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
2,113
Insurances with rates
9
CPT / HCPCS codes
1,658
Source MRF
Most expensive procedures (gross)
J9281
$34,601
JELMYTO 80MG (4MG/ML) INJ KIT
Gross
$86,502
J9282
$30,965
ZUSDURI 80MG KIT 1X1 EA INJ
Gross
$77,412
64590
$13,410
INSRT/REDO PN/GASTR STIMUL
Gross
$33,525
3129650
$13,388
NSL/SINS NDSC SURG FRNT&SINS BI,BILATERAL
Gross
$33,470
C1767
$12,848
SACRAL NEUROMODULATION SYSTEM MEDTRONIC
Gross
$32,120
J2997
$12,677
ALTEPLASE (ACTIVASE) 100MG IVPB PREMIX,340B DRUG PRICING PROGRAM
Gross
$31,693
J3101
$11,953
TNKASE 50MG/ML (10ML) VIAL,340B DRUG PRICING PROGRAM
Gross
$29,882
C9761
$9,525
CYSTO LITHO VACUUM KIDNEY
Gross
$23,812
55873
$9,351
CRYOSURGICAL ABLATION OF THE PROSTATE US
Gross
$23,378
J2506
$8,978
NEULASTA (PEGFILGRASTIM) 6MG/0.6ML SYR,340B DRUG PRICING PROGRAM
Gross
$22,444
J0517
$8,425
FASENRA 30MG/ML SYRN,340B DRUG PRICING PROGRAM
Gross
$21,063
57285
$7,616
REPAIR PARAVAG DEFECT VAG
Gross
$19,040
L8686
$7,218
IMPLANTABLE NEUROSTIMULATOR
Gross
$18,046
2829950
$7,200
COLLECTION HALLUX VALGUS BI,BILATERAL
Gross
$18,000
31297
$7,130
NSL/SINS NDSC SURG SPHN SINS
Gross
$17,826
5233250
$6,998
CYSTOSCOPY AND TREATMENT BILATERAL,BILATERAL
Gross
$17,495
C1726
$6,895
CATH BAL DIL NON-VASCULAR
Gross
$17,237
3125650
$6,810
NASAL SINUS ENDOSCOPY W MAXILLARY AN BI,BILATERAL
Gross
$17,024
3125550
$6,307
NASAL SINUS NDSC W TOT ETHMDCT BI,BILATERAL
Gross
$15,768
3126750
$6,307
ENDOSCOPY MAXILLARY SINUS BI,BILATERAL
Gross
$15,768
31242
$5,920
NSL/SINUS NDSC RF ABLTJ PNN
Gross
$14,799
49659
$5,866
UNLSTD LAPS PX HRNAP HRNRPHY
Gross
$14,666
Q4341
$5,634
SIMPLIMAX
Gross
$14,085
C9740
$5,612
CYSTOURETHROSCOPY W IMPANT 4 OR MORE
Gross
$14,029
49654
$5,493
LAP INC HERNIA REPAIR W/ MESH
Gross
$13,732
52354
$5,236
CYSTOURETHROSCOPY W/ BIOPSY
Gross
$13,091
52648
$5,236
LASER SURGERY OF PROSTATE
Gross
$13,091
55874
$5,236
TPRNL PLMT BIODEGRDABL MATRL
Gross
$13,091
L8680
$5,178
INTERSTIM MRI LEAD NEUROSTIMULATOR
Gross
$12,945
J1306TB
$5,171
LEQVIO 189MG/ML (284MG) 1.5ML SYRN,340B DRUG PRICING PROGRAM
Gross
$12,928
52649
$5,138
PROSTATE LASER ENULEATION
Gross
$12,845
52630
$5,117
REMOVAL OF PROSTATE GROWTH
Gross
$12,792
57240
$5,112
ANTERIOR COLPORRHAPHY
Gross
$12,780
57250
$5,112
REPAIR OF RECTUM AND VAGINA
Gross
$12,780
57260
$5,112
CMBN ANT PST COLPRHY
Gross
$12,780
58563
$5,028
HYSTEROSCOPY ABLATION
Gross
$12,569
58700
$5,027
REMOVAL OF FALLOPIAN TUBE
