45 CFR § 180 compliance
F · 55
This hospital published little 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
20,876
Insurances with rates
7
CPT / HCPCS codes
16,056
Source MRF
Most expensive procedures (gross)
J7330.01
$126,773
AUTOLOGOUS CULTURED CHONDROCYTES SHEET
Gross
$197,466
J9226.01
$85,374
HISTRELIN ACETATE (CPP) 50 MG KIT
Gross
$132,982
C2616
$16,488
YTTRIUM 90
Gross
$25,683
J3101.01
$11,986
TENECTEPLASE 25 MG KIT
Gross
$18,669
J1162.01
$7,185
DIGOXIN IMMUNE FAB 40 MG RECON SOLN 1 EACH VIAL
Gross
$11,192
J7504.01
$6,963
LYMPHOCYTE, ANTI-THYMO IMM GLOB (EQUINE) 50 MG/ML SOLUTION 5 ML AMPULE
Gross
$10,846
76497.0101
$5,940
CT WHOLE BODY SCAN
Gross
$9,252
7649701
$5,940
CTA CORONARY RESEARCH
Gross
$9,252
J2507.01
$5,551
PEGLOTICASE 8 MG/ML SOLUTION 1 ML VIAL
Gross
$8,647
36000006
$5,513
OR LEVEL 6
Gross
$8,587
A9572
$4,879
IN111 PENTETREOTIDE-OCTREOSCAN
Gross
$7,600
36000085
$4,841
LEVEL 6 ADDITIONAL PROCEDURE
Gross
$7,540
36000005
$4,832
OR LEVEL 5
Gross
$7,526
J9229.01
$4,261
INOTUZUMAB OZOGAMICIN 0.9 MG RECON SOLN 1 EACH VIAL
Gross
$6,637
J9217.01
$3,652
LEUPROLIDE 22.5 MG KIT
Gross
$5,688
J9217.01
$3,478
LEUPROLIDE 7.5 MG KIT
Gross
$5,417
51102F
$3,201
TROCAR ASPIR BLAD,INSRT CAT(T)
Gross
$4,986
C1776
$3,071
HEAD BIOLOX DELTA OPTION CERAMIC 40MM 650-1058
Gross
$4,783
36558F
$3,040
INSERT TUNNEL CV CATHETER WITHOUT PUMP/PORT>5 YEARS
Gross
$4,735
J1950.01
$2,991
LEUPROLIDE 11.25 MG KIT
Gross
$4,659
19120F
$2,978
EXCISE BREAST CYST
Gross
$4,639
A9586
$2,964
FLORBETAPIR F 18 500-1900 MBQ/ML SOLUTION
Gross
$4,617
36000004
$2,880
OR LEVEL 4
Gross
$4,486
46320F
$2,850
REMOVAL OF HEMORRHOID CLOT
Gross
$4,439
51715F
$2,838
ENDOSCOPIC INJECTION/IMPLANT
Gross
$4,421
7417401
$2,831
CT ANGIO ABD&PELV W/O&W/DYE
Gross
$4,410
35207F
$2,798
REPR BL VES DIRECT,HAND/FINGR
Gross
$4,359
9581101
$2,754
POLYSOMNOGRAPHY W/CPAP
Gross
$4,290
J7307.01
$2,729
ETONOGESTREL 68 MG IMPLANT
Gross
$4,252
J7298.01
$2,729
LEVONORGESTREL 20 MCG/DAY IUD
Gross
$4,252
21552F
$2,695
EXC NECK LES SC = 3CM >
Gross
$4,198
7055301
$2,664
MRI BRAIN W & WO CONTRAST
Gross
$4,150
J1950.01
$2,647
LEUPROLIDE 3.75 MG KIT
Gross
$4,124
36578F
$2,627
REPLACE, CV DEVICE W P/P(T)
Gross
$4,092
7417801
$2,592
CT ABD&PELV 1+ SECTION/REGNS
Gross
$4,037
46040F
$2,589
I&D PERIRECTAL ABSCESS
Gross
$4,033
