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
2,011
Insurances with rates
22
CPT / HCPCS codes
1,920
Source MRF
Most expensive procedures (gross)
43770
$23,686
LAP BAND PLACEMENT FIRST 60 MINUTES
Gross
$31,581
33285
$16,094
INSERTION SUBQ CARDIAC RHYTHM MONITOR
Gross
$21,458
J2997
$15,850
Alteplase Inj 100 MG
Gross
$21,133
J3101
$13,688
Tenecteplase Inj 50 MG
Gross
$18,251
J7169
$13,509
Andexxa Factor XA 480 MG INFUSION
Gross
$18,012
J1569
$9,163
Immune Globuli (IVIG) INF 30 gm/300 ML
Gross
$12,217
65820
$8,440
OMNI PROCEDURE
Gross
$11,254
A7034
$6,956
ASSERT IQ EL+ ICM
Gross
$9,275
C1764
$6,950
REVEAL LINQ LOOP RECORDER
Gross
$9,266
28825
$6,756
AMPUTATION AT INTERPHALANGEAL JOINT
Gross
$9,008
50590
$6,692
FRAGMENTING OF KIDNEY STONE
Gross
$8,922
J1306
$5,859
Inclisiran Inj 284 mg/1.5 mL
Gross
$7,812
J0630
$5,647
Calcitonin-salmon Inj 400 IU/2 ML
Gross
$7,529
37785
$5,646
LIGATE/DIVIDE/EXCISE VEIN
Gross
$7,528
L8699
$5,243
LAPBAND LG
Gross
$6,991
74174
$4,630
CTA ABD/PELVIS #74174
Gross
$6,174
78452
$4,475
NM MYO PEF SPC R/S WM EF #78452
Gross
$5,966
74178
$4,406
CT ABD/PELVIS W/WO #74178
Gross
$5,875
J3111
$4,391
Romosozmab-Aqqg 210 MG/2.34 mL
Gross
$5,854
51102
$4,280
INSERTION OF SUPRAPUBIC CATHETER
Gross
$5,707
C1765
$4,166
GYNECARE INTERCEED 5X6
Gross
$5,554
74177
$3,909
CT ABD/PELVIS WITH #74177
Gross
$5,212
54700
$3,639
INCIS & DRAIN OF EPIDIDYMIS, TESTIS, SCR
Gross
$4,852
27842
$3,554
CL TX ANKLE DISLOCATION W MANIPULATION
Gross
$4,739
360
$3,545
MAJOR FIRST 60 MIN
Gross
$4,727
95811
$3,456
SL PSG W/BIPAP OR CPAP
Gross
$4,608
72156
$3,334
MRI CERVICAL W/WO #72156
Gross
$4,446
72158
$3,334
MRI LUMBAR SPINE W/WO #72158
Gross
$4,446
29888
$3,275
ALLOGRAFT
Gross
$4,366
70553
$3,272
MRI BRAIN W/WO #70553
Gross
$4,363
28010
$3,253
TENOTOMY, PERCUTANEOUS, TOE; SINGLE TEND
Gross
$4,337
28011
$3,253
TENOTOMY, PERCUTANEOUS, TOE; MULT TENDO
Gross
$4,337
72157
$3,237
MRI THORACIC SPINE W/WO #72157
Gross
$4,316
73723
$3,177
MRI LOWER EXT JOINT W/WO #73723 RT,RIGHT SIDE OF BODY
Gross
$4,236
73223
$3,177
MRI UPPER EXT JOINT W/WO #73223 LT,LEFT SIDE OF BODY
Gross
$4,236
25565
$3,158
CLSD TRMT RAD/ULNAR SHFT FACT; W/MANIPUL
Gross
$4,211
J0897
$3,135
Denosumab Inj 60 MG/ML
Gross
$4,180
49505
$25
RPR 1ST INGUN HERNIA AGES 5+ YEARS
Gross
$4,166
11044
$2,983
DEBRIDE BONE; FIRST 20 SQ CM OR LESS
Gross
$3,978
11420
$2,896
EXC B9 LES MRGN XCP SK TG S/N/H/F/G .5<
Gross
$3,862
11422
$2,896
EXC B9 LES MRGN XCP SK TG S/N/H/F/G1.1-2
Gross
$3,862
28193
$2,896
REMOV FOREIGN BODY, FOOT; COMPLICATED
Gross
$3,862
28024
$2,871
ARTHROTOMY; INTERPHALANGEAL JOINT
Gross
$3,828
25605
$2,830
CLOSED REDUCT W MANIPULATION RADIUS/ULNA
Gross
$3,773
23655
$2,830
SHOULDER DISLOC SIMP REDU REQ ANESTHESIA
Gross
$3,773
71275
$2,822
CTA CHEST #71275
Gross
$3,763
95810
$2,743
SL PSG 1ST NIGHT
Gross
$3,658
74176
$2,705
CT ABD/PELVIS W/O #74176
Gross
$3,606
11047
$2,625
DEBRIDE BONE; ECH ADDTL 20 SQ CCM
Gross
$3,500
J1439
$2,612
INJECTAFER 750 MG/15 ML INJ
Gross
$3,482
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43770 | LAP BAND PLACEMENT FIRST 60 MINUTES | $31,581 | $23,686 | — | — | 18 |
| 33285 | INSERTION SUBQ CARDIAC RHYTHM MONITOR | $21,458 | $16,094 | — | — | 17 |
| J2997 | Alteplase Inj 100 MG | $21,133 | $15,850 | — | — | 16 |
| J3101 | Tenecteplase Inj 50 MG | $18,251 | $13,688 | — | — | 17 |
| J7169 | Andexxa Factor XA 480 MG INFUSION | $18,012 | $13,509 | — | — | 15 |
