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
2,002
Insurances with rates
4
CPT / HCPCS codes
1,986
Source MRF
Most expensive procedures (gross)
J2997
$15,841
ACTIVASE 100MG (RECOMBINANT ALTEPLASE)
Gross
$21,121
J3101
$13,679
TNKASE (TENECTEPLASE) 50MG KIT
Gross
$18,239
J2505
$10,389
NEULASTA: 6 MG/0.6ML, SOLN, 0.6ML SYR
Gross
$13,852
J1561
$9,605
NF-*GAMUNEX-C 40GRAM/400ML INJECTION
Gross
$12,806
58353
$6,840
ENDOMETRIAL ABLATION, THERMAL, W/O HYSTE
Gross
$9,120
58662
$6,497
LAPAROSCOPY W/FULGURATION OR EXC LESIONS
Gross
$8,662
58740
$6,497
LYSIS OF ADHESIONS
Gross
$8,662
58563
$6,330
HYSTEROSCOPY SURGICAL W/ENDOMETRIAL ABL
Gross
$8,440
47563
$6,251
CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY
Gross
$8,335
J0840
$5,757
CROFAB 1GM (SNAKE ANTIVENOM) PER VIAL
Gross
$7,676
J1306
$4,948
LEQVIO (INCLISIRAN) 284MG/1.5ML SYRINGE
Gross
$6,597
20822
$4,795
PROF FEES REPLANTATION DIGIT EXCLUDING T
Gross
$6,393
49553
$4,651
REPAIR INITIAL FEM HERNIA INCAR OR STRAN
Gross
$6,201
57240
$4,477
ANT COLPORRHAPHY REPAIR CYSTOCELE W/WO
Gross
$5,969
58260
$4,477
VAGINAL HYSTERECTOMY UTERUS 250g OR LESS
Gross
$5,969
J9217
$4,377
LUPRON DEPOT 30 MG SYRINGE KIT
Gross
$5,836
58552
$4,252
LAPAROSCOPY/HYSTEROSCOPY W/REM TUBES/OVA
Gross
$5,669
58553
$4,252
LAPAROSCOPY SURG W/VAGINAL HYSTERECTOMY
Gross
$5,669
24342
$3,923
REINSERTION OF RUPTURED BICEPS OR TRICEP
Gross
$5,230
65103
$3,765
REMOVAL OF EYE W/IMPLANT MUSCLES NOT ATT
Gross
$5,020
59120
$3,760
SURGICAL TREATMENT OF ECTOPIC PREGNANCY
Gross
$5,013
43621
$3,760
TOTAL GASTRECTOMY W/ROUX-EN Y RECONSTRUC
Gross
$5,013
27650
$3,539
REPAIR PRIMARY OPEN RUPTURED ACHILLES TE
Gross
$4,719
27822
$3,479
OPEN TX OF ANKLE FX INC INTERNAL FIXATIO
Gross
$4,638
47532
$3,401
CHOLANGIOGRAPHY PERCUTANE NEW ACCESS
Gross
$4,535
19307
$3,355
MASTECTOMY MODIFIED RADICAL
Gross
$4,473
58558
$3,173
HYSTEROSCOPY BIOPSY
Gross
$4,231
67005
$3,107
ANTERIOR VITRECTOMY OPEN SKY TECHNIQUE
Gross
$4,143
J0875
$3,019
DALVANCE(DALBAVANCIN) 500MG VIAL
Gross
$4,025
66500
$3,019
IRIDOTOMY BY STAB INC EXCEPT TRANSFIXION
Gross
$4,025
49594
$2,925
REPAIR ANTERIOR ABD HERNIA 3-10CM INC/ST
Gross
$3,900
J0897
$2,924
PROLIA (DENOSUMAB) 60MG/1ML SYRINGE
Gross
$3,899
29882
$2,865
ARTHROSCOPY OF KNEE W/MENISCUS REPAIR
Gross
$3,820
30117
$2,796
EXCISION OR DESTRUCTION INTRANASAL LESIO
Gross
$3,728
58150
$2,735
TAH WITH OR WITHOUT REMOVAL OF TUBES
Gross
$3,647
67010
$2,651
SUBTOTAL REMOVAL MECHANICAL VITECTOMY
Gross
$3,534
29881
$2,650
