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
1,439
Insurances with rates
5
CPT / HCPCS codes
1,422
Source MRF
Most expensive procedures (gross)
J1299
$7,000
EculizuMAB VIAL 300mg / 30mL
Gross
$7,000
81229
$5,800
CHROMSOME 5 CELL CNT & CMA
Gross
$5,800
J2993
$5,358
RETEPLASE (RETAVASE) DOSE 18.1MG
Gross
$5,358
Q4197
$4,925
PURAPLY XT 5X5
Gross
$4,925
J9312
$4,760
RITUXAN VIAL 500MG (INJ)
Gross
$4,760
74178
$3,980
CT ABD/PELVIS W/WO,TECHNICAL COMPONENT
Gross
$3,980
81420
$3,775
MATERNIT GENOME
Gross
$3,775
74177
$3,750
CT ABD/PELVIS W/ONLY,TECHNICAL COMPONENT
Gross
$3,750
J2997
$3,645
ALTEPLASE (ACTIVASE) VIAL 50MG
Gross
$3,645
J0840
$3,476
ANTIVENIN,CROT (CROFAB) ONE VIAL
Gross
$3,476
J3101
$3,267
TNKase KIT ACUTE MI 50MG
Gross
$3,267
J0401
$3,200
arpiprazole (ARISTADA) ER Inj 882MG IM
Gross
$3,200
J1459
$3,060
IMMUNE GLOBULIN IV (PRIVIGEN) 10% 20GM
Gross
$3,060
J3262
$2,900
ACTEMRA (MAB) VIAL 400MG / 20mL
Gross
$2,900
74185
$2,800
MRA ABDOMEN W
Gross
$2,800
70543
$2,788
MRI SOFT TISSUE NECK W/WO
Gross
$2,788
360
$2,500
LEVEL 1 GEN/VAS SURGER
Gross
$2,500
11044
$2,485
WOUND CARE DEBRID SKIN INTO BONE
Gross
$2,485
11047
$2,485
WOUND CARE DEBRID BONE EACH ADDITIONAL
Gross
$2,485
81292
$2,413
VISTA SEQ LYNCH SYNDROME PANEL
Gross
$2,413
74170
$2,175
CT ABDM W/WO ORAL AND IV,TECHNICAL COMPONENT
Gross
$2,175
70548
$2,175
MRA NECK W/CONTRAST
Gross
$2,175
33016
$2,000
PERICARDIOCENTESIS
Gross
$2,000
49451
$2,000
REPLACEMENT OF JEJUNOSTOMY TUBE CONTRAST
Gross
$2,000
45398
$2,000
COLONOSCOPE W/BAND LIGATION
Gross
$2,000
J0897
$2,000
DENOSUMAB (PROLIA) 60MG/1ML SINGLE DOSE,ZERO DRUG WASTED
Gross
$2,000
70481
$1,975
CT ORBIT SELLA/POST FOSSA W,TECHNICAL COMPONENT
Gross
$1,975
70482
$1,975
CT ORBIT SELLA/POST FOSSA W/WO,TECHNICAL COMPONENT
Gross
$1,975
74160
$1,975
CT ABDOMEN W/ONLY,TECHNICAL COMPONENT
Gross
$1,975
73722
$1,975
MRI LOW JT RT W
Gross
$1,975
70544
$1,975
MRA HEAD W0
Gross
$1,975
11012
$1,939
DEBRIDEMENT INCLUDING REMOVAL OF FB @ SI
Gross
$1,939
15002
$1,939
WOUND CARE SKIN REPLACEMENT SURGERY
Gross
$1,939
15004
$1,939
WOUND CARE SKIN REPLACEMENT SURGERY
Gross
$1,939
15271
$1,939
WOUND CARE APLY SKIN SUBSTITUE- LEGS FI
Gross
$1,939
15272
$1,939
WOUND CARE APLY SKIN SUBSTITUE- LEGS EA
Gross
$1,939
15273
$1,939
WOUND CARE APLY SKIN SUBSTITUE- LEGS FI
Gross
$1,939
15274
$1,939
WOUND CARE APLY SKIN SUBSTITUE- LEGS EA