36000084
$2,578
LEVEL 5 ADDITIONAL PROCEDURE
Gross
$4,015
J7300.01
$2,559
COPPER IUD
Gross
$3,987
J9026.01
$2,552
TARLATAMAB-DLLE 1 MG RECON SOLN 1 EACH VIAL
Gross
$3,975
9581001
$2,518
POLYSOMNOGRAPHY, 4 OR MORE
Gross
$3,922
7417701
$2,508
CT ABDOMEN&PELVIS W/CONTRAST
Gross
$3,907
7215801
$2,494
MRI L SPINE W&WO CONTRAST
Gross
$3,884
7845201
$2,492
HT MUSCLE IMAGE SPECT, MULT
Gross
$3,882
59812F
$2,489
SURG RX INCOMPLETE MISCARRIAGE
Gross
$3,877
21610F
$2,485
COSTOTRANSVERSECTOMY
Gross
$3,870
7219701
$2,481
MRI, PELVIS, W/O THEN W/
Gross
$3,864
7215601
$2,443
MRI C SPINE W&WO CONTRAST
Gross
$3,806
25260F
$2,427
REPR FOREARM TEND/MUSC,FLEX,PRIM,EA
Gross
$3,781
7215701
$2,403
MRI T SPINE W&WO CONTRAST
Gross
$3,743
7322301
$2,382
MRI,UPREXT JNT W/O+W/CONT
Gross
$3,711
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330.01 | AUTOLOGOUS CULTURED CHONDROCYTES SHEET | $197,466 | $126,773 | — | — | 5 |
| J9226.01 | HISTRELIN ACETATE (CPP) 50 MG KIT | $132,982 | $85,374 | — | — | 5 |
| C2616 | YTTRIUM 90 | $25,683 | $16,488 | — | — | 5 |
| J3101.01 | TENECTEPLASE 25 MG KIT | $18,669 | $11,986 | — | — | 5 |
| J1162.01 | DIGOXIN IMMUNE FAB 40 MG RECON SOLN 1 EACH VIAL | $11,192 | $7,185 | — | — | 5 |
| J7504.01 | LYMPHOCYTE, ANTI-THYMO IMM GLOB (EQUINE) 50 MG/ML SOLUTION 5 ML AMPULE | $10,846 | $6,963 | — | — | 10 |
| 76497.0101 | CT WHOLE BODY SCAN | $9,252 | $5,940 | — | — | 5 |
| 7649701 | CTA CORONARY RESEARCH | $9,252 | $5,940 | — | — | 10 |
| J2507.01 | PEGLOTICASE 8 MG/ML SOLUTION 1 ML VIAL | $8,647 | $5,551 | — | — | 5 |
| 36000006 | OR LEVEL 6 | $8,587 | $5,513 | — | — | 10 |
| A9572 | IN111 PENTETREOTIDE-OCTREOSCAN | $7,600 | $4,879 | — | — | 5 |
| 36000085 | LEVEL 6 ADDITIONAL PROCEDURE | $7,540 | $4,841 | — | — | 10 |
| 36000005 | OR LEVEL 5 | $7,526 | $4,832 | — | — | 5 |
| J9229.01 | INOTUZUMAB OZOGAMICIN 0.9 MG RECON SOLN 1 EACH VIAL | $6,637 | $4,261 | — | — | 20 |
| J9217.01 | LEUPROLIDE 22.5 MG KIT | $5,688 | $3,652 | — | — | 25 |
| J9217.01 | LEUPROLIDE 7.5 MG KIT | $5,417 | $3,478 | — | — | 15 |
| 51102F | TROCAR ASPIR BLAD,INSRT CAT(T) | $4,986 | $3,201 | — | — | 10 |
| C1776 | HEAD BIOLOX DELTA OPTION CERAMIC 40MM 650-1058 | $4,783 | $3,071 | — | — | 10 |
| 36558F | INSERT TUNNEL CV CATHETER WITHOUT PUMP/PORT>5 YEARS | $4,735 | $3,040 | — | — | 5 |