ARTHROSCOPY KNEE WITH MENISCECTOMY
Gross
$3,533
27592
$2,650
AMPUTATION THIGH THROUGH FEMUR OPEN CIRC
Gross
$3,533
29870
$2,649
ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIA
Gross
$3,532
49593
$2,625
REPAIR ANTERIOR ABD HERNIA REDUC 3-10 CM
Gross
$3,500
67036
$2,614
VITRECTOMY MECHANICAL PARS PLANA APPROAC
Gross
$3,485
74178
$2,599
CT ABDOMEN PELVIS WWO CONTRAST
Gross
$3,465
67924
$2,565
REPAIR OF ENTROPION, TARSAL STRIP
Gross
$3,420
47350
$2,550
MGMT LIVER HEMORRHAGE; SIMPLE SUTURE
Gross
$3,400
47600
$2,517
CHOLECYSTECTOMY
Gross
$3,356
J1439
$2,477
INJECTAFER (FERRIC CARB) 750MG/15ML VIAL
Gross
$3,303
48140
$2,469
PANCREATECTOMY DISTAL SUBTOTAL
Gross
$3,292
J7325
$2,466
SYNVISC ONE (HYALURANATE) 48MG/6ML,SYR.
Gross
$3,288
15839
$2,446
EXC EXCESSIVE SKIN & SUBCUT TISSUE OTHER
Gross
$3,261
49020
$2,441
DRAINAGE PERITONEAL ABS/PERITONITIS EXC
Gross
$3,255
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ACTIVASE 100MG (RECOMBINANT ALTEPLASE) | $21,121 | $15,841 | — | — | 1 |
| J3101 | TNKASE (TENECTEPLASE) 50MG KIT | $18,239 | $13,679 | — | — | 1 |
| J2505 | NEULASTA: 6 MG/0.6ML, SOLN, 0.6ML SYR | $13,852 | $10,389 | — | — | 1 |
| J1561 | NF-*GAMUNEX-C 40GRAM/400ML INJECTION | $12,806 | $9,605 | — | — | 1 |
| 58353 | ENDOMETRIAL ABLATION, THERMAL, W/O HYSTE | $9,120 | $6,840 | — | — | 2 |
| 58662 | LAPAROSCOPY W/FULGURATION OR EXC LESIONS | $8,662 | $6,497 | — | — | 2 |
| 58740 | LYSIS OF ADHESIONS | $8,662 | $6,497 | — | — | 2 |
| 58563 | HYSTEROSCOPY SURGICAL W/ENDOMETRIAL ABL | $8,440 | $6,330 | — | — | 2 |
| 47563 | CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY | $8,335 | $6,251 | — | — | 2 |
| J0840 | CROFAB 1GM (SNAKE ANTIVENOM) PER VIAL | $7,676 | $5,757 | — | — | 1 |
| J1306 | LEQVIO (INCLISIRAN) 284MG/1.5ML SYRINGE | $6,597 | $4,948 | — | — | 1 |
| 20822 | PROF FEES REPLANTATION DIGIT EXCLUDING T | $6,393 | $4,795 | — | — | 4 |
| 49553 | REPAIR INITIAL FEM HERNIA INCAR OR STRAN | $6,201 | $4,651 | — | — | 2 |
| 57240 | ANT COLPORRHAPHY REPAIR CYSTOCELE W/WO | $5,969 | $4,477 | — | — | 2 |
| 58260 | VAGINAL HYSTERECTOMY UTERUS 250g OR LESS | $5,969 | $4,477 | — | — | 2 |
| J9217 | LUPRON DEPOT 30 MG SYRINGE KIT | $5,836 | $4,377 | — | — | 1 |
| 58552 | LAPAROSCOPY/HYSTEROSCOPY W/REM TUBES/OVA | $5,669 | $4,252 | — | — | 2 |
| 58553 | LAPAROSCOPY SURG W/VAGINAL HYSTERECTOMY | $5,669 | $4,252 | — | — | 2 |
| 24342 | REINSERTION OF RUPTURED BICEPS OR TRICEP | $5,230 | $3,923 | — | — | 2 |
| 65103 | REMOVAL OF EYE W/IMPLANT MUSCLES NOT ATT | $5,020 | $3,765 | — | — | 2 |
