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
2,517
Insurances with rates
0
CPT / HCPCS codes
2,444
Source MRF
Most expensive procedures (gross)
J2997
$17,848
ALTEPLASE 100MG (ACTIVASE)
Gross
$20,998
J3101
$14,712
TENECTEPLASE/TNKASE KIT 50MG INJ
Gross
$17,308
J9217
$12,380
LEUPROLIDE 22.5mg/3MO(DEPO-LUPRON)
Gross
$14,564
J0517
$11,918
Benralizumab (FASENRA) 30mg
Gross
$14,022
19306
$10,553
OR FAC RAD MASTECTOMY INC MUSCLE/LYMPH
Gross
$12,415
19318
$9,594
OR BREAST REDUCTION
Gross
$11,288
19303
$9,594
OR MASTECTOMY SIMPLE, COMPLETE
Gross
$11,288
J2506
$8,735
PEGFILGRASTIM (NEULASTA) 6MG/0.6ML SYR
Gross
$10,276
19380
$7,922
OR REVISION OF RECONSTRUCTED BREAST
Gross
$9,320
37244
$7,586
ER FAC REBOA
Gross
$8,925
15830
$7,408
OR ABDOMEN INFMBCL PANNICULECTOMEY
Gross
$8,715
J1306
$7,082
INCLISIRAN (LEQVIO) 284MG/1.5ML SYR
Gross
$8,332
J2182
$6,532
MEPOLIZUMAB 100 MG VL (Nucala)
Gross
$7,685
J0840
$6,495
CROTALIDAE (OVINE) CROFAB INJ
Gross
$7,641
Q5115
$6,145
riTUXimab-abbs 500 MG VL (Truxima)
Gross
$7,229
J0717
$6,004
CERTOLIZUMAB 200MG (CIMZIA) (1/2 KIT)
Gross
$7,063
47562
$5,773
OR LAPAROSCOPIC CHOLECYSTECTOMY
Gross
$6,791
25295
$5,678
OR TENOLYSIS FLEXOR OR EXTENSOR TENDO
Gross
$6,680
15275
$5,653
WC APL SKIN SUB F/S/E/M/N/E/O/G/H/F
Gross
$6,650
J2356
$5,645
TEZEPELUMAB-EKKO 210 MG (Tezspire)
Gross
$6,641
47563
$5,534
OR LAP CHOLECYSTECTOMY W/ CHOLANGIOGRAM
Gross
$6,510
55500
$5,368
OR EXC HYDROCELE SPERMATIC CORD UNILAT
Gross
$6,316
23073
$5,342
OR EXC TUMOR SFT TISS SHOULDER >5CM
Gross
$6,285
11772
$5,321
OR EX PILONIDAL CYST/SINUS COMPLICATED
Gross
$6,260
15734
$5,243
OR MUSCLE FLAP TRUNK
Gross
$6,169
28122
$5,212
OR EXC BONE TARSAL OR METATARSAL BONE
Gross
$6,132
J3111
$5,111
ROMOSOZUMAB-AQQG 210 MG INJ (EVENITY)
Gross
$6,013
15120
$5,087
OR AUTOGRAFT FSEMNEOGHF 1ST 100SQCM OR >
Gross
$5,985
26525
$5,075
OR CAPSULECTOMY CAPSULOTOMY IP JT
Gross
$5,970
49505
$5,052
OR RPR INITIAL INGUINAL HERNIA
Gross
$5,944
15273
$4,892
WC HC SK SUB APP T/A/L >100SQCM
Gross
$5,755
28810
$4,875
ER AMPUTATION METATARSAL W/TOE SINGLE
Gross
$5,735
24105
$4,811
OR FAC EXC OLECRANON BURSA
Gross
$5,660
J0897
$4,771
DENOSUMAB 120 MG INJ (XGEVA)
Gross
$5,612
15733
$4,714
OR MUSCLE FLAP HEAD OR NECK
Gross
$5,546
15738
$4,641
OR MUSCLE/SKIN FLAP LOWER EXTREM
Gross
$5,460
19350
$4,633
OR NIPPLE AEROLA RECONSTRUCTION
Gross
$5,450