| J1950.01 | LEUPROLIDE 11.25 MG KIT | $4,659 | $2,991 | — | — | 5 |
| 19120F | EXCISE BREAST CYST | $4,639 | $2,978 | — | — | 10 |
| A9586 | FLORBETAPIR F 18 500-1900 MBQ/ML SOLUTION | $4,617 | $2,964 | — | — | 5 |
| 36000004 | OR LEVEL 4 | $4,486 | $2,880 | — | — | 10 |
| 46320F | REMOVAL OF HEMORRHOID CLOT | $4,439 | $2,850 | — | — | 10 |
| 51715F | ENDOSCOPIC INJECTION/IMPLANT | $4,421 | $2,838 | — | — | 10 |
| 7417401 | CT ANGIO ABD&PELV W/O&W/DYE | $4,410 | $2,831 | — | — | 10 |
| 35207F | REPR BL VES DIRECT,HAND/FINGR | $4,359 | $2,798 | — | — | 10 |
| 9581101 | POLYSOMNOGRAPHY W/CPAP | $4,290 | $2,754 | — | — | 5 |
| J7307.01 | ETONOGESTREL 68 MG IMPLANT | $4,252 | $2,729 | — | — | 5 |
| J7298.01 | LEVONORGESTREL 20 MCG/DAY IUD | $4,252 | $2,729 | — | — | 5 |
| 21552F | EXC NECK LES SC = 3CM > | $4,198 | $2,695 | — | — | 10 |
| 7055301 | MRI BRAIN W & WO CONTRAST | $4,150 | $2,664 | — | — | 10 |
| J1950.01 | LEUPROLIDE 3.75 MG KIT | $4,124 | $2,647 | — | — | 5 |
| 36578F | REPLACE, CV DEVICE W P/P(T) | $4,092 | $2,627 | — | — | 10 |
| 7417801 | CT ABD&PELV 1+ SECTION/REGNS | $4,037 | $2,592 | — | — | 10 |
| 46040F | I&D PERIRECTAL ABSCESS | $4,033 | $2,589 | — | — | 10 |
| 36000084 | LEVEL 5 ADDITIONAL PROCEDURE | $4,015 | $2,578 | — | — | 10 |
| J7300.01 | COPPER IUD | $3,987 | $2,559 | — | — | 5 |
| J9026.01 | TARLATAMAB-DLLE 1 MG RECON SOLN 1 EACH VIAL | $3,975 | $2,552 | — | — | 5 |
| 9581001 | POLYSOMNOGRAPHY, 4 OR MORE | $3,922 | $2,518 | — | — | 5 |
| 7417701 | CT ABDOMEN&PELVIS W/CONTRAST | $3,907 | $2,508 | — | — | 10 |
| 7215801 | MRI L SPINE W&WO CONTRAST | $3,884 | $2,494 | — | — | 10 |
| 7845201 | HT MUSCLE IMAGE SPECT, MULT | $3,882 | $2,492 | — | — | 10 |
| 59812F | SURG RX INCOMPLETE MISCARRIAGE | $3,877 | $2,489 | — | — | 10 |
| 21610F | COSTOTRANSVERSECTOMY | $3,870 | $2,485 | — | — | 10 |
| 7219701 | MRI, PELVIS, W/O THEN W/ | $3,864 | $2,481 | — | — | 10 |
| 7215601 | MRI C SPINE W&WO CONTRAST | $3,806 | $2,443 | — | — | 10 |
| 25260F | REPR FOREARM TEND/MUSC,FLEX,PRIM,EA | $3,781 | $2,427 | — | — | 10 |
| 7215701 | MRI T SPINE W&WO CONTRAST | $3,743 | $2,403 | — | — | 5 |
| 7322301 | MRI,UPREXT JNT W/O+W/CONT | $3,711 | $2,382 | — | — | 10 |
Showing top 50 of 20,876 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.