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
1,929
Insurances with rates
4
CPT / HCPCS codes
1,133
Source MRF
Most expensive procedures (gross)
J3101
$19,402
Tenecteplase For IV Soln Kit 50 MG
Gross
$19,402
J2506
$12,993
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$12,993
J1950
$8,120
Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG
Gross
$8,120
J3262
$7,724
Tocilizumab IV Inj 400 MG/20ML
Gross
$7,724
J3111
$7,478
Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML
Gross
$7,478
J9202
$6,743
Goserelin Acetate Implant 10.8 MG
Gross
$6,743
J0897
$5,392
Denosumab Inj Soln Prefilled Syringe 60 MG/ML
Gross
$5,392
J1602
$5,120
Golimumab IV Soln 50 MG/4ML
Gross
$5,120
81229
$4,622
CYTOG ALYS CHRMOML ABNOR CPY NUMBER&SNP VRNT CGH 81229.004
Gross
$4,622
J0129
$4,099
Abatacept For IV Soln 250 MG
Gross
$4,099
95811
$4,036
SLEEP STUDY SPLT NGHT 95811
Gross
$4,036
95810
$3,497
SLEEP STUDY PARTIAL 95810 M52
Gross
$3,497
74183
$3,487
MRI ABDOMEN WO THEN W CONT
Gross
$3,487
72158
$3,481
MRI L SPINE WO THEN W CONT
Gross
$3,481
74177
$3,393
CT ABD PELVIS W CONTRAST
Gross
$3,393
72157
$3,392
MRI T SPINE WO THEN W CONT
Gross
$3,392
74178
$3,373
CT ABD PELVIS WO THEN W CONT
Gross
$3,373
70553
$3,329
MRI BRAIN WO THEN W CONT
Gross
$3,329
70546
$3,201
MRA HEAD WO THEN W CONT
Gross
$3,201
70542
$3,201
MRI FACE NECK ORB W CONTRAST
Gross
$3,201
74182
$3,119
MRI ABDOMEN W CONTRAST
Gross
$3,119
72156
$3,056
MRI C SPINE WO THEN W CONT
Gross
$3,056
70549
$3,047
MRA NECK WO THEN W CONT
Gross
$3,047
73718
$2,953
MRI LOWER EXT WO CONTRAST
Gross
$2,953
73719
$2,952
MRI LOWER EXT W CONTRAST
Gross
$2,952
72149
$2,927
MRI L SPINE W CONTRAST
Gross
$2,927
43251
$2,922
EGD WREM RUMOR-SNARE
Gross
$2,922
73720
$2,886
MRI LOWER EXT WO THEN W CONT
Gross
$2,886
73223
$2,881
MRI UPPER EXT JT WO THEN W CONT
Gross
$2,881
70543
$2,873
MRI FACE NECK ORB WO THEN W CONT
Gross
$2,873
73723
$2,835
MRI LOWER EXT JT WO THEN W CONT
Gross
$2,835
74174
$2,819
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$2,819
95805
$2,800
MULTIPLE SLEEP LATENCY 95805
Gross
$2,800
74181
$2,788
MRI ABDOMEN WO CONTRAST
Gross
$2,788
72146
$2,744
MRI T SPINE WO CONTRAST
Gross
$2,744
74185
$2,725
MRA ABDOMEN W CONTRAST
Gross
$2,725
95806
$2,692
UNATTENDED SLEEP STUDY 95806
Gross
$2,692
72142
$2,659
MRI C SPINE W CONTRAST
Gross
$2,659
70336
$2,648
MRI TEMPOROMANDIBULAR JOINT
Gross
$2,648
72148
$2,646
MRI L SPINE WO CONTRAST
Gross
$2,646
74176
$2,624
CT ABD PELVIS WO CONTRAST
Gross
$2,624
66850
$2,611
SURG 66850 RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR
Gross
$2,611
71552
$2,552
MRI CHEST WO THEN W CONT
Gross
$2,552
0110
$2,452
Swing Bed
Gross
$2,452
45385
$2,450
COLON WREM TUMOR SNARE
Gross
$2,450
70544
$2,376
MRA HEAD WO CONTRAST
Gross
$2,376
70552
$2,356
MRI BRAIN W CONTRAST
Gross
$2,356
65426
$2,351
SURG 65426 EXCISION/TRANSPOSITION PTERYGIUM W/GRAFT
Gross
$2,351
71275
$2,347
CTA CHEST WCONT +WO IF PERF
Gross
$2,347
J0882
$2,344
Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML
Gross
$2,344
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $19,402 | $19,402 | — | — | 40 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $12,993 | $12,993 | — | — | 20 |
| J1950 | Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG | $8,120 | $8,120 | — | — | 20 |
| J3262 | Tocilizumab IV Inj 400 MG/20ML | $7,724 | $7,724 | — | — | 20 |
| J3111 | Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML | $7,478 | $7,478 | — | — | 20 |
