45 CFR § 180 compliance
F · 50
This hospital published little 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
3,877
Insurances with rates
0
CPT / HCPCS codes
290
Source MRF
Most expensive procedures (gross)
4500015
—
ALTEPLASE INJ 100 MG VIAL
Gross
$34,763
4504376
—
TENECTEPLASE 50 MG KIT
Gross
$24,566
3709863
—
TREACE-LAPIPLASTY SYSTM 2
Gross
$18,900
4505030
—
RABIES IMMUNE GLOBULIN 300 IU
Gross
$15,364
4508475
—
VEDOLIZUMAB
Gross
$13,854
4501046
—
PEGFILGRASTIM 6 MG/0.6ML INJ
Gross
$9,390
3709792
—
CARTIVA DVC 8MM
Gross
$9,227
4504983
—
ARANESP (ALBUMIN FREE) 500 MCG
Gross
$8,938
3709913
—
HYPRCR SINUS STENT
Gross
$8,550
4441220
—
INSERT GASTRO TUBE PERCUTANE
Gross
$7,615
4508474
—
GOLIMUMAB
Gross
$7,535
4441820
—
LAP INC HERN RECUR COMP
Gross
$6,912
4440715
—
LAP REPAIR HRNA VENT/ABD
Gross
$5,907
3709790
—
HYPRO CURE DEVICE
Gross
$5,844
3709910
—
HMMRFX IMPLNT-SMALL 2.8MM
Gross
$5,832
4450670
—
ABDOMEN/PELVIS COMPLETE
Gross
$5,795
3709919
—
DYNANITE PIP-STR 12MM W/INSTR
Gross
$5,685
3709899
—
HALLUX IMPLANT-12MM
Gross
$5,500
3709900
—
HALLUX IMPLANT 14MM
Gross
$5,500
4508497
—
HYLAN G-F 20
Gross
$5,411
4503572
—
DARBEPOETIN ALFA 300 MCG/0.6ML
Gross
$5,363
3702044
—
PROCEED SURG MESH 12X12
Gross
$5,326
4440310
—
LAP CHOLECYSTECTOMY W/CHOLANG
Gross
$5,228
4480270
—
PERCUTANEOUS IMPLANT ELECT EPI
Gross
$5,228
48508087
—
OPEN TRTMNT FX DISTL TIBIA
Gross
$5,218
4450755
—
CT UROGRAM
Gross
$5,131
4501813
—
DENOSUMAB 60 MG/1ML
Gross
$5,052
3709803
—
IMPL BIO-COMP ACHLLES SPEEDBRG
Gross
$4,949
4506604
—
ROMOSOZUMAB-AQQG 210MG/2.34ML
Gross
$4,928
4440935
—
ENTRC RESC SM INT SNGLE
Gross
$4,924
4312110
—
MRI CHEST W/O CONTRAST
Gross
$4,900
4441310
—
LAP CHOLECYSTECTOMY
Gross
$4,900
4450740
—
CT SMALL BOWEL
Gross
$4,758
3709814
—
IMPLAN SYSTEM CPR VIPER
Gross
$4,742
4350044
—
STRESS / MI PERFUSION
Gross
$4,714
4505056
—
RITUXIMAB 10 MG/ML
Gross
$4,698
4450700
—
ABDOMEN/PELVIS W/IV CONTRAST
Gross
$4,641
4510520
—
DENOSUMAB 60MG/1ML
Gross
$4,638
Q4133POD
—
Grafix prim
Gross
$4,614
4508309
—
ACTEMRA
Gross
$4,554
4501429
—
FERRIC CARBOXYMALTOSE 750 MG
Gross
$4,502
3709815
—
ALLOSYNC CB DBM PASTE 8CC
Gross
$4,410
4500045
—
ALTEPLASE INJ 100 MG VIAL
Gross
$4,302
4510525
—
HYLAN G-F 20
Gross
$4,279
4441020
—
LAP VENT/ABD HERNIA REPAIR
Gross
$4,205
4350065
—
TC99M CERETEC WBC
Gross
$4,197
3709798
—
ANCHOR/SCREW B2B T2B INPLANT
Gross
$4,101
4450665
—
ABDOMEN/PELVIS W/O CONTRAST
Gross
$4,065
3700042
—
ACHILLES SPEED BRIDGE
Gross
$4,000
3709893
—
DYNTE NTI STPL W INSTRT 11X10L
Gross
$3,995
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4500015 | ALTEPLASE INJ 100 MG VIAL | $34,763 | — | — | — | 0 |
| 4504376 | TENECTEPLASE 50 MG KIT | $24,566 | — | — | — | 0 |
| 3709863 | TREACE-LAPIPLASTY SYSTM 2 | $18,900 | — | — | — | 0 |
| 4505030 | RABIES IMMUNE GLOBULIN 300 IU | $15,364 | — | — | — | 0 |
| 4508475 | VEDOLIZUMAB | $13,854 | — | — | — | 0 |
