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
895
Insurances with rates
15
CPT / HCPCS codes
83
Source MRF
Most expensive procedures (gross)
122085
$20,217
VEDOLIZUMAB 300 MG IV SOLR
Gross
$50,544
28530
$17,922
TENECTEPLASE 50 MG IV KIT
Gross
$44,805
Major gastrointestinal disorders & peritoneal in
$14,885
Major gastrointestinal disorders & peritoneal infections with complications
Gross
$37,213
160237
$12,959
CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT
Gross
$32,397
128411
$7,782
MEPOLIZUMAB 100 MG SC SOLR
Gross
$19,455
101976
$7,451
DENOSUMAB 120 MG/1.7ML SC SOLN
Gross
$18,629
10002387
$5,927
RABIES IMMUNE GLOBULIN 300 UNIT/2ML IJ SOLN
Gross
$14,817
10002388
$5,410
RABIES IMMUNE GLOBULIN 1500 UNIT/10ML IJ SOLN
Gross
$13,526
3500107
$4,364
HC 74178 CT ABD & PLVS W & WO CONT 1 BODY REGN
Gross
$10,910
10006817
$4,051
DENOSUMAB 60 MG/ML SC SOSY
Gross
$10,127
3500106
$3,879
HC 74177 CT ABD AND PELVIS, WITH CONTRAST
Gross
$9,697
4040006
$3,667
HC PET CT-WHOLE BODY
Gross
$9,168
3500105
$3,661
HC 74176 CT ABD AND PELVIS, WITHOUT CONTRAST
Gross
$9,154
4040005
$3,493
HC PET CT-SKULL BASE TO MID THIGH
Gross
$8,732
118499
$3,313
FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN
Gross
$8,283
3500057
$3,085
HC 73700 CT LOWER EXTREM W/O CONTRAST BLT
Gross
$7,712
3400093
$2,968
HC NM MYOCARDIAL PERFUS,SPECT,MLTP STDY R/E
Gross
$7,421
7400012
$2,866
HC 95811 POLYSOMNOGRAPH W/ CPAP
Gross
$7,165
7400010
$2,664
HC 95810 POLYSOMNOGRAPHY, 4 OR > PARAM
Gross
$6,660
3500028
$2,646
HC 71275 CT ANGIO CHST,NCRNY WO/W CONT W/ IMG PP
Gross
$6,615
6100065
$2,494
HC 73718 MRI LOW EXTREM, NON JOINT, W/O CONTRAST - BLT
Gross
$6,236
6100053
$2,494
HC 73221 MRI UP EXTREM, ANY JOINT, W/O CONTRAST - BLT
Gross
$6,236
3500029
$2,459
HC 72125 CT CERVICAL SPINE W/O CONTRAST
Gross
$6,148
6100074
$2,441
HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - BLT
Gross
$6,102
3500109
$2,399
HC 74174 CT ANGIOGRAPHY ABD/PELVIS W CONTRAST
Gross
$5,996
6100018
$2,365
HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST
Gross
$5,912
4800197
$2,278
HC ECHO TTE 2D COMP W/DOPPLER W CONTRAST
Gross
$5,696
4800198
$2,278
HC ECHO TTE 2D COMP W/DOPPLER WO/W CONTRAST
Gross
$5,696
6100034
$2,251
HC MRI LUMBAR SPINE WO/W CONTRAST
Gross
$5,628
6100032
$2,219
HC MRI CERV SPINE WO/W CONTRAST
Gross
$5,548
6100092
$2,170
HC MRI ABDOMEN WO/W CONTRAST
Gross
$5,426
4800108
$2,147
HC ECHO TTE 2D COMPLETE W/DOPPLER & COLOR FLOW
Gross
$5,368
6100038
$2,057
HC MRI PELVIS WO/W CON
Gross
$5,143
133158
$2,044
INFLIXIMAB-DYYB 100 MG IV SOLR
Gross
$5,110
4500514
$2,027
HC 99285 ED VISIT, LEVEL V
Gross
$5,068
6100030
$2,011
HC MRI LUMBAR SPINE W/O CONTRAST
Gross
$5,027
3500001
$1,925
