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
6,512
Insurances with rates
5
CPT / HCPCS codes
4,012
Source MRF
Most expensive procedures (gross)
702072
$25,186
HD-ANDEXXA IV PWD FOR SOLN 200MG
Gross
$33,581
701952
$17,813
SKYRIZI INTRAVENOUS SOLUTION 600MG/1
Gross
$23,750
702176
$10,181
NF-Ninlaro Oral Capsule 4MG
Gross
$13,575
78965
$9,935
RETEPLASE (RETAVASE) : 20 UNIT KIT
Gross
$13,247
73435
$9,792
ALTEPLASE (ACTIVASE) 1MG/ML
Gross
$13,055
74970
$7,570
PEGFILGRASTIM (NEULASTA)SYR : 6MG/0.
Gross
$10,093
701873
$6,169
SYNAGIS INTRAMUSCULAR SOLUTION 100MG
Gross
$8,225
701993
$6,101
GAMMAGARD LIQUID 30G
Gross
$8,135
702144
$4,896
ACTIVASE IV POWDER FOR SOLUTION 50MG
Gross
$6,528
73609
$4,841
DIGOXIN IMMUNE FAB (DIGIFAB) 40MG/4M
Gross
$6,455
13725
$4,613
MYELOID NGS PANEL
Gross
$6,150
12438
$4,500
CYSTIC FIBROSIS GENE SEQUENCE #10917
Gross
$6,000
701832
$4,391
MONOFERRIC 1000MG
Gross
$5,855
13748
$4,254
LYNCH SYNDROME PANEL # 91461
Gross
$5,672
13787
$4,254
LYNCH SYNDROME PANEL
Gross
$5,672
13704
$4,152
BRCAVANTAGE COMP #91863
Gross
$5,537
701935
$3,965
NF-ENBREL SUBCUTANEOUS SOLUTION 50MG
Gross
$5,287
701936
$3,965
NF-Enbrel Subcutaneous Solution 50MG
Gross
$5,287
13692
$3,863
CHROMOSOMAL MICROARRAY SNP
Gross
$5,150
72659
$3,688
FORTEO INJECTION
Gross
$4,917
700532
$3,375
ARANESP 300MCG/0.6ML INJECTION
Gross
$4,500
701653
$3,125
NF-Enbrel Mini Subcutaneous Soln 50M
Gross
$4,167
600015
$3,039
O.R. SERVICES - LAPRASCOPE II
Gross
$4,052
701846
$2,957
EVENITY
Gross
$3,943
76499
$2,888
RABIES IMMUNE GLOBULIN (HYPERRAB)
Gross
$3,850
700693
$2,815
NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG
Gross
$3,754
702071
$2,798
LD-ANDEXXA IV PWD FOR SOLN 200MG
Gross
$3,731
701467
$2,796
NF-ENBREL MINI SUBCUTANEOUS SOLN 50M
Gross
$3,729
13721
$2,519
PRENATAL CARRIER PANEL #93349
Gross
$3,358
40121
$2,513
CT ABD/PEL W/W-O CONTRAST
Gross
$3,351
12554
$2,480
PHENOSENSE #10421
Gross
$3,306
702113
$2,457
NF-Pomalyst Oral Capsule 4MG
Gross
$3,276
702143
$2,388
LUPRON DEPOT IM 1 MONTH PWD FOR SUSP
Gross
$3,184
701119
$2,352
NF-ENBREL SUBCUTANEOUS SOLUTION 50MG
Gross
$3,136
701126
$2,352
NF-ENBREL SUBCUTANEOUS SOLUTION 50MG
Gross
$3,136
702000
$2,318
NF-Pomalyst Oral Capsule 4MG
Gross
$3,091
79484
$2,180
ANTIVENIN CROTALIDAE POLYVLNT(
Gross
$2,907
702104
$2,116
DUPIXENT 300MG/2ML PFS SUBQ SOLUTIO
Gross
$2,821
701518
$2,087
PROLIA SUBQ SOLN 60MG/1ML
Gross
$2,782
40120
$2,006
CT ABD AND PELVIS W/CONTRAST
Gross
$2,675
608150
$1,977
REMOVAL OF TOE
Gross
$2,636
608124
$1,923
PARTIAL REMOVAL OF TOE
Gross
$2,564
700207
$1,863
INFLIXIMAB (REMICADE) INJECTION
Gross
$2,484
76235
$1,803
AREDIA 90MG INJ
Gross
$2,404
608500
$1,787
BIOPSY / REMOVAL LYMPH NODES
Gross
$2,383
701328
$1,779
CROFAB IV PWD FOR SOLN
Gross
$2,372
252511
$1,596
CIRCUMCISION
Gross
$2,128
40192
$1,591
CTA CHEST PE W/WO CONTRAST
Gross
$2,122
41287
$1,591
CTA CHEST PE W/ CONTRAST
Gross
$2,122
41289
$1,591
CTA CHEST
Gross
$2,122
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 702072 | HD-ANDEXXA IV PWD FOR SOLN 200MG | $33,581 | $25,186 | — | — | 3 |
| 701952 | SKYRIZI INTRAVENOUS SOLUTION 600MG/1 | $23,750 | $17,813 | — | — | 3 |
| 702176 | NF-Ninlaro Oral Capsule 4MG | $13,575 | $10,181 | — | — | 3 |
| 78965 | RETEPLASE (RETAVASE) : 20 UNIT KIT | $13,247 | $9,935 | — | — | 3 |
