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
1,379
Insurances with rates
7
CPT / HCPCS codes
1,353
Source MRF
Most expensive procedures (gross)
J2997
$11,894
ALTEPLASE (ACTIVASE) 100MG VIAL
Gross
$15,859
81412
$11,019
GENETIC PANEL, AJ
Gross
$14,691
J0565
$8,550
ZINPLAVA Solution 25mg/1mL
Gross
$11,400
J0840
$6,879
CROFAB (CROTALIDAE POLYVALENT) 1 VL
Gross
$9,171
J1561
$6,367
GAMUNEX-C 20 GM / 200ML INJ SOL
Gross
$8,489
81229
$5,220
CHROMOSOME MICROARRAY
Gross
$6,960
11422
$4,634
EXC BEN LES 1.1 TO 2.0
Gross
$6,179
10140
$4,235
I&D HEMATOMA,AROMA,OF FLUID COLLECTION
Gross
$5,646
81223
$4,017
CYSTIC FIBROSIS FULL GENE SEQUENCING
Gross
$5,356
Q4101
$3,027
APLIGRAF COM 44 SQ CM (44 UNITS)
Gross
$4,036
11404
$2,888
EXCISED BEN LESION 3.1 TO 4.0
Gross
$3,851
11600
$2,820
EXCISION MALIGNANT LESION 0.5<CM
Gross
$3,760
20520
$2,820
REMOVAL OF FB IN MUSCLE OR TENDON
Gross
$3,760
20525
$2,820
REMOVAL OF FOREIGN BODY MUSCLE OR TENSON
Gross
$3,760
11044
$2,820
DEBRIDEMENT SKIN AND BONE 20 SQ CM
Gross
$3,760
99291
$2,536
ER CRITICAL CARE 30-74
Gross
$3,382
45380
$2,530
COLONOSCOPY WITH BIOPS
Gross
$3,373
45305
$2,530
PROCTOSCOPY WITH BIOPS
Gross
$3,373
11755
$2,514
BIOPSY NAIL UNIT
Gross
$3,352
81220
$2,505
CYSTIC FIBROSIS PROFILE, 97 MUTATIONS
Gross
$3,340
15271
$2,303
puraply trunk,arms,legs, first 25 sq cm
Gross
$3,070
15275
$2,303
SKIN SUB PURAPY FACE,MOUTH FIRST 25SQ CM
Gross
$3,070
81517
$2,265
ENHANCED LIVER FIBROSIS TEST
Gross
$3,020
11043
$2,244
DEBRIDEMENT SKIN & MM FASCAI 20 SQ CM
Gross
$2,992
11106
$2,244
INCISIONAL BIOSPY
Gross
$2,992
19120
$2,154
EXC OF CYST OR OTHER
Gross
$2,872
31628
$2,097
BRONCOSCOPY WITHOUT BI
Gross
$2,795
11406
$2,077
EXC BENIGN LESION OVER 4.0 CM
Gross
$2,769
81226
$2,029
CYP2D6 GENE VARIANT
Gross
$2,705
35207
$2,021
REPAIR-HAND,FINGER-ULNAR ARTERY
Gross
$2,694
25028
$2,007
I&D ABSCESS FOREARM DE
Gross
$2,676
93306
$1,971
ECHO TRANSTHORACIC W/,PROFESSIONAL COMPONENT
Gross
$2,628
45300
$1,959
PROCTOSCOPY
Gross
$2,612
45378
$1,959
COLONOSCOPY
Gross
$2,612
45331
$1,959
SIGMOIDOSCOPY WITH BIO
Gross
$2,612
78707
$1,931
SCAN -THYROID RADIO UP
Gross
$2,575
87507
$1,876
CHARGE FOR GI PROFILE, STOOL, PCR
Gross
$2,501
0202U
$1,876
RESPIRATORY PATHOGEN PROFILE, PCR
Gross
$2,501
72157
$1,875
MRI THORACIC W/WO IV CONTRAST
Gross
$2,500
99285
$1,836
ER HOLDING-29 & MORE H
Gross
$2,448
G0379
$1,836
OBSERVATION DIRECT ADMIT
Gross
$2,448
21933
$1,819
EXCISION LIPOMA 5cm OR GREATER
Gross
$2,426
69110
$1,819
EXCISION EXTERNAL EAR,PARTIAL,SIMPLE REP
Gross
$2,426
27301
$1,819
I&D ABSCESS LEG DEEP
Gross
$2,426
C9132
$1,815
KCENTRA 500 UNITS
Gross
$2,420
59409
$1,806
VAGINAL DELIVERY
Gross
$2,409
56440
$1,806
MARSUPIALIZATION-BARTH
Gross
$2,409
45307
$1,786
REM FB RECTUM
Gross
$2,381
28208
$1,744
REPAIR TENDON EXTENSOR FOOT
Gross
$2,325
72148
$1,716
MRI LUMBAR W/O CONTRAS
Gross
$2,288
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE (ACTIVASE) 100MG VIAL | $15,859 | $11,894 | — | — | 0 |
| 81412 | GENETIC PANEL, AJ | $14,691 | $11,019 | — | — | 0 |
| J0565 | ZINPLAVA Solution 25mg/1mL | $11,400 | $8,550 | — | — | 0 |
| J0840 | CROFAB (CROTALIDAE POLYVALENT) 1 VL | $9,171 | $6,879 | — | — | 0 |
| J1561 | GAMUNEX-C 20 GM / 200ML INJ SOL | $8,489 | $6,367 | — | — | 0 |