Gross
$1,939
15275
$1,939
WOUND CARE APLY SKIN SUBSTITUE- FEET FI
Gross
$1,939
15276
$1,939
WOUND CARE APLY SKIN SUBSTITUE- FEET EA
Gross
$1,939
15277
$1,939
WOUND CARE APLY SKIN SUBSTITUE- FEET FI
Gross
$1,939
15278
$1,939
WOUND CARE APLY SKIN SUBSTITUE- FEET EA
Gross
$1,939
71270
$1,850
CT CHEST W/WO,TECHNICAL COMPONENT
Gross
$1,850
72127
$1,850
CT C SPINE W/WO,TECHNICAL COMPONENT
Gross
$1,850
95811
$1,820
TITRATION SLEEP STUDY
Gross
$1,820
P9035
$1,806
PLATELET PHERESIS UNIT, LEUKOREDUCED
Gross
$1,806
72194
$1,805
CT PELVIS W/WO,TECHNICAL COMPONENT
Gross
$1,805
70488
$1,805
CT MAXILLOFACIAL W/WO CONTRAST,TECHNICAL COMPONENT
Gross
$1,805
70491
$1,805
CT ST NECK W,TECHNICAL COMPONENT
Gross
$1,805
G0105
$1,800
G0105 COLONOSCOPY W/O BIOPSY HIGH RISK
Gross
$1,800
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1299 | EculizuMAB VIAL 300mg / 30mL | $7,000 | $7,000 | — | — | 0 |
| 81229 | CHROMSOME 5 CELL CNT & CMA | $5,800 | $5,800 | — | — | 0 |
| J2993 | RETEPLASE (RETAVASE) DOSE 18.1MG | $5,358 | $5,358 | — | — | 0 |
| Q4197 | PURAPLY XT 5X5 | $4,925 | $4,925 | — | — | 0 |
| J9312 | RITUXAN VIAL 500MG (INJ) | $4,760 | $4,760 | — | — | 0 |
| 74178 | CT ABD/PELVIS W/WO,TECHNICAL COMPONENT | $3,980 | $3,980 | — | — | 0 |
| 81420 | MATERNIT GENOME | $3,775 | $3,775 | — | — | 0 |
| 74177 | CT ABD/PELVIS W/ONLY,TECHNICAL COMPONENT | $3,750 | $3,750 | — | — | 0 |
| J2997 | ALTEPLASE (ACTIVASE) VIAL 50MG | $3,645 | $3,645 | — | — | 0 |
| J0840 | ANTIVENIN,CROT (CROFAB) ONE VIAL | $3,476 | $3,476 | — | — | 0 |
| J3101 | TNKase KIT ACUTE MI 50MG | $3,267 | $3,267 | — | — | 0 |
| J0401 | arpiprazole (ARISTADA) ER Inj 882MG IM | $3,200 | $3,200 | — | — | 0 |
| J1459 | IMMUNE GLOBULIN IV (PRIVIGEN) 10% 20GM | $3,060 | $3,060 | — | — | 0 |
| J3262 | ACTEMRA (MAB) VIAL 400MG / 20mL | $2,900 | $2,900 | — | — | 0 |
| 74185 | MRA ABDOMEN W | $2,800 | $2,800 | — | — | 0 |
| 70543 | MRI SOFT TISSUE NECK W/WO | $2,788 | $2,788 | — | — | 0 |
| 360 | LEVEL 1 GEN/VAS SURGER | $2,500 | $2,500 | — | — | 0 |
| 11044 | WOUND CARE DEBRID SKIN INTO BONE | $2,485 | $2,485 | — | — | 0 |
| 11047 | WOUND CARE DEBRID BONE EACH ADDITIONAL | $2,485 | $2,485 | — | — | 0 |
| 81292 | VISTA SEQ LYNCH SYNDROME PANEL | $2,413 | $2,413 | — | — | 0 |
| 74170 | CT ABDM W/WO ORAL AND IV,TECHNICAL COMPONENT | $2,175 | $2,175 | — | — | 0 |
