1,354
PROCTOPEXY PERINEAL APPROACH
Gross
$2,707
74177
$1,288
CT ABDOMEN AND PELVIS W CONTRAST
Gross
$2,575
74177
$1,288
CT ABDOMEN AND PELVIS W CONTRAST
Gross
$2,575
44620
$1,274
Closure of Enterostomy, LG/SM Intestine
Gross
$2,548
44620
$1,274
Closure of Enterostomy, LG/SM Intestine
Gross
$2,548
49656
$1,251
LAPAROSCOPY SURG REPAIR RCR INC HERNIA
Gross
$2,501
49656
$1,251
LAPAROSCOPY SURG REPAIR RCR INC HERNIA
Gross
$2,501
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TENECTEPLASE 50MG KIT | $16,958 | $16,958 | — | — | 14 |
| J3101 | TENECTEPLASE 50MG KIT | $16,958 | $16,958 | — | — | 14 |
| 90376 | RABIES IMMUNE GLOBULIN 150U/ML 10ML | $11,312 | $5,656 | — | — | 14 |
| 90376 | RABIES IMMUNE GLOBULIN 150U/ML 10ML | $11,312 | $5,656 | — | — | 14 |
| J0840 | SNAKE ANTIVENOM (CROFAB) INJECTION VIAL | $9,232 | $4,616 | — | — | 14 |
| J0840 | SNAKE ANTIVENOM (CROFAB) INJECTION VIAL | $9,232 | $4,616 | — | — | 14 |
| J9202 | ZOLADEX SUBQ IMPLANT 10.8MG | $7,088 | $3,544 | — | — | 14 |
| J9202 | ZOLADEX SUBQ IMPLANT 10.8MG | $7,088 | $3,544 | — | — | 14 |
| J1439 | INJECTAFER INTRAVENOUS SOLUTION 50MG/1ML | $5,210 | $2,605 | — | — | 14 |
| J1439 | INJECTAFER INTRAVENOUS SOLUTION 50MG/1ML | $5,210 | $2,605 | — | — | 14 |
| J1745 | INFLIXIMAB (REMICADE) INJECTION 100MG | $4,785 | $4,785 | — | — | 14 |
| J1745 | INFLIXIMAB (REMICADE) INJECTION 100MG | $4,785 | $4,785 | — | — | 14 |
| 43880 | CLOSURE OF GASTROCOLIC FISTULA | $4,705 | $2,353 | — | — | 14 |
| 43880 | CLOSURE OF GASTROCOLIC FISTULA | $4,705 | $2,353 | — | — | 14 |
| 44661 | Closure enterovesical fistula w/ resecti | $4,627 | $2,314 | — | — | 14 |
| 44661 | Closure enterovesical fistula w/ resecti | $4,627 | $2,314 | — | — | 14 |
| 49204 | EXC/DES OPEN INTRA ABD TUM,CYS OR ENDO | $4,504 | $2,252 | — | — | 14 |
| 49204 | EXC/DES OPEN INTRA ABD TUM,CYS OR ENDO | $4,504 | $2,252 | — | — | 14 |
| 43840 | GASTRORRHAPHY,SUTURE PERF DUODENAL ULCER | $3,971 | $1,986 | — | — | 14 |
| 43840 | GASTRORRHAPHY,SUTURE PERF DUODENAL ULCER | $3,971 | $1,986 | — | — | 14 |
| 44130 | Enteroenterostomy anastomosis intestine | $3,837 | $1,919 | — | — | 14 |
| 44130 | Enteroenterostomy anastomosis intestine | $3,837 | $1,919 | — | — | 14 |
| 19101 | Biopsy of breast open/incisional | $3,725 | $1,863 | — | — | 14 |
| 19101 | Biopsy of breast open/incisional | $3,725 | $1,863 | — | — | 14 |
| 44125 | ENTERECTOMY RESECTION SMALL INTESTINE W. | $3,478 | $1,739 | — | — | 14 |
| 44125 | ENTERECTOMY RESECTION SMALL INTESTINE W. | $3,478 | $1,739 | — | — | 14 |
| J0585 | BOTULINUM TOXIN (BOTOX) VIAL 100 UNITS | $3,245 | $3,245 | — | — | 14 |
| J0585 | BOTULINUM TOXIN (BOTOX) VIAL 100 UNITS | $3,245 | $3,245 | — | — | 14 |
| 44604 | SUTURE LARGE INTESTINE PERFORATED ULCER | $3,123 | $1,562 | — | — | 14 |
| 44604 | SUTURE LARGE INTESTINE PERFORATED ULCER | $3,123 | $1,562 | — | — | 14 |
| 44310 | IIEOSTOMY OR JEJUNOSTOMY NONTUBE | $3,076 | $1,538 | — | — | 14 |
| 44310 | IIEOSTOMY OR JEJUNOSTOMY NONTUBE | $3,076 | $1,538 | — | — | 14 |
| 74178 | CT ABDOMEN AND PELVIS WWO CONTRAST | $2,987 | $1,494 | — | — | 14 |
| 74178 | CT ABDOMEN AND PELVIS WWO CONTRAST | $2,987 | $1,494 | — | — | 14 |
| 43610 | EXC LOCAL ULCER/BENIGN TUMOR OF STOMACH | $2,885 | $1,443 | — | — | 14 |
| 43610 | EXC LOCAL ULCER/BENIGN TUMOR OF STOMACH | $2,885 | $1,443 | — | — | 14 |
| 95811 | CPAP TITRATION SLEEP STUDY | $2,857 | $1,429 | — | — | 14 |
| 95811 | CPAP TITRATION SLEEP STUDY | $2,857 | $1,429 | — | — | 14 |
| 49010 | EXPLORATION RETROPERITONEAL AREA W/WO BI | $2,789 | $1,395 | — | — | 14 |
| 49010 | EXPLORATION RETROPERITONEAL AREA W/WO BI | $2,789 | $1,395 | — | — | 14 |
| J1566 | GAMMAGARD 10GM INJECTION | $2,781 | $1,391 | — | — | 14 |
| J1566 | GAMMAGARD 10GM INJECTION | $2,781 | $1,391 | — | — | 14 |
| 45541 | PROCTOPEXY PERINEAL APPROACH | $2,707 | $1,354 | — | — | 14 |
| 45541 | PROCTOPEXY PERINEAL APPROACH | $2,707 | $1,354 | — | — | 14 |
| 74177 | CT ABDOMEN AND PELVIS W CONTRAST | $2,575 | $1,288 | — | — | 14 |
| 74177 | CT ABDOMEN AND PELVIS W CONTRAST | $2,575 | $1,288 | — | — | 14 |
| 44620 | Closure of Enterostomy, LG/SM Intestine | $2,548 | $1,274 | — | — | 14 |
| 44620 | Closure of Enterostomy, LG/SM Intestine | $2,548 | $1,274 | — | — | 14 |
| 49656 | LAPAROSCOPY SURG REPAIR RCR INC HERNIA | $2,501 | $1,251 | — | — | 14 |
| 49656 | LAPAROSCOPY SURG REPAIR RCR INC HERNIA | $2,501 | $1,251 | — | — | 14 |
Showing top 50 of 4,264 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.