HC 70450 CT HEAD/BRAIN W/O CONTRAST
Gross
$4,813
3500037
$1,895
HC 72133 CT LUMBAR SPINE WO/W CONTRAST
Gross
$4,738
4500521
$1,866
HC 99291 CRITICAL CARE FIRST 30-74 MIN
Gross
$4,665
9752635
$1,824
HC 23472 PRO ARTHROPLASTY GLENOHUMERAL TTL SHOULDER - LT
Gross
$4,560
9752636
$1,824
HC 23472 PRO ARTHROPLASTY GLENOHUMERAL TTL SHOULDER - RT
Gross
$4,560
3500022
$1,783
HC 71250 CT THORAX DIAGNOSTIC W/O CONTRAST
Gross
$4,457
6100026
$1,769
HC MRI CERVICAL SPINE W/O CONTRAST
Gross
$4,421
1100001
$1,764
HC ROOM & CARE PRIVATE
Gross
$4,409
3500010
$1,751
HC 70486 CT FACIAL BONES W/O CONTRAST
Gross
$4,377
1200002
$1,695
HC ROOM & CARE SEMI-PRIVATE SKILLED
Gross
$4,238
3500070
$1,676
HC 74175 CT ANGIO ABDOMEN WO/W CONTRAST W/ IMG PP
Gross
$4,191
3500034
$1,675
HC 72130 CT THORACIC SPINE WO/W CONTRAST
Gross
$4,187
6100014
$1,674
HC MRI BRAIN INC STEM W/O CONTRAST
Gross
$4,186
3500025
$1,671
HC 71260 CT THORAX DIAGNOSTIC W/ CONTRAST
Gross
$4,178
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 122085 | VEDOLIZUMAB 300 MG IV SOLR | $50,544 | $20,217 | — | — | 1 |
| 28530 | TENECTEPLASE 50 MG IV KIT | $44,805 | $17,922 | — | — | 1 |
| Major gastrointestinal disorders & peritoneal in | Major gastrointestinal disorders & peritoneal infections with complications | $37,213 | $14,885 | — | — | 1 |
| 160237 | CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT | $32,397 | $12,959 | — | — | 1 |
| 128411 | MEPOLIZUMAB 100 MG SC SOLR | $19,455 | $7,782 | — | — | 2 |
| 101976 | DENOSUMAB 120 MG/1.7ML SC SOLN | $18,629 | $7,451 | — | — | 5 |
| 10002387 | RABIES IMMUNE GLOBULIN 300 UNIT/2ML IJ SOLN | $14,817 | $5,927 | — | — | 1 |
| 10002388 | RABIES IMMUNE GLOBULIN 1500 UNIT/10ML IJ SOLN | $13,526 | $5,410 | — | — | 1 |
| 3500107 | HC 74178 CT ABD & PLVS W & WO CONT 1 BODY REGN | $10,910 | $4,364 | — | — | 7 |
| 10006817 | DENOSUMAB 60 MG/ML SC SOSY | $10,127 | $4,051 | — | — | 5 |
| 3500106 | HC 74177 CT ABD AND PELVIS, WITH CONTRAST | $9,697 | $3,879 | — | — | 6 |
| 4040006 | HC PET CT-WHOLE BODY | $9,168 | $3,667 | — | — | 1 |
| 3500105 | HC 74176 CT ABD AND PELVIS, WITHOUT CONTRAST | $9,154 | $3,661 | — | — | 11 |
| 4040005 | HC PET CT-SKULL BASE TO MID THIGH | $8,732 | $3,493 | — | — | 3 |
| 118499 | FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN | $8,283 | $3,313 | — | — | 1 |
| 3500057 | HC 73700 CT LOWER EXTREM W/O CONTRAST BLT | $7,712 | $3,085 | — | — | 3 |
| 3400093 | HC NM MYOCARDIAL PERFUS,SPECT,MLTP STDY R/E | $7,421 | $2,968 | — | — | 3 |
| 7400012 | HC 95811 POLYSOMNOGRAPH W/ CPAP | $7,165 | $2,866 | — | — | 1 |
| 7400010 | HC 95810 POLYSOMNOGRAPHY, 4 OR > PARAM | $6,660 | $2,664 | — | — | 3 |
