45 CFR § 180 compliance
C · 70
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
19,937
Insurances with rates
7
CPT / HCPCS codes
18,654
Source MRF
Most expensive procedures (gross)
J9217
$24,466
LEUPROLIDE ACET DEPOT 7.5MG
Gross
$24,466
J1930
$19,124
LANREOTIDE 1 MG INJ
Gross
$19,124
J3380
$17,333
VEDOLIZUMAB1 MG INJ
Gross
$17,333
J3101
$15,199
TENECTEPLASE 1 MG INJ
Gross
$15,199
J2353
$13,421
OCTREOTIDE DEPOT 1 MG
Gross
$13,421
J9271
$11,323
PEMBROLIZUMAB 1 MG INJ
Gross
$11,323
J1950
$10,292
LEUPROLIDE ACET DEPOT 3.75MG
Gross
$10,292
21337
$10,121
CLOSED TX SEPTAL&NOSE FX
Gross
$10,121
Q5122
$10,009
PEGFILGRAS-APGF NYVEPRIA .5MG
Gross
$10,009
36563
$9,206
INSERT TUNNELED CV CATH
Gross
$9,206
J1306
$8,608
INCLISIRAN 1 MG INJ
Gross
$8,608
26910
$8,096
AMPUTATE METACARPAL BONE
Gross
$8,096
28820
$8,096
AMPUTATION OF TOE
Gross
$8,096
28810
$8,096
AMPUTATION TOE & METATARSAL
Gross
$8,096
J0897
$7,954
DENOSUMAB 1 MG INJ
Gross
$7,954
81419
$7,712
EPILEPSY GEN SEQ ALYS PANEL
Gross
$7,712
27532
$7,218
TREAT KNEE FRACTURE
Gross
$7,218
J3262
$6,772
TOCILIZUMAB 1 MG INJ
Gross
$6,772
J2327
$6,537
RISANKIZUMAB-RZAA 1MG IV INJ
Gross
$6,537
27267
$6,351
CLTX THIGH FX
Gross
$6,351
81408
$6,038
MOPATH PROCEDURE LEVEL 9
Gross
$6,038
58671
$5,963
LAPAROSCOPY TUBAL BLOCK
Gross
$5,963
58661
$5,963
LAPAROSCOPY REMOVE ADNEXA
Gross
$5,963
81412
$5,917
ASHKENAZI JEWISH ASSOC DIS
Gross
$5,917
81162
$5,508
BRCA1&2 GEN FULL SEQ DUP/DEL
Gross
$5,508
58558
$5,241
HYSTEROSCOPY BIOSPSY
Gross
$5,241
26011
$5,205
DRAINAGE OF FINGER ABSCESS
Gross
$5,205
69005
$5,205
DRAIN EXTERNAL EAR LESION
Gross
$5,205
25520
$5,152
TREAT FRACTURE OF RADIUS
Gross
$5,152
23665
$5,018
TREAT DISLOCATION/FRACTURE
Gross
$5,018
J7168
$4,651
PROTHROMBIN CMPLX KCENTRA IU
Gross
$4,651
84999
$4,408
CLINICAL CHEMISTRY TEST
Gross
$4,408
31525
$4,347
DX LARYNGOSCOPY EXCL NB
Gross
$4,347
67715
$4,208
INCISION OF EYELID FOLD
Gross
$4,208
74178
$4,121
CT ABD & PELV 1/> REGNS
Gross
$4,121
J3358
$3,971
USTEKINUMAB 1 MG FOR IV USE
Gross
$3,971
26418
$3,877
REPAIR FINGER TENDON
Gross
$3,877
27502
$3,683
TREATMENT OF THIGH FRACTURE
Gross
$3,683
J0129
$3,621
ABATACEPT 10 MG INJ
Gross
$3,621
24577
$3,550
TREAT HUMERUS FRACTURE
Gross
$3,550
45915
$3,542
REMOVE RECTAL OBSTRUCTION
Gross
$3,542
81277
$3,502
CYTOGENOMIC NEO MICRORA ALYS
Gross
$3,502
J7307
$3,396
ETONOGESTREL IMPLANT NEXPLANON
Gross
$3,396
81460
$3,378
WHOLE MITOCHONDRIAL GENOME
Gross
$3,378
93307
$3,308
TTE W/O DOPPLER COMPLETE
Gross
$3,308
23605
$3,266
TREAT HUMERUS FRACTURE
Gross
$3,266
49083
$3,221
ABD PARACENTESIS W/IMAGING
Gross
$3,221
76810
$3,186
OB US >/= 14 WKS ADDL FETUS
Gross
$3,186
11012
$3,174
DEB SKIN BONE AT FX SITE
Gross
$3,174
54700
$3,174
DRAINAGE OF SCROTUM
Gross
$3,174
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9217 | LEUPROLIDE ACET DEPOT 7.5MG | $24,466 | $24,466 | $139 | $181 | 12 |
| J1930 | LANREOTIDE 1 MG INJ | $19,124 | $19,124 | $48.44 | $67.64 | 12 |
| J3380 | VEDOLIZUMAB1 MG INJ | $17,333 | $17,333 | $21.28 | $22.06 | 12 |
| J3101 | TENECTEPLASE 1 MG INJ | $15,199 | $15,199 | $135 | $153 | 12 |
| J2353 | OCTREOTIDE DEPOT 1 MG | $13,421 | $13,421 | $205 | $211 | 12 |
| J9271 | PEMBROLIZUMAB 1 MG INJ | $11,323 | $11,323 | $52.75 | $55.73 | 12 |
| J1950 | LEUPROLIDE ACET DEPOT 3.75MG | $10,292 | $10,292 | $1,406 | $1,565 | 12 |