15877
$4,586
OR SUCTION ASSISTED LIPECTOMY TRUNK
Gross
$5,395
30140
$4,573
OR BIL RESECTION INFERIOR TURBINATE
Gross
$5,380
46924
$4,548
OR DSTRN LES ANUS LSR, ELTCSRGY, CRSRGY
Gross
$5,350
49507
$4,475
OR RPR INT INGUINAL HERNIA INCARCERATED
Gross
$5,265
36571
$4,449
OR INSERT CAV DVC W/ SUBQ PORT >5 YRS
Gross
$5,235
30520
$4,436
OR SEPTOPLASTY
Gross
$5,219
28820
$4,352
OR FAC AMPUTATION TOE MP JOINT
Gross
$5,121
Q5108
$4,214
PEGFILGRASTIM-jmdb (FULPHILA) 6MG SYR
Gross
$4,958
36561
$4,213
OR INSERTION OF CVA DEVICE W/PORT
Gross
$4,956
19300
$4,140
OR MASTECTOMY FOR GYNECOMASTIA
Gross
$4,870
19371
$4,135
OR PERIIMPLANT CASULECTOMY BRST COMPLETE
Gross
$4,865
30801
$4,123
OR ABLATION ST TISSUE INFERIOR TURBINATE
Gross
$4,851
46250
$4,106
OR HEMORRHOIDECTOMY, 2 OR MORE COLUMNS
Gross
$4,830
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE 100MG (ACTIVASE) | $20,998 | $17,848 | — | — | 0 |
| J3101 | TENECTEPLASE/TNKASE KIT 50MG INJ | $17,308 | $14,712 | — | — | 0 |
| J9217 | LEUPROLIDE 22.5mg/3MO(DEPO-LUPRON) | $14,564 | $12,380 | — | — | 0 |
| J0517 | Benralizumab (FASENRA) 30mg | $14,022 | $11,918 | — | — | 0 |
| 19306 | OR FAC RAD MASTECTOMY INC MUSCLE/LYMPH | $12,415 | $10,553 | — | — | 0 |
| 19318 | OR BREAST REDUCTION | $11,288 | $9,594 | — | — | 0 |
| 19303 | OR MASTECTOMY SIMPLE, COMPLETE | $11,288 | $9,594 | — | — | 0 |
| J2506 | PEGFILGRASTIM (NEULASTA) 6MG/0.6ML SYR | $10,276 | $8,735 | — | — | 0 |
| 19380 | OR REVISION OF RECONSTRUCTED BREAST | $9,320 | $7,922 | — | — | 0 |
| 37244 | ER FAC REBOA | $8,925 | $7,586 | — | — | 0 |
| 15830 | OR ABDOMEN INFMBCL PANNICULECTOMEY | $8,715 | $7,408 | — | — | 0 |
| J1306 | INCLISIRAN (LEQVIO) 284MG/1.5ML SYR | $8,332 | $7,082 | — | — | 0 |
| J2182 | MEPOLIZUMAB 100 MG VL (Nucala) | $7,685 | $6,532 | — | — | 0 |
| J0840 | CROTALIDAE (OVINE) CROFAB INJ | $7,641 | $6,495 | — | — | 0 |
| Q5115 | riTUXimab-abbs 500 MG VL (Truxima) | $7,229 | $6,145 | — | — | 0 |
| J0717 | CERTOLIZUMAB 200MG (CIMZIA) (1/2 KIT) | $7,063 | $6,004 | — | — | 0 |
| 47562 | OR LAPAROSCOPIC CHOLECYSTECTOMY | $6,791 | $5,773 | — | — | 0 |
| 25295 | OR TENOLYSIS FLEXOR OR EXTENSOR TENDO | $6,680 | $5,678 | — | — | 0 |
| 15275 | WC APL SKIN SUB F/S/E/M/N/E/O/G/H/F | $6,650 | $5,653 | — | — | 0 |
| J2356 | TEZEPELUMAB-EKKO 210 MG (Tezspire) | $6,641 | $5,645 | — | — | 0 |