| 3500028 | HC 71275 CT ANGIO CHST,NCRNY WO/W CONT W/ IMG PP | $6,615 | $2,646 | — | — | 8 |
| 6100065 | HC 73718 MRI LOW EXTREM, NON JOINT, W/O CONTRAST - BLT | $6,236 | $2,494 | — | — | 2 |
| 6100053 | HC 73221 MRI UP EXTREM, ANY JOINT, W/O CONTRAST - BLT | $6,236 | $2,494 | — | — | 2 |
| 3500029 | HC 72125 CT CERVICAL SPINE W/O CONTRAST | $6,148 | $2,459 | — | — | 7 |
| 6100074 | HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - BLT | $6,102 | $2,441 | — | — | 5 |
| 3500109 | HC 74174 CT ANGIOGRAPHY ABD/PELVIS W CONTRAST | $5,996 | $2,399 | — | — | 2 |
| 6100018 | HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST | $5,912 | $2,365 | — | — | 4 |
| 4800197 | HC ECHO TTE 2D COMP W/DOPPLER W CONTRAST | $5,696 | $2,278 | — | — | 9 |
| 4800198 | HC ECHO TTE 2D COMP W/DOPPLER WO/W CONTRAST | $5,696 | $2,278 | — | — | 9 |
| 6100034 | HC MRI LUMBAR SPINE WO/W CONTRAST | $5,628 | $2,251 | — | — | 2 |
| 6100032 | HC MRI CERV SPINE WO/W CONTRAST | $5,548 | $2,219 | — | — | 1 |
| 6100092 | HC MRI ABDOMEN WO/W CONTRAST | $5,426 | $2,170 | — | — | 2 |
| 4800108 | HC ECHO TTE 2D COMPLETE W/DOPPLER & COLOR FLOW | $5,368 | $2,147 | — | — | 4 |
| 6100038 | HC MRI PELVIS WO/W CON | $5,143 | $2,057 | — | — | 1 |
| 133158 | INFLIXIMAB-DYYB 100 MG IV SOLR | $5,110 | $2,044 | — | — | 1 |
| 4500514 | HC 99285 ED VISIT, LEVEL V | $5,068 | $2,027 | — | — | 13 |
| 6100030 | HC MRI LUMBAR SPINE W/O CONTRAST | $5,027 | $2,011 | — | — | 5 |
| 3500001 | HC 70450 CT HEAD/BRAIN W/O CONTRAST | $4,813 | $1,925 | — | — | 11 |
| 3500037 | HC 72133 CT LUMBAR SPINE WO/W CONTRAST | $4,738 | $1,895 | — | — | 2 |
| 4500521 | HC 99291 CRITICAL CARE FIRST 30-74 MIN | $4,665 | $1,866 | — | — | 5 |
| 9752635 | HC 23472 PRO ARTHROPLASTY GLENOHUMERAL TTL SHOULDER - LT | $4,560 | $1,824 | — | — | 1 |
| 9752636 | HC 23472 PRO ARTHROPLASTY GLENOHUMERAL TTL SHOULDER - RT | $4,560 | $1,824 | — | — | 1 |
| 3500022 | HC 71250 CT THORAX DIAGNOSTIC W/O CONTRAST | $4,457 | $1,783 | — | — | 11 |
| 6100026 | HC MRI CERVICAL SPINE W/O CONTRAST | $4,421 | $1,769 | — | — | 6 |
| 1100001 | HC ROOM & CARE PRIVATE | $4,409 | $1,764 | — | — | 2 |
| 3500010 | HC 70486 CT FACIAL BONES W/O CONTRAST | $4,377 | $1,751 | — | — | 3 |
| 1200002 | HC ROOM & CARE SEMI-PRIVATE SKILLED | $4,238 | $1,695 | — | — | 2 |
| 3500070 | HC 74175 CT ANGIO ABDOMEN WO/W CONTRAST W/ IMG PP | $4,191 | $1,676 | — | — | 1 |
| 3500034 | HC 72130 CT THORACIC SPINE WO/W CONTRAST | $4,187 | $1,675 | — | — | 1 |
| 6100014 | HC MRI BRAIN INC STEM W/O CONTRAST | $4,186 | $1,674 | — | — | 5 |
| 3500025 | HC 71260 CT THORAX DIAGNOSTIC W/ CONTRAST | $4,178 | $1,671 | — | — | 5 |
Showing top 50 of 895 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.