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
684
Insurances with rates
11
CPT / HCPCS codes
681
Source MRF
Most expensive procedures (gross)
J3380
$16,708
ENTYVIO (VEDOLIZUMAB) IV 300MG
Gross
$16,708
52332
$9,229
CYSTO STENT PLACEMENT
Gross
$9,229
81479
$7,910
GENETIC STUDIES(BRCA1/BRCA2)
Gross
$7,910
J9217
$5,899
ELIGARD 45MG: 6 MONTH SYG
Gross
$5,899
52310
$5,379
CYSTO STENT REMOVAL
Gross
$5,379
54161
$5,206
CIRCUMCISION ADULT
Gross
$5,206
62323
$5,031
LUMBAR EPIDURAL W GUIDE
Gross
$5,031
62321
$5,031
CERVICAL EPIDURAL W GUIDE
Gross
$5,031
19083
$4,634
US BREAST BIOPSY CORE W/GUIDE
Gross
$4,634
78452
$4,153
NUC MED CARDIAC PERFUSION SPECT MULTIPLE
Gross
$4,153
J2248
$4,084
MYCAMINE VIAL 100MG
Gross
$4,084
27447
$4,009
DOC TOTAL KNEE ARTHROPLASTY
Gross
$4,009
95811
$3,969
POLYSOM 4 OR > WIITH CPAP
Gross
$3,969
78815
$3,932
PET CT SKULL TO MID THIGH
Gross
$3,932
78816
$3,932
PET CT WHOLE BODY
Gross
$3,932
64483
$3,685
LUMBAR FORAMINAL INJ W GUIDE
Gross
$3,685
74178
$3,400
CT ABDOMEN PELVIS WWO
Gross
$3,400
70553
$3,250
MRI HEAD WWO
Gross
$3,250
74183
$3,250
MRI ABDOMEN WWO
Gross
$3,250
73723
$3,250
MRI ANKLE RT WWO
Gross
$3,250
72156
$3,250
MRI CERVICAL SP WWO
Gross
$3,250
72158
$3,250
MRI LUMBAR SP WWO
Gross
$3,250
72157
$3,250
MRI THORACIC SP WWO
Gross
$3,250
73720
$3,250
MRI FOOT LT OR RT WWO
Gross
$3,250
70543
$3,250
MRI NECK FACE EYE WWO
Gross
$3,250
72197
$3,250
MRI PELVIS WWO
Gross
$3,250
45384
$3,111
COLON/POLYP/HB
Gross
$3,111
95810
$3,105
POLYSOM 4 OR >
Gross
$3,105
52224
$3,011
CYSTO W/FULGERATION OF LESION >0.5CM
Gross
$3,011
52234
$3,011
CYSTO W/FULGERATION OF LESION 0.5-2.0CM
Gross
$3,011
74177
$3,000
CT ABDOMEN PELVIS W
Gross
$3,000
59510
$3,000
CESAREAN DELIVERY
Gross
$3,000
J0897
$2,970
PROLIA 60MG/ML SC SYRINGE
Gross
$2,970
J1439
$2,765
INJECTAFER IV 750MG/15ML
Gross
$2,765
45380
$2,653
COLONOSCOPY W/BIOPSY
Gross
$2,653
74176
$2,600
CT ABDOMEN PELVIS WO
Gross
$2,600
74174
$2,600
CTA ABD/PELVIS
Gross
$2,600
59400
$2,500
OBSTETRICAL CARE
Gross
$2,500
43450
$2,429
ESOPHOGEAL DILATATION
Gross
$2,429
43239
$2,429
GASTROSCOPY W/BIOPSY
Gross
$2,429
43235
$2,429
GASTROSCOPY
Gross
$2,429
45378
$2,381
COLONOSCOPY
Gross
$2,381
A4565
$2,022
LYNX BLUE SLING SYSTEM
Gross
$2,022
52281
$2,000
URETHRAL DILITATION
Gross
$2,000
71275
$1,950
CTA THORAX
Gross
$1,950
73721
$1,950
MRI KNEE LT WO
Gross
$1,950
73718
$1,950
MRI FOOT LT OR RT WO
Gross
$1,950
72148
$1,950
MRI LUMBAR SP WO
Gross
$1,950
73221
$1,950
MRI SHOULDER LT WO
Gross
$1,950
72141
$1,950
MRI CERVICAL SP WO
Gross
$1,950
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | ENTYVIO (VEDOLIZUMAB) IV 300MG | $16,708 | $16,708 | — | — | 1 |
| 52332 | CYSTO STENT PLACEMENT | $9,229 | $9,229 | — | — | 1 |
| 81479 | GENETIC STUDIES(BRCA1/BRCA2) | $7,910 | $7,910 | — | — | 1 |
| J9217 | ELIGARD 45MG: 6 MONTH SYG | $5,899 | $5,899 | — | — | 1 |
| 52310 | CYSTO STENT REMOVAL | $5,379 | $5,379 | — | — | 1 |