Gross
$12,569
90375
$4,974
HYPERRAB (RABIES IMM GLOB) 1500U VIAL
Gross
$12,435
57288
$4,952
REPAIR OF BLADDER DEFECT
Gross
$12,380
52240
$4,906
CYSTOSCOPY AND TREATMENT
Gross
$12,264
S2070
$4,906
CYSTOSCOPY STONE REMOVAL
Gross
$12,264
52353
$4,906
CYSTOURETERO W LITHOTRIPSY
Gross
$12,264
52356
$4,906
CYSTOURETHROSCOPY UTETERO W LITHOTRIPSY
Gross
$12,264
58353
$4,900
ENDOMETR ABLATE THERMAL
Gross
$12,251
66991
$4,784
XCAPSL CTRC RMVL INJ 1 +
Gross
$11,959
47564
$4,692
LAPRO CHOLECYSTECTOMY / EXPLR
Gross
$11,731
6881150
$4,600
PROBE NASOLACRIMAL DUCT BI,BILATERAL
Gross
$11,501
J1568
$4,579
OCTAGAM (IMMUNE GLOBULIN) 10% 20GM/200ML,STATUTORILY EXCLUDE, 340B DRUG PRICING PROGRAM
Gross
$11,448
Q4160
$4,454
NUSHIELD
Gross
$11,136
C2618
$4,371
PROBE/NEEDLE CRYOBLATION
Gross
$10,928
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9281 | JELMYTO 80MG (4MG/ML) INJ KIT | $86,502 | $34,601 | — | — | 10 |
| J9282 | ZUSDURI 80MG KIT 1X1 EA INJ | $77,412 | $30,965 | — | — | 10 |
| 64590 | INSRT/REDO PN/GASTR STIMUL | $33,525 | $13,410 | — | — | 10 |
| 3129650 | NSL/SINS NDSC SURG FRNT&SINS BI,BILATERAL | $33,470 | $13,388 | — | — | 10 |
| C1767 | SACRAL NEUROMODULATION SYSTEM MEDTRONIC | $32,120 | $12,848 | — | — | 10 |
| J2997 | ALTEPLASE (ACTIVASE) 100MG IVPB PREMIX,340B DRUG PRICING PROGRAM | $31,693 | $12,677 | — | — | 10 |
| J3101 | TNKASE 50MG/ML (10ML) VIAL,340B DRUG PRICING PROGRAM | $29,882 | $11,953 | — | — | 10 |
| C9761 | CYSTO LITHO VACUUM KIDNEY | $23,812 | $9,525 | — | — | 10 |
| 55873 | CRYOSURGICAL ABLATION OF THE PROSTATE US | $23,378 | $9,351 | — | — | 10 |
| J2506 | NEULASTA (PEGFILGRASTIM) 6MG/0.6ML SYR,340B DRUG PRICING PROGRAM | $22,444 | $8,978 | — | — | 10 |
| J0517 | FASENRA 30MG/ML SYRN,340B DRUG PRICING PROGRAM | $21,063 | $8,425 | — | — | 10 |
| 57285 | REPAIR PARAVAG DEFECT VAG | $19,040 | $7,616 | — | — | 10 |
| L8686 | IMPLANTABLE NEUROSTIMULATOR | $18,046 | $7,218 | — | — | 10 |
| 2829950 | COLLECTION HALLUX VALGUS BI,BILATERAL | $18,000 | $7,200 | — | — | 10 |
| 31297 | NSL/SINS NDSC SURG SPHN SINS | $17,826 | $7,130 | — | — | 10 |
| 5233250 | CYSTOSCOPY AND TREATMENT BILATERAL,BILATERAL | $17,495 | $6,998 | — | — | 10 |
| C1726 | CATH BAL DIL NON-VASCULAR | $17,237 | $6,895 | — | — | 10 |
| 3125650 | NASAL SINUS ENDOSCOPY W MAXILLARY AN BI,BILATERAL | $17,024 | $6,810 | — | — | 10 |
| 3125550 | NASAL SINUS NDSC W TOT ETHMDCT BI,BILATERAL | $15,768 | $6,307 | — | — | 10 |