| 21337 | CLOSED TX SEPTAL&NOSE FX | $10,121 | $10,121 | $948 | $4,755 | 12 |
| Q5122 | PEGFILGRAS-APGF NYVEPRIA .5MG | $10,009 | $10,009 | $62.38 | $285 | 12 |
| 36563 | INSERT TUNNELED CV CATH | $9,206 | $9,206 | $1,122 | $8,043 | 12 |
| J1306 | INCLISIRAN 1 MG INJ | $8,608 | $8,608 | $12.13 | $12.13 | 12 |
| 26910 | AMPUTATE METACARPAL BONE | $8,096 | $8,096 | $1,122 | $6,104 | 12 |
| 28820 | AMPUTATION OF TOE | $8,096 | $8,096 | $948 | $5,368 | 12 |
| 28810 | AMPUTATION TOE & METATARSAL | $8,096 | $8,096 | $948 | $5,368 | 12 |
| J0897 | DENOSUMAB 1 MG INJ | $7,954 | $7,954 | $21.19 | $25.2 | 12 |
| 81419 | EPILEPSY GEN SEQ ALYS PANEL | $7,712 | $7,712 | $5,000 | $10,406 | 11 |
| 27532 | TREAT KNEE FRACTURE | $7,218 | $7,218 | $732 | $4,821 | 12 |
| J3262 | TOCILIZUMAB 1 MG INJ | $6,772 | $6,772 | $5.55 | $6.12 | 12 |
| J2327 | RISANKIZUMAB-RZAA 1MG IV INJ | $6,537 | $6,537 | $15.36 | $15.36 | 12 |
| 27267 | CLTX THIGH FX | $6,351 | $6,351 | $732 | $4,821 | 12 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,038 | $6,038 | $3,974 | $8,500 | 11 |
| 58671 | LAPAROSCOPY TUBAL BLOCK | $5,963 | $5,963 | $1,122 | $8,446 | 12 |
| 58661 | LAPAROSCOPY REMOVE ADNEXA | $5,963 | $5,963 | $1,578 | $8,446 | 12 |
| 81412 | ASHKENAZI JEWISH ASSOC DIS | $5,917 | $5,917 | $4,865 | $10,406 | 11 |
| 81162 | BRCA1&2 GEN FULL SEQ DUP/DEL | $5,508 | $5,508 | $4,140 | $7,756 | 11 |
| 58558 | HYSTEROSCOPY BIOSPSY | $5,241 | $5,241 | $1,122 | $5,368 | 12 |
| 26011 | DRAINAGE OF FINGER ABSCESS | $5,205 | $5,205 | $732 | $4,755 | 12 |
| 69005 | DRAIN EXTERNAL EAR LESION | $5,205 | $5,205 | $1,061 | $4,755 | 12 |
| 25520 | TREAT FRACTURE OF RADIUS | $5,152 | $5,152 | $732 | $4,142 | 12 |
| 23665 | TREAT DISLOCATION/FRACTURE | $5,018 | $5,018 | $948 | $4,142 | 12 |
| J7168 | PROTHROMBIN CMPLX KCENTRA IU | $4,651 | $4,651 | $2.98 | $3.04 | 12 |
| 84999 | CLINICAL CHEMISTRY TEST | $4,408 | $4,408 | — | — | 12 |
| 31525 | DX LARYNGOSCOPY EXCL NB | $4,347 | $4,347 | $732 | $4,755 | 12 |
| 67715 | INCISION OF EYELID FOLD | $4,208 | $4,208 | $732 | $5,368 | 12 |
| 74178 | CT ABD & PELV 1/> REGNS | $4,121 | $4,121 | $264 | $1,196 | 11 |
| J3358 | USTEKINUMAB 1 MG FOR IV USE | $3,971 | $3,971 | $11.68 | $12.62 | 12 |
| 26418 | REPAIR FINGER TENDON | $3,877 | $3,877 | $1,386 | $4,755 | 12 |
| 27502 | TREATMENT OF THIGH FRACTURE | $3,683 | $3,683 | $948 | $4,755 | 12 |
| J0129 | ABATACEPT 10 MG INJ | $3,621 | $3,621 | $43.16 | $45.27 | 12 |
| 24577 | TREAT HUMERUS FRACTURE | $3,550 | $3,550 | $732 | $4,142 | 12 |
| 45915 | REMOVE RECTAL OBSTRUCTION | $3,542 | $3,542 | $732 | $4,755 | 12 |
| 81277 | CYTOGENOMIC NEO MICRORA ALYS | $3,502 | $3,502 | $1,450 | $4,930 | 11 |
| J7307 | ETONOGESTREL IMPLANT NEXPLANON | $3,396 | $3,396 | $1,114 | $1,175 | 12 |
| 81460 | WHOLE MITOCHONDRIAL GENOME | $3,378 | $3,378 | $2,557 | $5,470 | 11 |
| 93307 | TTE W/O DOPPLER COMPLETE | $3,308 | $3,308 | $177 | $526 | 11 |
| 23605 | TREAT HUMERUS FRACTURE | $3,266 | $3,266 | $948 | $5,368 | 12 |
| 49083 | ABD PARACENTESIS W/IMAGING | $3,221 | $3,221 | $1,061 | $4,755 | 12 |
| 76810 | OB US >/= 14 WKS ADDL FETUS | $3,186 | $3,186 | $96.3 | $191 | 10 |
| 11012 | DEB SKIN BONE AT FX SITE | $3,174 | $3,174 | $948 | $4,371 | 12 |
| 54700 | DRAINAGE OF SCROTUM | $3,174 | $3,174 | $948 | $5,368 | 12 |
Showing top 50 of 19,937 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.