| 54161 | CIRCUMCISION ADULT | $5,206 | $5,206 | — | — | 1 |
| 62323 | LUMBAR EPIDURAL W GUIDE | $5,031 | $5,031 | — | — | 6 |
| 62321 | CERVICAL EPIDURAL W GUIDE | $5,031 | $5,031 | — | — | 1 |
| 19083 | US BREAST BIOPSY CORE W/GUIDE | $4,634 | $4,634 | — | — | 2 |
| 78452 | NUC MED CARDIAC PERFUSION SPECT MULTIPLE | $4,153 | $4,153 | — | — | 6 |
| J2248 | MYCAMINE VIAL 100MG | $4,084 | $4,084 | — | — | 3 |
| 27447 | DOC TOTAL KNEE ARTHROPLASTY | $4,009 | $4,009 | — | — | 4 |
| 95811 | POLYSOM 4 OR > WIITH CPAP | $3,969 | $3,969 | — | — | 5 |
| 78815 | PET CT SKULL TO MID THIGH | $3,932 | $3,932 | — | — | 5 |
| 78816 | PET CT WHOLE BODY | $3,932 | $3,932 | — | — | 1 |
| 64483 | LUMBAR FORAMINAL INJ W GUIDE | $3,685 | $3,685 | — | — | 2 |
| 74178 | CT ABDOMEN PELVIS WWO | $3,400 | $3,400 | — | — | 7 |
| 70553 | MRI HEAD WWO | $3,250 | $3,250 | — | — | 6 |
| 74183 | MRI ABDOMEN WWO | $3,250 | $3,250 | — | — | 5 |
| 73723 | MRI ANKLE RT WWO | $3,250 | $3,250 | — | — | 1 |
| 72156 | MRI CERVICAL SP WWO | $3,250 | $3,250 | — | — | 2 |
| 72158 | MRI LUMBAR SP WWO | $3,250 | $3,250 | — | — | 1 |
| 72157 | MRI THORACIC SP WWO | $3,250 | $3,250 | — | — | 2 |
| 73720 | MRI FOOT LT OR RT WWO | $3,250 | $3,250 | — | — | 2 |
| 70543 | MRI NECK FACE EYE WWO | $3,250 | $3,250 | — | — | 1 |
| 72197 | MRI PELVIS WWO | $3,250 | $3,250 | — | — | 1 |
| 45384 | COLON/POLYP/HB | $3,111 | $3,111 | — | — | 10 |
| 95810 | POLYSOM 4 OR > | $3,105 | $3,105 | — | — | 3 |
| 52224 | CYSTO W/FULGERATION OF LESION >0.5CM | $3,011 | $3,011 | — | — | 1 |
| 52234 | CYSTO W/FULGERATION OF LESION 0.5-2.0CM | $3,011 | $3,011 | — | — | 1 |
| 74177 | CT ABDOMEN PELVIS W | $3,000 | $3,000 | — | — | 11 |
| 59510 | CESAREAN DELIVERY | $3,000 | $3,000 | — | — | 4 |
| J0897 | PROLIA 60MG/ML SC SYRINGE | $2,970 | $2,970 | — | — | 1 |
| J1439 | INJECTAFER IV 750MG/15ML | $2,765 | $2,765 | — | — | 3 |
| 45380 | COLONOSCOPY W/BIOPSY | $2,653 | $2,653 | — | — | 1 |
| 74176 | CT ABDOMEN PELVIS WO | $2,600 | $2,600 | — | — | 11 |
| 74174 | CTA ABD/PELVIS | $2,600 | $2,600 | — | — | 2 |
| 59400 | OBSTETRICAL CARE | $2,500 | $2,500 | — | — | 1 |
| 43450 | ESOPHOGEAL DILATATION | $2,429 | $2,429 | — | — | 7 |
| 43239 | GASTROSCOPY W/BIOPSY | $2,429 | $2,429 | — | — | 10 |
| 43235 | GASTROSCOPY | $2,429 | $2,429 | — | — | 3 |
| 45378 | COLONOSCOPY | $2,381 | $2,381 | — | — | 10 |
| A4565 | LYNX BLUE SLING SYSTEM | $2,022 | $2,022 | — | — | 1 |
| 52281 | URETHRAL DILITATION | $2,000 | $2,000 | — | — | 1 |
| 71275 | CTA THORAX | $1,950 | $1,950 | — | — | 9 |
| 73721 | MRI KNEE LT WO | $1,950 | $1,950 | — | — | 6 |
| 73718 | MRI FOOT LT OR RT WO | $1,950 | $1,950 | — | — | 2 |
| 72148 | MRI LUMBAR SP WO | $1,950 | $1,950 | — | — | 8 |
| 73221 | MRI SHOULDER LT WO | $1,950 | $1,950 | — | — | 3 |
| 72141 | MRI CERVICAL SP WO | $1,950 | $1,950 | — | — | 5 |
Showing top 50 of 684 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.