| 3126750 | ENDOSCOPY MAXILLARY SINUS BI,BILATERAL | $15,768 | $6,307 | — | — | 10 |
| 31242 | NSL/SINUS NDSC RF ABLTJ PNN | $14,799 | $5,920 | — | — | 10 |
| 49659 | UNLSTD LAPS PX HRNAP HRNRPHY | $14,666 | $5,866 | — | — | 10 |
| Q4341 | SIMPLIMAX | $14,085 | $5,634 | — | — | 10 |
| C9740 | CYSTOURETHROSCOPY W IMPANT 4 OR MORE | $14,029 | $5,612 | — | — | 10 |
| 49654 | LAP INC HERNIA REPAIR W/ MESH | $13,732 | $5,493 | — | — | 10 |
| 52354 | CYSTOURETHROSCOPY W/ BIOPSY | $13,091 | $5,236 | — | — | 10 |
| 52648 | LASER SURGERY OF PROSTATE | $13,091 | $5,236 | — | — | 10 |
| 55874 | TPRNL PLMT BIODEGRDABL MATRL | $13,091 | $5,236 | — | — | 10 |
| L8680 | INTERSTIM MRI LEAD NEUROSTIMULATOR | $12,945 | $5,178 | — | — | 10 |
| J1306TB | LEQVIO 189MG/ML (284MG) 1.5ML SYRN,340B DRUG PRICING PROGRAM | $12,928 | $5,171 | — | — | 10 |
| 52649 | PROSTATE LASER ENULEATION | $12,845 | $5,138 | — | — | 10 |
| 52630 | REMOVAL OF PROSTATE GROWTH | $12,792 | $5,117 | — | — | 10 |
| 57240 | ANTERIOR COLPORRHAPHY | $12,780 | $5,112 | — | — | 10 |
| 57250 | REPAIR OF RECTUM AND VAGINA | $12,780 | $5,112 | — | — | 10 |
| 57260 | CMBN ANT PST COLPRHY | $12,780 | $5,112 | — | — | 10 |
| 58563 | HYSTEROSCOPY ABLATION | $12,569 | $5,028 | — | — | 10 |
| 58700 | REMOVAL OF FALLOPIAN TUBE | $12,569 | $5,027 | — | — | 10 |
| 90375 | HYPERRAB (RABIES IMM GLOB) 1500U VIAL | $12,435 | $4,974 | — | — | 10 |
| 57288 | REPAIR OF BLADDER DEFECT | $12,380 | $4,952 | — | — | 10 |
| 52240 | CYSTOSCOPY AND TREATMENT | $12,264 | $4,906 | — | — | 10 |
| S2070 | CYSTOSCOPY STONE REMOVAL | $12,264 | $4,906 | — | — | 10 |
| 52353 | CYSTOURETERO W LITHOTRIPSY | $12,264 | $4,906 | — | — | 10 |
| 52356 | CYSTOURETHROSCOPY UTETERO W LITHOTRIPSY | $12,264 | $4,906 | — | — | 10 |
| 58353 | ENDOMETR ABLATE THERMAL | $12,251 | $4,900 | — | — | 10 |
| 66991 | XCAPSL CTRC RMVL INJ 1 + | $11,959 | $4,784 | — | — | 10 |
| 47564 | LAPRO CHOLECYSTECTOMY / EXPLR | $11,731 | $4,692 | — | — | 10 |
| 6881150 | PROBE NASOLACRIMAL DUCT BI,BILATERAL | $11,501 | $4,600 | — | — | 10 |
| J1568 | OCTAGAM (IMMUNE GLOBULIN) 10% 20GM/200ML,STATUTORILY EXCLUDE, 340B DRUG PRICING PROGRAM | $11,448 | $4,579 | — | — | 10 |
| Q4160 | NUSHIELD | $11,136 | $4,454 | — | — | 20 |
| C2618 | PROBE/NEEDLE CRYOBLATION | $10,928 | $4,371 | — | — | 10 |
Showing top 50 of 2,113 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.