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
1,428
Insurances with rates
13
CPT / HCPCS codes
1,400
Source MRF
Most expensive procedures (gross)
Q5123
$28,082
RITUXIMAB-ARRX 500MG VIAL,340B drug pricing program discount
Gross
$71,690
Q5119
$24,015
RUXIENCE (RITUXIMAB)500MG/50ML,340B drug pricing program discount
Gross
$71,690
J3380
$13,236
ENTYVIO 300MG,340B drug pricing program discount
Gross
$22,474
J2997
$16,555
ALTEPLASE INJ [100 MG]
Gross
$21,121
J3101
$15,991
TENECTEPLASE INJ [50 MG],340B drug pricing program discount
Gross
$19,914
J0717
$15.88
CIMZIA 200MG/ML PFS 2 PACK,340B drug pricing program discount
Gross
$14,399
J0517
$338
FASENRA 30MG PREFILLED SYRINGE,340B drug pricing program discount
Gross
$14,033
49505
$10,055
Inguinal Hernia-Open procedure
Gross
$12,829
J9217
$9,613
LUPRON 22.5MG
Gross
$12,265
J1306
$5,096
LEQVIO 284 MG/1.5ML SYRINGE,340B drug pricing program discount
Gross
$6,831
J0897
$4,902
DENOSUMAB INJ [120 MG/1.7,340B drug pricing program discount
Gross
$6,571
95811
$4,073
SLEEP STUDY W/PAP TITRATE
Gross
$6,438
J3111
$54.74
EVENITY 105MG/1.17MLS (2) INJ,340B drug pricing program discount
Gross
$6,309
360
$3,799
SURG-MAJOR PROC;INITIAL
Gross
$6,004
J7169
$4,476
ANDEXXA 200MG VIAL
Gross
$6,000
95810
$3,773
BASELINE SLEEP STUDY
Gross
$5,964
74178
$1,867
ABDOMEN/PELVIS W/WO CONTRAST,TECHNICAL COMPONENT
Gross
$5,509
95805
$3,477
MSLT OR MWT
Gross
$5,495
71555
$1,190
ANGIO CHEST W/WO CONTRAST,TECHNICAL COMPONENT
Gross
$5,383
74183
$1,867
ABDOMEN WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
70553
$1,867
BRAIN WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
72156
$1,867
CERVICAL SPINE WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
72158
$1,867
LUMBAR SPINE WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
74185
$1,190
ANGIO ABDOMEN W/WO CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
72197
$1,867
PELVIS WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
70543
$1,867
NECK WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
72157
$1,867
THORACIC SPINE WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,349
73723
$1,867
ANKLE LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$5,235
73223
$1,867
ELBOW LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$5,235
73220
$1,867
FOREARM LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$5,235
73720
$1,867
FEMUR LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$5,235
74177
$1,867
ABDOMEN PELVIS W/CONTRAST,TECHNICAL COMPONENT
Gross
$5,107
70549
$1,867
ANGIO NECK WO/W CONTRAST,TECHNICAL COMPONENT
Gross
$5,045
73725
$1,190
ANGIO LE BI W/WO CONTRAST,TECHNICAL COMPONENT
Gross
$5,045
73225
$1,190
ANGIO UE LT W/WO CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$5,045
L8641
$3,122
METATARSAL TOE JOINT IMPL
Gross
$4,935
90375
$1,713
HYPERRAB 300 UNITS/ML 3ML VIAL
Gross
$4,900
70547
$1,190
ANGIO NECK WO CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
70336
$1,190
TMJ WO CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
70552
$1,867
BRAIN W/CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
72142
$1,867
CERVICAL SPINE W/CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
72147
$1,867
THORACIC SPINE W/CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
72149
$1,867
LUMBAR SPINE W/CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
70544
$1,190
ANGIO HEAD WO CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
72196
$1,867
PELVIS W/CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
70548
$1,867
ANGIO NECK W/CONTRAST,TECHNICAL COMPONENT
Gross
$4,864
74176
$1,190
ABDOMEN PELVIS WO CONTRAST,TECHNICAL COMPONENT
Gross
$4,706
73222
$3,722
ELBOW LT W/CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$4,635
73719
$1,867
FEMUR LT W/CONTRAST,TECHNICAL COMPONENT, LEFT
Gross
$4,635
52000
$2,897
CYSTO SURGERY
Gross
$4,578
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q5123 | RITUXIMAB-ARRX 500MG VIAL,340B drug pricing program discount | $71,690 | $28,082 | — | — | 35 |
| Q5119 | RUXIENCE (RITUXIMAB)500MG/50ML,340B drug pricing program discount | $71,690 | $24,015 | — | — | 35 |
| J3380 | ENTYVIO 300MG,340B drug pricing program discount | $22,474 | $13,236 | — | — | 35 |
