45 CFR § 180 compliance
D · 65
This hospital published part 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
1,446
Insurances with rates
2
CPT / HCPCS codes
1,429
Source MRF
Most expensive procedures (gross)
J2997
$20,317
alteplase (Activase) inj 100mg vial
Gross
$20,317
J3380
$18,184
Entyvio 300mg IV 20mL SDV
Gross
$18,184
J9217
$17,993
Leuprolide(LupronDepot)30mg 4mo Syr
Gross
$17,993
J2506
$16,844
pegfligrastim (Neulasta)6mg inj syr
Gross
$16,844
J1459
$13,555
Privigen (IGG) 40GM (10%) IV sdv
Gross
$13,555
J3101
$13,345
tenecteplase (TNKase) kit 50mg
Gross
$13,345
Q5111
$11,297
Udenyca (pegfilgrastim-cbqv) 6mg/06mL
Gross
$11,297
Q5115
$11,072
TRUXIMA 500MG (rituximab-abbs) IV SDV
Gross
$11,072
Q5108
$10,618
Fulphila (pegfilgrastim) 6mg/06ml syr
Gross
$10,618
58670
$9,396
LAPAROSCOPY FULG OF OVIDUCTS
Gross
$9,396
J0739
$9,371
Apretude 600mg IM kit 3ml
Gross
$9,371
J2356
$9,318
Tezspire 210mg/191mL syringe
Gross
$9,318
J2182
$8,919
NUCALA (mepolizumab) 100MG/ML syringe
Gross
$8,919
Q5119
$8,710
Ruxience (rituximab) 500 mg inj sdv 50mL
Gross
$8,710
J0840
$8,662
antivenin ovine(CroFab) Vial IV
Gross
$8,662
15275
$8,444
EPI FIX/CORD SKN SUBS FCE SCLP EYELD MTH
Gross
$8,444
J1569
$8,239
immun glob G (Gammagard) 20gm/200ml
Gross
$8,239
J1306
$8,100
Leqvio 284 mg syringe 15mL
Gross
$8,100
28825
$7,771
AMPUTATION TOE/INTERPHALANGEAL JOINT
Gross
$7,771
Q4187
$6,599
EpiCord 3cm x 5cm patch
Gross
$6,599
12035
$6,509
WOUND INT REP 126 CM TO 20 CM S A T E
Gross
$6,509
J3262
$6,462
Actemra 400mg/20mL sdv
Gross
$6,462
J3111
$6,151
Evenity 210mg (2X105mg) inj syringe
Gross
$6,151
Q4278
$6,148
EpiEffect 2x3 cm
Gross
$6,148
Q4186
$6,124
EpiFix 4cm x 4cm patch
Gross
$6,124
Q5130
$6,084
Fylnetra 6mg/06mL inj syringe
Gross
$6,084
15271
$5,671
EPI FIX/CORD SKN GRFT SUB TRNK ARMS LEGS
Gross
$5,671
Q4145
$5,148
EpiFix Micronized 100mg
Gross
$5,148
J1602
$4,872
Simponi ARIA 50mg/4ml SDV
Gross
$4,872
J0897
$4,417
denosumab (Prolia) 60mg/ml Syringe
Gross
$4,417
J3240
$4,417
THYROGEN 09MG INJ SDV
Gross
$4,417
J0875
$4,296
Dalvance (dalbavancin) 500mg inj SDV
Gross
$4,296
28124
$4,195
PARTIAL EXCISION BONE PHALANX TOE
Gross
$4,195
J1568
$4,194
Octagam 5% (10grams in 200ml) IVIG
Gross
$4,194
12051
$4,021
WOUND INT REP 25 CM OR LESS F E E N L
Gross
$4,021
73503
$3,970
XR HIP 4 VIEWS MIN LEFT,Left Side
Gross
$3,970
J7168
$3,955
KCENTRA(prothrombin complex conc):500un
Gross
$3,955
22902
$3,854
EXCISION TMR SFT TISS ABDOM SUBCU >3 CM
Gross
$3,854
45378
$3,671
COLONOSCOPY DX W SPECIMEN
Gross
$3,671
26607
$3,671
CLSD TRT MET CARP FRA W MANIP W EXT FIX
Gross
$3,671
J0129
$3,570
Orencia 250MG sdv
Gross
$3,570
81408
$3,461
RL FULL GENE SEQUENCE (81408)
Gross
$3,461
43249
$3,298
EGD W DILATION LESS THAN 30 MM
Gross
$3,298
28286
$3,252
CORRECTION, COCK-UP FIFTH TOE, WITH PLAS
Gross
$3,252
C8929
$3,198
CARD ECHOCARDIOGRAM WITH
Gross
$3,198
J1745
$3,183
Remicade (inFLIXimab) 100mg Vial SDV
Gross
$3,183
J0882
$3,166
darbepoetin (Aranesp)ESRD*150mcg inj syr
Gross
$3,166
J0881
$3,166
darbepoetin (Aranesp)non-ESRD 150mcg inj
Gross
$3,166
28190
$3,117
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS
Gross
$3,117
10061
$3,068
INCISION & DRAINAGE OF ABCESS
Gross
$3,068
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | alteplase (Activase) inj 100mg vial | $20,317 | $20,317 | — | — | 0 |
| J3380 | Entyvio 300mg IV 20mL SDV | $18,184 | $18,184 | — | — | 0 |
| J9217 | Leuprolide(LupronDepot)30mg 4mo Syr | $17,993 | $17,993 | — | — | 0 |
| J2506 | pegfligrastim (Neulasta)6mg inj syr | $16,844 | $16,844 | — | — | 0 |