| 47563 | OR LAP CHOLECYSTECTOMY W/ CHOLANGIOGRAM | $6,510 | $5,534 | — | — | 0 |
| 55500 | OR EXC HYDROCELE SPERMATIC CORD UNILAT | $6,316 | $5,368 | — | — | 0 |
| 23073 | OR EXC TUMOR SFT TISS SHOULDER >5CM | $6,285 | $5,342 | — | — | 0 |
| 11772 | OR EX PILONIDAL CYST/SINUS COMPLICATED | $6,260 | $5,321 | — | — | 0 |
| 15734 | OR MUSCLE FLAP TRUNK | $6,169 | $5,243 | — | — | 0 |
| 28122 | OR EXC BONE TARSAL OR METATARSAL BONE | $6,132 | $5,212 | — | — | 0 |
| J3111 | ROMOSOZUMAB-AQQG 210 MG INJ (EVENITY) | $6,013 | $5,111 | — | — | 0 |
| 15120 | OR AUTOGRAFT FSEMNEOGHF 1ST 100SQCM OR > | $5,985 | $5,087 | — | — | 0 |
| 26525 | OR CAPSULECTOMY CAPSULOTOMY IP JT | $5,970 | $5,075 | — | — | 0 |
| 49505 | OR RPR INITIAL INGUINAL HERNIA | $5,944 | $5,052 | — | — | 0 |
| 15273 | WC HC SK SUB APP T/A/L >100SQCM | $5,755 | $4,892 | — | — | 0 |
| 28810 | ER AMPUTATION METATARSAL W/TOE SINGLE | $5,735 | $4,875 | — | — | 0 |
| 24105 | OR FAC EXC OLECRANON BURSA | $5,660 | $4,811 | — | — | 0 |
| J0897 | DENOSUMAB 120 MG INJ (XGEVA) | $5,612 | $4,771 | — | — | 0 |
| 15733 | OR MUSCLE FLAP HEAD OR NECK | $5,546 | $4,714 | — | — | 0 |
| 15738 | OR MUSCLE/SKIN FLAP LOWER EXTREM | $5,460 | $4,641 | — | — | 0 |
| 19350 | OR NIPPLE AEROLA RECONSTRUCTION | $5,450 | $4,633 | — | — | 0 |
| 15877 | OR SUCTION ASSISTED LIPECTOMY TRUNK | $5,395 | $4,586 | — | — | 0 |
| 30140 | OR BIL RESECTION INFERIOR TURBINATE | $5,380 | $4,573 | — | — | 0 |
| 46924 | OR DSTRN LES ANUS LSR, ELTCSRGY, CRSRGY | $5,350 | $4,548 | — | — | 0 |
| 49507 | OR RPR INT INGUINAL HERNIA INCARCERATED | $5,265 | $4,475 | — | — | 0 |
| 36571 | OR INSERT CAV DVC W/ SUBQ PORT >5 YRS | $5,235 | $4,449 | — | — | 0 |
| 30520 | OR SEPTOPLASTY | $5,219 | $4,436 | — | — | 0 |
| 28820 | OR FAC AMPUTATION TOE MP JOINT | $5,121 | $4,352 | — | — | 0 |
| Q5108 | PEGFILGRASTIM-jmdb (FULPHILA) 6MG SYR | $4,958 | $4,214 | — | — | 0 |
| 36561 | OR INSERTION OF CVA DEVICE W/PORT | $4,956 | $4,213 | — | — | 0 |
| 19300 | OR MASTECTOMY FOR GYNECOMASTIA | $4,870 | $4,140 | — | — | 0 |
| 19371 | OR PERIIMPLANT CASULECTOMY BRST COMPLETE | $4,865 | $4,135 | — | — | 0 |
| 30801 | OR ABLATION ST TISSUE INFERIOR TURBINATE | $4,851 | $4,123 | — | — | 0 |
| 46250 | OR HEMORRHOIDECTOMY, 2 OR MORE COLUMNS | $4,830 | $4,106 | — | — | 0 |
Showing top 50 of 2,517 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.