| J2997 | ALTEPLASE INJ [100 MG] | $21,121 | $16,555 | — | — | 35 |
| J3101 | TENECTEPLASE INJ [50 MG],340B drug pricing program discount | $19,914 | $15,991 | — | — | 35 |
| J0717 | CIMZIA 200MG/ML PFS 2 PACK,340B drug pricing program discount | $14,399 | $15.88 | — | — | 35 |
| J0517 | FASENRA 30MG PREFILLED SYRINGE,340B drug pricing program discount | $14,033 | $338 | — | — | 35 |
| 49505 | Inguinal Hernia-Open procedure | $12,829 | $10,055 | — | — | 35 |
| J9217 | LUPRON 22.5MG | $12,265 | $9,613 | — | — | 35 |
| J1306 | LEQVIO 284 MG/1.5ML SYRINGE,340B drug pricing program discount | $6,831 | $5,096 | — | — | 35 |
| J0897 | DENOSUMAB INJ [120 MG/1.7,340B drug pricing program discount | $6,571 | $4,902 | — | — | 35 |
| 95811 | SLEEP STUDY W/PAP TITRATE | $6,438 | $4,073 | — | — | 35 |
| J3111 | EVENITY 105MG/1.17MLS (2) INJ,340B drug pricing program discount | $6,309 | $54.74 | — | — | 35 |
| 360 | SURG-MAJOR PROC;INITIAL | $6,004 | $3,799 | — | — | 34 |
| J7169 | ANDEXXA 200MG VIAL | $6,000 | $4,476 | — | — | 34 |
| 95810 | BASELINE SLEEP STUDY | $5,964 | $3,773 | — | — | 35 |
| 74178 | ABDOMEN/PELVIS W/WO CONTRAST,TECHNICAL COMPONENT | $5,509 | $1,867 | — | — | 35 |
| 95805 | MSLT OR MWT | $5,495 | $3,477 | — | — | 35 |
| 71555 | ANGIO CHEST W/WO CONTRAST,TECHNICAL COMPONENT | $5,383 | $1,190 | — | — | 35 |
| 74183 | ABDOMEN WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 70553 | BRAIN WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 72156 | CERVICAL SPINE WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 72158 | LUMBAR SPINE WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 74185 | ANGIO ABDOMEN W/WO CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,190 | — | — | 35 |
| 72197 | PELVIS WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 70543 | NECK WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 72157 | THORACIC SPINE WO/W CONTRAST,TECHNICAL COMPONENT | $5,349 | $1,867 | — | — | 35 |
| 73723 | ANKLE LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT | $5,235 | $1,867 | — | — | 35 |
| 73223 | ELBOW LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT | $5,235 | $1,867 | — | — | 35 |
| 73220 | FOREARM LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT | $5,235 | $1,867 | — | — | 35 |
| 73720 | FEMUR LT WO/W CONTRAST,TECHNICAL COMPONENT, LEFT | $5,235 | $1,867 | — | — | 35 |
| 74177 | ABDOMEN PELVIS W/CONTRAST,TECHNICAL COMPONENT | $5,107 | $1,867 | — | — | 35 |
| 70549 | ANGIO NECK WO/W CONTRAST,TECHNICAL COMPONENT | $5,045 | $1,867 | — | — | 35 |
| 73725 | ANGIO LE BI W/WO CONTRAST,TECHNICAL COMPONENT | $5,045 | $1,190 | — | — | 35 |
| 73225 | ANGIO UE LT W/WO CONTRAST,TECHNICAL COMPONENT, LEFT | $5,045 | $1,190 | — | — | 35 |
| L8641 | METATARSAL TOE JOINT IMPL | $4,935 | $3,122 | — | — | 34 |
| 90375 | HYPERRAB 300 UNITS/ML 3ML VIAL | $4,900 | $1,713 | — | — | 35 |
| 70547 | ANGIO NECK WO CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,190 | — | — | 35 |
| 70336 | TMJ WO CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,190 | — | — | 35 |
| 70552 | BRAIN W/CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,867 | — | — | 35 |
| 72142 | CERVICAL SPINE W/CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,867 | — | — | 35 |
| 72147 | THORACIC SPINE W/CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,867 | — | — | 35 |
| 72149 | LUMBAR SPINE W/CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,867 | — | — | 35 |
| 70544 | ANGIO HEAD WO CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,190 | — | — | 35 |
| 72196 | PELVIS W/CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,867 | — | — | 35 |
| 70548 | ANGIO NECK W/CONTRAST,TECHNICAL COMPONENT | $4,864 | $1,867 | — | — | 35 |
| 74176 | ABDOMEN PELVIS WO CONTRAST,TECHNICAL COMPONENT | $4,706 | $1,190 | — | — | 35 |
| 73222 | ELBOW LT W/CONTRAST,TECHNICAL COMPONENT, LEFT | $4,635 | $3,722 | — | — | 35 |
| 73719 | FEMUR LT W/CONTRAST,TECHNICAL COMPONENT, LEFT | $4,635 | $1,867 | — | — | 35 |
| 52000 | CYSTO SURGERY | $4,578 | $2,897 | — | — | 35 |
Showing top 50 of 1,428 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.