| J1569 | Immune Globuli (IVIG) INF 30 gm/300 ML | $12,217 | $9,163 | — | — | 16 |
| 65820 | OMNI PROCEDURE | $11,254 | $8,440 | — | — | 17 |
| A7034 | ASSERT IQ EL+ ICM | $9,275 | $6,956 | — | — | 15 |
| C1764 | REVEAL LINQ LOOP RECORDER | $9,266 | $6,950 | — | — | 16 |
| 28825 | AMPUTATION AT INTERPHALANGEAL JOINT | $9,008 | $6,756 | — | — | 16 |
| 50590 | FRAGMENTING OF KIDNEY STONE | $8,922 | $6,692 | — | — | 18 |
| J1306 | Inclisiran Inj 284 mg/1.5 mL | $7,812 | $5,859 | — | — | 17 |
| J0630 | Calcitonin-salmon Inj 400 IU/2 ML | $7,529 | $5,647 | — | — | 16 |
| 37785 | LIGATE/DIVIDE/EXCISE VEIN | $7,528 | $5,646 | — | — | 16 |
| L8699 | LAPBAND LG | $6,991 | $5,243 | — | — | 17 |
| 74174 | CTA ABD/PELVIS #74174 | $6,174 | $4,630 | — | — | 18 |
| 78452 | NM MYO PEF SPC R/S WM EF #78452 | $5,966 | $4,475 | — | — | 24 |
| 74178 | CT ABD/PELVIS W/WO #74178 | $5,875 | $4,406 | — | — | 23 |
| J3111 | Romosozmab-Aqqg 210 MG/2.34 mL | $5,854 | $4,391 | — | — | 16 |
| 51102 | INSERTION OF SUPRAPUBIC CATHETER | $5,707 | $4,280 | — | — | 16 |
| C1765 | GYNECARE INTERCEED 5X6 | $5,554 | $4,166 | — | — | 15 |
| 74177 | CT ABD/PELVIS WITH #74177 | $5,212 | $3,909 | — | — | 24 |
| 54700 | INCIS & DRAIN OF EPIDIDYMIS, TESTIS, SCR | $4,852 | $3,639 | — | — | 16 |
| 27842 | CL TX ANKLE DISLOCATION W MANIPULATION | $4,739 | $3,554 | — | — | 16 |
| 360 | MAJOR FIRST 60 MIN | $4,727 | $3,545 | — | — | 15 |
| 95811 | SL PSG W/BIPAP OR CPAP | $4,608 | $3,456 | — | — | 23 |
| 72156 | MRI CERVICAL W/WO #72156 | $4,446 | $3,334 | — | — | 19 |
| 72158 | MRI LUMBAR SPINE W/WO #72158 | $4,446 | $3,334 | — | — | 20 |
| 29888 | ALLOGRAFT | $4,366 | $3,275 | — | — | 16 |
| 70553 | MRI BRAIN W/WO #70553 | $4,363 | $3,272 | — | — | 23 |
| 28010 | TENOTOMY, PERCUTANEOUS, TOE; SINGLE TEND | $4,337 | $3,253 | — | — | 17 |
| 28011 | TENOTOMY, PERCUTANEOUS, TOE; MULT TENDO | $4,337 | $3,253 | — | — | 16 |
| 72157 | MRI THORACIC SPINE W/WO #72157 | $4,316 | $3,237 | — | — | 19 |
| 73723 | MRI LOWER EXT JOINT W/WO #73723 RT,RIGHT SIDE OF BODY | $4,236 | $3,177 | — | — | 18 |
| 73223 | MRI UPPER EXT JOINT W/WO #73223 LT,LEFT SIDE OF BODY | $4,236 | $3,177 | — | — | 18 |
| 25565 | CLSD TRMT RAD/ULNAR SHFT FACT; W/MANIPUL | $4,211 | $3,158 | — | — | 16 |
| J0897 | Denosumab Inj 60 MG/ML | $4,180 | $3,135 | — | — | 17 |
| 49505 | RPR 1ST INGUN HERNIA AGES 5+ YEARS | $4,166 | $25 | — | — | 18 |
| 11044 | DEBRIDE BONE; FIRST 20 SQ CM OR LESS | $3,978 | $2,983 | — | — | 17 |
| 11420 | EXC B9 LES MRGN XCP SK TG S/N/H/F/G .5< | $3,862 | $2,896 | — | — | 16 |
| 11422 | EXC B9 LES MRGN XCP SK TG S/N/H/F/G1.1-2 | $3,862 | $2,896 | — | — | 16 |
| 28193 | REMOV FOREIGN BODY, FOOT; COMPLICATED | $3,862 | $2,896 | — | — | 16 |
| 28024 | ARTHROTOMY; INTERPHALANGEAL JOINT | $3,828 | $2,871 | — | — | 16 |
| 25605 | CLOSED REDUCT W MANIPULATION RADIUS/ULNA | $3,773 | $2,830 | — | — | 16 |
| 23655 | SHOULDER DISLOC SIMP REDU REQ ANESTHESIA | $3,773 | $2,830 | — | — | 16 |
| 71275 | CTA CHEST #71275 | $3,763 | $2,822 | — | — | 23 |
| 95810 | SL PSG 1ST NIGHT | $3,658 | $2,743 | — | — | 20 |
| 74176 | CT ABD/PELVIS W/O #74176 | $3,606 | $2,705 | — | — | 24 |
| 11047 | DEBRIDE BONE; ECH ADDTL 20 SQ CCM | $3,500 | $2,625 | — | — | 16 |
| J1439 | INJECTAFER 750 MG/15 ML INJ | $3,482 | $2,612 | — | — | 16 |
Showing top 50 of 2,011 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.