| 70548 | MRA NECK W/CONTRAST | $2,175 | $2,175 | — | — | 0 |
| 33016 | PERICARDIOCENTESIS | $2,000 | $2,000 | — | — | 0 |
| 49451 | REPLACEMENT OF JEJUNOSTOMY TUBE CONTRAST | $2,000 | $2,000 | — | — | 0 |
| 45398 | COLONOSCOPE W/BAND LIGATION | $2,000 | $2,000 | — | — | 0 |
| J0897 | DENOSUMAB (PROLIA) 60MG/1ML SINGLE DOSE,ZERO DRUG WASTED | $2,000 | $2,000 | — | — | 0 |
| 70481 | CT ORBIT SELLA/POST FOSSA W,TECHNICAL COMPONENT | $1,975 | $1,975 | — | — | 0 |
| 70482 | CT ORBIT SELLA/POST FOSSA W/WO,TECHNICAL COMPONENT | $1,975 | $1,975 | — | — | 0 |
| 74160 | CT ABDOMEN W/ONLY,TECHNICAL COMPONENT | $1,975 | $1,975 | — | — | 0 |
| 73722 | MRI LOW JT RT W | $1,975 | $1,975 | — | — | 0 |
| 70544 | MRA HEAD W0 | $1,975 | $1,975 | — | — | 0 |
| 11012 | DEBRIDEMENT INCLUDING REMOVAL OF FB @ SI | $1,939 | $1,939 | — | — | 0 |
| 15002 | WOUND CARE SKIN REPLACEMENT SURGERY | $1,939 | $1,939 | — | — | 0 |
| 15004 | WOUND CARE SKIN REPLACEMENT SURGERY | $1,939 | $1,939 | — | — | 0 |
| 15271 | WOUND CARE APLY SKIN SUBSTITUE- LEGS FI | $1,939 | $1,939 | — | — | 0 |
| 15272 | WOUND CARE APLY SKIN SUBSTITUE- LEGS EA | $1,939 | $1,939 | — | — | 0 |
| 15273 | WOUND CARE APLY SKIN SUBSTITUE- LEGS FI | $1,939 | $1,939 | — | — | 0 |
| 15274 | WOUND CARE APLY SKIN SUBSTITUE- LEGS EA | $1,939 | $1,939 | — | — | 0 |
| 15275 | WOUND CARE APLY SKIN SUBSTITUE- FEET FI | $1,939 | $1,939 | — | — | 0 |
| 15276 | WOUND CARE APLY SKIN SUBSTITUE- FEET EA | $1,939 | $1,939 | — | — | 0 |
| 15277 | WOUND CARE APLY SKIN SUBSTITUE- FEET FI | $1,939 | $1,939 | — | — | 0 |
| 15278 | WOUND CARE APLY SKIN SUBSTITUE- FEET EA | $1,939 | $1,939 | — | — | 0 |
| 71270 | CT CHEST W/WO,TECHNICAL COMPONENT | $1,850 | $1,850 | — | — | 0 |
| 72127 | CT C SPINE W/WO,TECHNICAL COMPONENT | $1,850 | $1,850 | — | — | 0 |
| 95811 | TITRATION SLEEP STUDY | $1,820 | $1,820 | — | — | 0 |
| P9035 | PLATELET PHERESIS UNIT, LEUKOREDUCED | $1,806 | $1,806 | — | — | 0 |
| 72194 | CT PELVIS W/WO,TECHNICAL COMPONENT | $1,805 | $1,805 | — | — | 0 |
| 70488 | CT MAXILLOFACIAL W/WO CONTRAST,TECHNICAL COMPONENT | $1,805 | $1,805 | — | — | 0 |
| 70491 | CT ST NECK W,TECHNICAL COMPONENT | $1,805 | $1,805 | — | — | 0 |
| G0105 | G0105 COLONOSCOPY W/O BIOPSY HIGH RISK | $1,800 | $1,800 | — | — | 0 |
Showing top 50 of 1,439 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.