| 59120 | SURGICAL TREATMENT OF ECTOPIC PREGNANCY | $5,013 | $3,760 | — | — | 2 |
| 43621 | TOTAL GASTRECTOMY W/ROUX-EN Y RECONSTRUC | $5,013 | $3,760 | — | — | 2 |
| 27650 | REPAIR PRIMARY OPEN RUPTURED ACHILLES TE | $4,719 | $3,539 | — | — | 4 |
| 27822 | OPEN TX OF ANKLE FX INC INTERNAL FIXATIO | $4,638 | $3,479 | — | — | 2 |
| 47532 | CHOLANGIOGRAPHY PERCUTANE NEW ACCESS | $4,535 | $3,401 | — | — | 2 |
| 19307 | MASTECTOMY MODIFIED RADICAL | $4,473 | $3,355 | — | — | 2 |
| 58558 | HYSTEROSCOPY BIOPSY | $4,231 | $3,173 | — | — | 2 |
| 67005 | ANTERIOR VITRECTOMY OPEN SKY TECHNIQUE | $4,143 | $3,107 | — | — | 2 |
| J0875 | DALVANCE(DALBAVANCIN) 500MG VIAL | $4,025 | $3,019 | — | — | 1 |
| 66500 | IRIDOTOMY BY STAB INC EXCEPT TRANSFIXION | $4,025 | $3,019 | — | — | 2 |
| 49594 | REPAIR ANTERIOR ABD HERNIA 3-10CM INC/ST | $3,900 | $2,925 | — | — | 2 |
| J0897 | PROLIA (DENOSUMAB) 60MG/1ML SYRINGE | $3,899 | $2,924 | — | — | 1 |
| 29882 | ARTHROSCOPY OF KNEE W/MENISCUS REPAIR | $3,820 | $2,865 | — | — | 2 |
| 30117 | EXCISION OR DESTRUCTION INTRANASAL LESIO | $3,728 | $2,796 | — | — | 2 |
| 58150 | TAH WITH OR WITHOUT REMOVAL OF TUBES | $3,647 | $2,735 | — | — | 2 |
| 67010 | SUBTOTAL REMOVAL MECHANICAL VITECTOMY | $3,534 | $2,651 | — | — | 2 |
| 29881 | ARTHROSCOPY KNEE WITH MENISCECTOMY | $3,533 | $2,650 | — | — | 2 |
| 27592 | AMPUTATION THIGH THROUGH FEMUR OPEN CIRC | $3,533 | $2,650 | — | — | 2 |
| 29870 | ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIA | $3,532 | $2,649 | — | — | 2 |
| 49593 | REPAIR ANTERIOR ABD HERNIA REDUC 3-10 CM | $3,500 | $2,625 | — | — | 2 |
| 67036 | VITRECTOMY MECHANICAL PARS PLANA APPROAC | $3,485 | $2,614 | — | — | 2 |
| 74178 | CT ABDOMEN PELVIS WWO CONTRAST | $3,465 | $2,599 | — | — | 2 |
| 67924 | REPAIR OF ENTROPION, TARSAL STRIP | $3,420 | $2,565 | — | — | 2 |
| 47350 | MGMT LIVER HEMORRHAGE; SIMPLE SUTURE | $3,400 | $2,550 | — | — | 2 |
| 47600 | CHOLECYSTECTOMY | $3,356 | $2,517 | — | — | 2 |
| J1439 | INJECTAFER (FERRIC CARB) 750MG/15ML VIAL | $3,303 | $2,477 | — | — | 1 |
| 48140 | PANCREATECTOMY DISTAL SUBTOTAL | $3,292 | $2,469 | — | — | 2 |
| J7325 | SYNVISC ONE (HYALURANATE) 48MG/6ML,SYR. | $3,288 | $2,466 | — | — | 1 |
| 15839 | EXC EXCESSIVE SKIN & SUBCUT TISSUE OTHER | $3,261 | $2,446 | — | — | 2 |
| 49020 | DRAINAGE PERITONEAL ABS/PERITONITIS EXC | $3,255 | $2,441 | — | — | 2 |
Showing top 50 of 2,002 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.