| 81229 | CHROMOSOME MICROARRAY | $6,960 | $5,220 | — | — | 0 |
| 11422 | EXC BEN LES 1.1 TO 2.0 | $6,179 | $4,634 | — | — | 2 |
| 10140 | I&D HEMATOMA,AROMA,OF FLUID COLLECTION | $5,646 | $4,235 | — | — | 1 |
| 81223 | CYSTIC FIBROSIS FULL GENE SEQUENCING | $5,356 | $4,017 | — | — | 0 |
| Q4101 | APLIGRAF COM 44 SQ CM (44 UNITS) | $4,036 | $3,027 | — | — | 0 |
| 11404 | EXCISED BEN LESION 3.1 TO 4.0 | $3,851 | $2,888 | — | — | 0 |
| 11600 | EXCISION MALIGNANT LESION 0.5<CM | $3,760 | $2,820 | — | — | 1 |
| 20520 | REMOVAL OF FB IN MUSCLE OR TENDON | $3,760 | $2,820 | — | — | 0 |
| 20525 | REMOVAL OF FOREIGN BODY MUSCLE OR TENSON | $3,760 | $2,820 | — | — | 0 |
| 11044 | DEBRIDEMENT SKIN AND BONE 20 SQ CM | $3,760 | $2,820 | — | — | 0 |
| 99291 | ER CRITICAL CARE 30-74 | $3,382 | $2,536 | — | — | 1 |
| 45380 | COLONOSCOPY WITH BIOPS | $3,373 | $2,530 | — | — | 0 |
| 45305 | PROCTOSCOPY WITH BIOPS | $3,373 | $2,530 | — | — | 0 |
| 11755 | BIOPSY NAIL UNIT | $3,352 | $2,514 | — | — | 0 |
| 81220 | CYSTIC FIBROSIS PROFILE, 97 MUTATIONS | $3,340 | $2,505 | — | — | 0 |
| 15271 | puraply trunk,arms,legs, first 25 sq cm | $3,070 | $2,303 | — | — | 0 |
| 15275 | SKIN SUB PURAPY FACE,MOUTH FIRST 25SQ CM | $3,070 | $2,303 | — | — | 0 |
| 81517 | ENHANCED LIVER FIBROSIS TEST | $3,020 | $2,265 | — | — | 0 |
| 11043 | DEBRIDEMENT SKIN & MM FASCAI 20 SQ CM | $2,992 | $2,244 | — | — | 0 |
| 11106 | INCISIONAL BIOSPY | $2,992 | $2,244 | — | — | 0 |
| 19120 | EXC OF CYST OR OTHER | $2,872 | $2,154 | — | — | 1 |
| 31628 | BRONCOSCOPY WITHOUT BI | $2,795 | $2,097 | — | — | 0 |
| 11406 | EXC BENIGN LESION OVER 4.0 CM | $2,769 | $2,077 | — | — | 1 |
| 81226 | CYP2D6 GENE VARIANT | $2,705 | $2,029 | — | — | 0 |
| 35207 | REPAIR-HAND,FINGER-ULNAR ARTERY | $2,694 | $2,021 | — | — | 1 |
| 25028 | I&D ABSCESS FOREARM DE | $2,676 | $2,007 | — | — | 1 |
| 93306 | ECHO TRANSTHORACIC W/,PROFESSIONAL COMPONENT | $2,628 | $1,971 | — | — | 0 |
| 45300 | PROCTOSCOPY | $2,612 | $1,959 | — | — | 0 |
| 45378 | COLONOSCOPY | $2,612 | $1,959 | — | — | 0 |
| 45331 | SIGMOIDOSCOPY WITH BIO | $2,612 | $1,959 | — | — | 0 |
| 78707 | SCAN -THYROID RADIO UP | $2,575 | $1,931 | — | — | 0 |
| 87507 | CHARGE FOR GI PROFILE, STOOL, PCR | $2,501 | $1,876 | — | — | 0 |
| 0202U | RESPIRATORY PATHOGEN PROFILE, PCR | $2,501 | $1,876 | — | — | 0 |
| 72157 | MRI THORACIC W/WO IV CONTRAST | $2,500 | $1,875 | — | — | 1 |
| 99285 | ER HOLDING-29 & MORE H | $2,448 | $1,836 | — | — | 1 |
| G0379 | OBSERVATION DIRECT ADMIT | $2,448 | $1,836 | — | — | 2 |
| 21933 | EXCISION LIPOMA 5cm OR GREATER | $2,426 | $1,819 | — | — | 1 |
| 69110 | EXCISION EXTERNAL EAR,PARTIAL,SIMPLE REP | $2,426 | $1,819 | — | — | 1 |
| 27301 | I&D ABSCESS LEG DEEP | $2,426 | $1,819 | — | — | 1 |
| C9132 | KCENTRA 500 UNITS | $2,420 | $1,815 | — | — | 0 |
| 59409 | VAGINAL DELIVERY | $2,409 | $1,806 | — | — | 1 |
| 56440 | MARSUPIALIZATION-BARTH | $2,409 | $1,806 | — | — | 1 |
| 45307 | REM FB RECTUM | $2,381 | $1,786 | — | — | 1 |
| 28208 | REPAIR TENDON EXTENSOR FOOT | $2,325 | $1,744 | — | — | 1 |
| 72148 | MRI LUMBAR W/O CONTRAS | $2,288 | $1,716 | — | — | 1 |
Showing top 50 of 1,379 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.