| 73435 | ALTEPLASE (ACTIVASE) 1MG/ML | $13,055 | $9,792 | — | — | 3 |
| 74970 | PEGFILGRASTIM (NEULASTA)SYR : 6MG/0. | $10,093 | $7,570 | — | — | 3 |
| 701873 | SYNAGIS INTRAMUSCULAR SOLUTION 100MG | $8,225 | $6,169 | — | — | 3 |
| 701993 | GAMMAGARD LIQUID 30G | $8,135 | $6,101 | — | — | 3 |
| 702144 | ACTIVASE IV POWDER FOR SOLUTION 50MG | $6,528 | $4,896 | — | — | 3 |
| 73609 | DIGOXIN IMMUNE FAB (DIGIFAB) 40MG/4M | $6,455 | $4,841 | — | — | 3 |
| 13725 | MYELOID NGS PANEL | $6,150 | $4,613 | — | — | 3 |
| 12438 | CYSTIC FIBROSIS GENE SEQUENCE #10917 | $6,000 | $4,500 | — | — | 3 |
| 701832 | MONOFERRIC 1000MG | $5,855 | $4,391 | — | — | 3 |
| 13748 | LYNCH SYNDROME PANEL # 91461 | $5,672 | $4,254 | — | — | 3 |
| 13787 | LYNCH SYNDROME PANEL | $5,672 | $4,254 | — | — | 3 |
| 13704 | BRCAVANTAGE COMP #91863 | $5,537 | $4,152 | — | — | 3 |
| 701935 | NF-ENBREL SUBCUTANEOUS SOLUTION 50MG | $5,287 | $3,965 | — | — | 3 |
| 701936 | NF-Enbrel Subcutaneous Solution 50MG | $5,287 | $3,965 | — | — | 3 |
| 13692 | CHROMOSOMAL MICROARRAY SNP | $5,150 | $3,863 | — | — | 3 |
| 72659 | FORTEO INJECTION | $4,917 | $3,688 | — | — | 3 |
| 700532 | ARANESP 300MCG/0.6ML INJECTION | $4,500 | $3,375 | — | — | 3 |
| 701653 | NF-Enbrel Mini Subcutaneous Soln 50M | $4,167 | $3,125 | — | — | 3 |
| 600015 | O.R. SERVICES - LAPRASCOPE II | $4,052 | $3,039 | — | — | 3 |
| 701846 | EVENITY | $3,943 | $2,957 | — | — | 3 |
| 76499 | RABIES IMMUNE GLOBULIN (HYPERRAB) | $3,850 | $2,888 | — | — | 3 |
| 700693 | NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG | $3,754 | $2,815 | — | — | 3 |
| 702071 | LD-ANDEXXA IV PWD FOR SOLN 200MG | $3,731 | $2,798 | — | — | 3 |
| 701467 | NF-ENBREL MINI SUBCUTANEOUS SOLN 50M | $3,729 | $2,796 | — | — | 3 |
| 13721 | PRENATAL CARRIER PANEL #93349 | $3,358 | $2,519 | — | — | 3 |
| 40121 | CT ABD/PEL W/W-O CONTRAST | $3,351 | $2,513 | — | — | 3 |
| 12554 | PHENOSENSE #10421 | $3,306 | $2,480 | — | — | 3 |
| 702113 | NF-Pomalyst Oral Capsule 4MG | $3,276 | $2,457 | — | — | 3 |
| 702143 | LUPRON DEPOT IM 1 MONTH PWD FOR SUSP | $3,184 | $2,388 | — | — | 3 |
| 701119 | NF-ENBREL SUBCUTANEOUS SOLUTION 50MG | $3,136 | $2,352 | — | — | 3 |
| 701126 | NF-ENBREL SUBCUTANEOUS SOLUTION 50MG | $3,136 | $2,352 | — | — | 3 |
| 702000 | NF-Pomalyst Oral Capsule 4MG | $3,091 | $2,318 | — | — | 3 |
| 79484 | ANTIVENIN CROTALIDAE POLYVLNT( | $2,907 | $2,180 | — | — | 3 |
| 702104 | DUPIXENT 300MG/2ML PFS SUBQ SOLUTIO | $2,821 | $2,116 | — | — | 3 |
| 701518 | PROLIA SUBQ SOLN 60MG/1ML | $2,782 | $2,087 | — | — | 3 |
| 40120 | CT ABD AND PELVIS W/CONTRAST | $2,675 | $2,006 | — | — | 3 |
| 608150 | REMOVAL OF TOE | $2,636 | $1,977 | — | — | 3 |
| 608124 | PARTIAL REMOVAL OF TOE | $2,564 | $1,923 | — | — | 3 |
| 700207 | INFLIXIMAB (REMICADE) INJECTION | $2,484 | $1,863 | — | — | 3 |
| 76235 | AREDIA 90MG INJ | $2,404 | $1,803 | — | — | 3 |
| 608500 | BIOPSY / REMOVAL LYMPH NODES | $2,383 | $1,787 | — | — | 3 |
| 701328 | CROFAB IV PWD FOR SOLN | $2,372 | $1,779 | — | — | 3 |
| 252511 | CIRCUMCISION | $2,128 | $1,596 | — | — | 3 |
| 40192 | CTA CHEST PE W/WO CONTRAST | $2,122 | $1,591 | — | — | 3 |
| 41287 | CTA CHEST PE W/ CONTRAST | $2,122 | $1,591 | — | — | 3 |
| 41289 | CTA CHEST | $2,122 | $1,591 | — | — | 3 |
Showing top 50 of 6,512 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.