| J9202 | Goserelin Acetate Implant 10.8 MG | $6,743 | $6,743 | — | — | 20 |
| J0897 | Denosumab Inj Soln Prefilled Syringe 60 MG/ML | $5,392 | $5,392 | — | — | 20 |
| J1602 | Golimumab IV Soln 50 MG/4ML | $5,120 | $5,120 | — | — | 20 |
| 81229 | CYTOG ALYS CHRMOML ABNOR CPY NUMBER&SNP VRNT CGH 81229.004 | $4,622 | $4,622 | — | — | 20 |
| J0129 | Abatacept For IV Soln 250 MG | $4,099 | $4,099 | — | — | 20 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $4,036 | $4,036 | — | — | 20 |
| 95810 | SLEEP STUDY PARTIAL 95810 M52 | $3,497 | $3,497 | — | — | 20 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $3,487 | $3,487 | — | — | 20 |
| 72158 | MRI L SPINE WO THEN W CONT | $3,481 | $3,481 | — | — | 20 |
| 74177 | CT ABD PELVIS W CONTRAST | $3,393 | $3,393 | — | — | 20 |
| 72157 | MRI T SPINE WO THEN W CONT | $3,392 | $3,392 | — | — | 20 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $3,373 | $3,373 | — | — | 20 |
| 70553 | MRI BRAIN WO THEN W CONT | $3,329 | $3,329 | — | — | 20 |
| 70546 | MRA HEAD WO THEN W CONT | $3,201 | $3,201 | — | — | 20 |
| 70542 | MRI FACE NECK ORB W CONTRAST | $3,201 | $3,201 | — | — | 20 |
| 74182 | MRI ABDOMEN W CONTRAST | $3,119 | $3,119 | — | — | 20 |
| 72156 | MRI C SPINE WO THEN W CONT | $3,056 | $3,056 | — | — | 20 |
| 70549 | MRA NECK WO THEN W CONT | $3,047 | $3,047 | — | — | 20 |
| 73718 | MRI LOWER EXT WO CONTRAST | $2,953 | $2,953 | — | — | 20 |
| 73719 | MRI LOWER EXT W CONTRAST | $2,952 | $2,952 | — | — | 20 |
| 72149 | MRI L SPINE W CONTRAST | $2,927 | $2,927 | — | — | 20 |
| 43251 | EGD WREM RUMOR-SNARE | $2,922 | $2,922 | — | — | 20 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $2,886 | $2,886 | — | — | 20 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $2,881 | $2,881 | — | — | 20 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $2,873 | $2,873 | — | — | 20 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $2,835 | $2,835 | — | — | 20 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $2,819 | $2,819 | — | — | 20 |
| 95805 | MULTIPLE SLEEP LATENCY 95805 | $2,800 | $2,800 | — | — | 20 |
| 74181 | MRI ABDOMEN WO CONTRAST | $2,788 | $2,788 | — | — | 20 |
| 72146 | MRI T SPINE WO CONTRAST | $2,744 | $2,744 | — | — | 20 |
| 74185 | MRA ABDOMEN W CONTRAST | $2,725 | $2,725 | — | — | 20 |
| 95806 | UNATTENDED SLEEP STUDY 95806 | $2,692 | $2,692 | — | — | 20 |
| 72142 | MRI C SPINE W CONTRAST | $2,659 | $2,659 | — | — | 20 |
| 70336 | MRI TEMPOROMANDIBULAR JOINT | $2,648 | $2,648 | — | — | 20 |
| 72148 | MRI L SPINE WO CONTRAST | $2,646 | $2,646 | — | — | 20 |
| 74176 | CT ABD PELVIS WO CONTRAST | $2,624 | $2,624 | — | — | 20 |
| 66850 | SURG 66850 RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR | $2,611 | $2,611 | — | — | 20 |
| 71552 | MRI CHEST WO THEN W CONT | $2,552 | $2,552 | — | — | 20 |
| 0110 | Swing Bed | $2,452 | $2,452 | — | — | 16 |
| 45385 | COLON WREM TUMOR SNARE | $2,450 | $2,450 | — | — | 20 |
| 70544 | MRA HEAD WO CONTRAST | $2,376 | $2,376 | — | — | 20 |
| 70552 | MRI BRAIN W CONTRAST | $2,356 | $2,356 | — | — | 20 |
| 65426 | SURG 65426 EXCISION/TRANSPOSITION PTERYGIUM W/GRAFT | $2,351 | $2,351 | — | — | 20 |
| 71275 | CTA CHEST WCONT +WO IF PERF | $2,347 | $2,347 | — | — | 20 |
| J0882 | Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML | $2,344 | $2,344 | — | — | 40 |
Showing top 50 of 1,929 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.