| 4501046 | PEGFILGRASTIM 6 MG/0.6ML INJ | $9,390 | — | — | — | 0 |
| 3709792 | CARTIVA DVC 8MM | $9,227 | — | — | — | 0 |
| 4504983 | ARANESP (ALBUMIN FREE) 500 MCG | $8,938 | — | — | — | 0 |
| 3709913 | HYPRCR SINUS STENT | $8,550 | — | — | — | 0 |
| 4441220 | INSERT GASTRO TUBE PERCUTANE | $7,615 | — | — | — | 0 |
| 4508474 | GOLIMUMAB | $7,535 | — | — | — | 0 |
| 4441820 | LAP INC HERN RECUR COMP | $6,912 | — | — | — | 0 |
| 4440715 | LAP REPAIR HRNA VENT/ABD | $5,907 | — | — | — | 0 |
| 3709790 | HYPRO CURE DEVICE | $5,844 | — | — | — | 0 |
| 3709910 | HMMRFX IMPLNT-SMALL 2.8MM | $5,832 | — | — | — | 0 |
| 4450670 | ABDOMEN/PELVIS COMPLETE | $5,795 | — | — | — | 0 |
| 3709919 | DYNANITE PIP-STR 12MM W/INSTR | $5,685 | — | — | — | 0 |
| 3709899 | HALLUX IMPLANT-12MM | $5,500 | — | — | — | 0 |
| 3709900 | HALLUX IMPLANT 14MM | $5,500 | — | — | — | 0 |
| 4508497 | HYLAN G-F 20 | $5,411 | — | — | — | 0 |
| 4503572 | DARBEPOETIN ALFA 300 MCG/0.6ML | $5,363 | — | — | — | 0 |
| 3702044 | PROCEED SURG MESH 12X12 | $5,326 | — | — | — | 0 |
| 4440310 | LAP CHOLECYSTECTOMY W/CHOLANG | $5,228 | — | — | — | 0 |
| 4480270 | PERCUTANEOUS IMPLANT ELECT EPI | $5,228 | — | — | — | 0 |
| 48508087 | OPEN TRTMNT FX DISTL TIBIA | $5,218 | — | — | — | 0 |
| 4450755 | CT UROGRAM | $5,131 | — | — | — | 0 |
| 4501813 | DENOSUMAB 60 MG/1ML | $5,052 | — | — | — | 0 |
| 3709803 | IMPL BIO-COMP ACHLLES SPEEDBRG | $4,949 | — | — | — | 0 |
| 4506604 | ROMOSOZUMAB-AQQG 210MG/2.34ML | $4,928 | — | — | — | 0 |
| 4440935 | ENTRC RESC SM INT SNGLE | $4,924 | — | — | — | 0 |
| 4312110 | MRI CHEST W/O CONTRAST | $4,900 | — | — | — | 0 |
| 4441310 | LAP CHOLECYSTECTOMY | $4,900 | — | — | — | 0 |
| 4450740 | CT SMALL BOWEL | $4,758 | — | — | — | 0 |
| 3709814 | IMPLAN SYSTEM CPR VIPER | $4,742 | — | — | — | 0 |
| 4350044 | STRESS / MI PERFUSION | $4,714 | — | — | — | 0 |
| 4505056 | RITUXIMAB 10 MG/ML | $4,698 | — | — | — | 0 |
| 4450700 | ABDOMEN/PELVIS W/IV CONTRAST | $4,641 | — | — | — | 0 |
| 4510520 | DENOSUMAB 60MG/1ML | $4,638 | — | — | — | 0 |
| Q4133POD | Grafix prim | $4,614 | — | — | — | 0 |
| 4508309 | ACTEMRA | $4,554 | — | — | — | 0 |
| 4501429 | FERRIC CARBOXYMALTOSE 750 MG | $4,502 | — | — | — | 0 |
| 3709815 | ALLOSYNC CB DBM PASTE 8CC | $4,410 | — | — | — | 0 |
| 4500045 | ALTEPLASE INJ 100 MG VIAL | $4,302 | — | — | — | 0 |
| 4510525 | HYLAN G-F 20 | $4,279 | — | — | — | 0 |
| 4441020 | LAP VENT/ABD HERNIA REPAIR | $4,205 | — | — | — | 0 |
| 4350065 | TC99M CERETEC WBC | $4,197 | — | — | — | 0 |
| 3709798 | ANCHOR/SCREW B2B T2B INPLANT | $4,101 | — | — | — | 0 |
| 4450665 | ABDOMEN/PELVIS W/O CONTRAST | $4,065 | — | — | — | 0 |
| 3700042 | ACHILLES SPEED BRIDGE | $4,000 | — | — | — | 0 |
| 3709893 | DYNTE NTI STPL W INSTRT 11X10L | $3,995 | — | — | — | 0 |
Showing top 50 of 3,877 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.