| J1459 | Privigen (IGG) 40GM (10%) IV sdv | $13,555 | $13,555 | — | — | 0 |
| J3101 | tenecteplase (TNKase) kit 50mg | $13,345 | $13,345 | — | — | 0 |
| Q5111 | Udenyca (pegfilgrastim-cbqv) 6mg/06mL | $11,297 | $11,297 | — | — | 0 |
| Q5115 | TRUXIMA 500MG (rituximab-abbs) IV SDV | $11,072 | $11,072 | — | — | 0 |
| Q5108 | Fulphila (pegfilgrastim) 6mg/06ml syr | $10,618 | $10,618 | — | — | 0 |
| 58670 | LAPAROSCOPY FULG OF OVIDUCTS | $9,396 | $9,396 | — | — | 1 |
| J0739 | Apretude 600mg IM kit 3ml | $9,371 | $9,371 | — | — | 0 |
| J2356 | Tezspire 210mg/191mL syringe | $9,318 | $9,318 | — | — | 0 |
| J2182 | NUCALA (mepolizumab) 100MG/ML syringe | $8,919 | $8,919 | — | — | 0 |
| Q5119 | Ruxience (rituximab) 500 mg inj sdv 50mL | $8,710 | $8,710 | — | — | 0 |
| J0840 | antivenin ovine(CroFab) Vial IV | $8,662 | $8,662 | — | — | 0 |
| 15275 | EPI FIX/CORD SKN SUBS FCE SCLP EYELD MTH | $8,444 | $8,444 | — | — | 1 |
| J1569 | immun glob G (Gammagard) 20gm/200ml | $8,239 | $8,239 | — | — | 0 |
| J1306 | Leqvio 284 mg syringe 15mL | $8,100 | $8,100 | — | — | 0 |
| 28825 | AMPUTATION TOE/INTERPHALANGEAL JOINT | $7,771 | $7,771 | — | — | 1 |
| Q4187 | EpiCord 3cm x 5cm patch | $6,599 | $6,599 | — | — | 0 |
| 12035 | WOUND INT REP 126 CM TO 20 CM S A T E | $6,509 | $6,509 | — | — | 1 |
| J3262 | Actemra 400mg/20mL sdv | $6,462 | $6,462 | — | — | 0 |
| J3111 | Evenity 210mg (2X105mg) inj syringe | $6,151 | $6,151 | — | — | 0 |
| Q4278 | EpiEffect 2x3 cm | $6,148 | $6,148 | — | — | 0 |
| Q4186 | EpiFix 4cm x 4cm patch | $6,124 | $6,124 | — | — | 0 |
| Q5130 | Fylnetra 6mg/06mL inj syringe | $6,084 | $6,084 | — | — | 0 |
| 15271 | EPI FIX/CORD SKN GRFT SUB TRNK ARMS LEGS | $5,671 | $5,671 | — | — | 1 |
| Q4145 | EpiFix Micronized 100mg | $5,148 | $5,148 | — | — | 0 |
| J1602 | Simponi ARIA 50mg/4ml SDV | $4,872 | $4,872 | — | — | 0 |
| J0897 | denosumab (Prolia) 60mg/ml Syringe | $4,417 | $4,417 | — | — | 0 |
| J3240 | THYROGEN 09MG INJ SDV | $4,417 | $4,417 | — | — | 0 |
| J0875 | Dalvance (dalbavancin) 500mg inj SDV | $4,296 | $4,296 | — | — | 0 |
| 28124 | PARTIAL EXCISION BONE PHALANX TOE | $4,195 | $4,195 | — | — | 1 |
| J1568 | Octagam 5% (10grams in 200ml) IVIG | $4,194 | $4,194 | — | — | 0 |
| 12051 | WOUND INT REP 25 CM OR LESS F E E N L | $4,021 | $4,021 | — | — | 1 |
| 73503 | XR HIP 4 VIEWS MIN LEFT,Left Side | $3,970 | $3,970 | — | — | 0 |
| J7168 | KCENTRA(prothrombin complex conc):500un | $3,955 | $3,955 | — | — | 0 |
| 22902 | EXCISION TMR SFT TISS ABDOM SUBCU >3 CM | $3,854 | $3,854 | — | — | 1 |
| 45378 | COLONOSCOPY DX W SPECIMEN | $3,671 | $3,671 | — | — | 0 |
| 26607 | CLSD TRT MET CARP FRA W MANIP W EXT FIX | $3,671 | $3,671 | — | — | 1 |
| J0129 | Orencia 250MG sdv | $3,570 | $3,570 | — | — | 0 |
| 81408 | RL FULL GENE SEQUENCE (81408) | $3,461 | $3,461 | — | — | 0 |
| 43249 | EGD W DILATION LESS THAN 30 MM | $3,298 | $3,298 | — | — | 1 |
| 28286 | CORRECTION, COCK-UP FIFTH TOE, WITH PLAS | $3,252 | $3,252 | — | — | 1 |
| C8929 | CARD ECHOCARDIOGRAM WITH | $3,198 | $3,198 | — | — | 0 |
| J1745 | Remicade (inFLIXimab) 100mg Vial SDV | $3,183 | $3,183 | — | — | 0 |
| J0882 | darbepoetin (Aranesp)ESRD*150mcg inj syr | $3,166 | $3,166 | — | — | 0 |
| J0881 | darbepoetin (Aranesp)non-ESRD 150mcg inj | $3,166 | $3,166 | — | — | 0 |
| 28190 | REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS | $3,117 | $3,117 | — | — | 1 |
| 10061 | INCISION & DRAINAGE OF ABCESS | $3,068 | $3,068 | — | — | 1 |
Showing top 50 of 1,446 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.