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
1,543
Insurances with rates
5
CPT / HCPCS codes
1,522
Source MRF
Most expensive procedures (gross)
J2997
$13,496
Alteplase For Inj 100 MG
Gross
$13,496
J2353
$11,016
Octreotide Acetate For IM Inj Kit 30 MG
Gross
$11,016
J3101
$10,871
Tenecteplase For IV Soln Kit 50 MG
Gross
$10,871
J0517
$8,783
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$8,783
J2506
$8,279
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,279
J1306
$6,375
Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML
Gross
$6,375
J1569
$6,125
PF J1569 INJ GAMMAGARD LIQUID 500 MG
Gross
$6,125
74178
$5,517
CT ABD PELVIS WO THEN W CONT
Gross
$5,517
74174
$5,500
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$5,500
J3111
$5,422
Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML
Gross
$5,422
74177
$5,296
CT ABD PELVIS W CONTRAST
Gross
$5,296
72127
$5,262
CT CERV SPINE WO THEN W CONT
Gross
$5,262
72126
$5,054
CT CERVICAL SPINE W CONTRAST
Gross
$5,054
71275
$4,821
CTA CHEST WCONT +WO IF PERF
Gross
$4,821
71270
$4,781
CT THORAX DIAGNOSTIC WO THEN W CONTRAST
Gross
$4,781
72156
$4,780
MRI C SPINE WO THEN W CONT
Gross
$4,780
72157
$4,780
MRI T SPINE WO THEN W CONT
Gross
$4,780
72158
$4,780
MRI L SPINE WO THEN W CONT
Gross
$4,780
73220
$4,780
MRI UPPER EXT WO THEN W CONT
Gross
$4,780
73223
$4,780
MRI UPPER EXT JT WO THEN W CONT
Gross
$4,780
73720
$4,780
MRI LOWER EXT WO THEN W CONT
Gross
$4,780
73723
$4,780
MRI LOWER EXT JT WO THEN W CONT
Gross
$4,780
J1437
$4,714
Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq)
Gross
$4,714
72142
$4,709
MRI C SPINE W CONTRAST
Gross
$4,709
72147
$4,709
MRI T SPINE W CONTRAST
Gross
$4,709
72149
$4,709
MRI L SPINE W CONTRAST
Gross
$4,709
73221
$4,678
MRI UPPER EXT JT WO CONTRAST
Gross
$4,678
73721
$4,678
MRI LOWER EXT JT WO CONTRAST
Gross
$4,678
Q5120
$4,624
Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML
Gross
$4,624
71260
$4,591
CT THORAX DIAGNOSTIC WITH CONTRAST
Gross
$4,591
70492
$4,587
CT SFT TISUE NECK WWO THEN W
Gross
$4,587
72141
$4,584
MRI C SPINE WO CONTRAST
Gross
$4,584
72146
$4,584
MRI T SPINE WO CONTRAST
Gross
$4,584
72148
$4,584
MRI L SPINE WO CONTRAST
Gross
$4,584
73218
$4,584
MRI UP EXT WO CONT
Gross
$4,584
73718
$4,584
MRI LOWER EXT WO CONTRAST
Gross
$4,584
73702
$4,584
CT EXT LOWER WO THEN W CONT
Gross
$4,584
73202
$4,584
CT EXT UPPER WWO CONTRAST
Gross
$4,584
73719
$4,484
MRI LOWER EXT W CONTRAST
Gross
$4,484
70491
$4,477
CT SOFT TISSUE NECK W CONTRAST
Gross
$4,477
70543
$4,460
MRI FACE NECK ORB WO THEN W CONT
Gross
$4,460
74183
$4,460
MRI ABDOMEN WO THEN W CONT
Gross
$4,460
Q5122
$4,460
Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML
Gross
$4,460
74176
$4,414
CT ABD PELVIS WO CONTRAST
Gross
$4,414
73201
$4,401
CT EXT UPPER W CONT
Gross
$4,401
73701
$4,401
CT EXT LOWER W CONT
Gross
$4,401
70470
$4,330
CT HEAD WO THEN W CONTRAST
Gross
$4,330
72196
$4,330
MRI PELVIS W CONTRAST
Gross
$4,330
70549
$4,315
MRA NECK WO THEN W CONT
Gross
$4,315
72129
$4,299
CT THORACIC SPINE W CONTRAST
Gross
$4,299
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | Alteplase For Inj 100 MG | $13,496 | $13,496 | — | — | 44 |
| J2353 | Octreotide Acetate For IM Inj Kit 30 MG | $11,016 | $11,016 | — | — | 22 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $10,871 | $10,871 | — | — | 44 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $8,783 | $8,783 | — | — | 22 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $8,279 | $8,279 | — | — | 22 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $6,375 | $6,375 | — | — | 22 |
| J1569 | PF J1569 INJ GAMMAGARD LIQUID 500 MG | $6,125 | $6,125 | — | — | 22 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $5,517 | $5,517 | — | — | 22 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $5,500 | $5,500 | — | — | 22 |
| J3111 | Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML | $5,422 | $5,422 | — | — | 44 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,296 | $5,296 | — | — | 22 |
| 72127 | CT CERV SPINE WO THEN W CONT | $5,262 | $5,262 | — | — | 22 |
| 72126 | CT CERVICAL SPINE W CONTRAST | $5,054 | $5,054 | — | — | 22 |
| 71275 | CTA CHEST WCONT +WO IF PERF | $4,821 | $4,821 | — | — | 22 |
| 71270 | CT THORAX DIAGNOSTIC WO THEN W CONTRAST | $4,781 | $4,781 | — | — | 22 |
| 72156 | MRI C SPINE WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| 72157 | MRI T SPINE WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| 72158 | MRI L SPINE WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $4,780 | $4,780 | — | — | 22 |
| J1437 | Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq) | $4,714 | $4,714 | — | — | 22 |
| 72142 | MRI C SPINE W CONTRAST | $4,709 | $4,709 | — | — | 22 |
| 72147 | MRI T SPINE W CONTRAST | $4,709 | $4,709 | — | — | 22 |
| 72149 | MRI L SPINE W CONTRAST | $4,709 | $4,709 | — | — | 22 |
| 73221 | MRI UPPER EXT JT WO CONTRAST | $4,678 | $4,678 | — | — | 22 |
| 73721 | MRI LOWER EXT JT WO CONTRAST | $4,678 | $4,678 | — | — | 22 |
| Q5120 | Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML | $4,624 | $4,624 | — | — | 22 |
| 71260 | CT THORAX DIAGNOSTIC WITH CONTRAST | $4,591 | $4,591 | — | — | 22 |
| 70492 | CT SFT TISUE NECK WWO THEN W | $4,587 | $4,587 | — | — | 22 |
| 72141 | MRI C SPINE WO CONTRAST | $4,584 | $4,584 | — | — | 22 |
| 72146 | MRI T SPINE WO CONTRAST | $4,584 | $4,584 | — | — | 22 |
| 72148 | MRI L SPINE WO CONTRAST | $4,584 | $4,584 | — | — | 22 |
| 73218 | MRI UP EXT WO CONT | $4,584 | $4,584 | — | — | 22 |
| 73718 | MRI LOWER EXT WO CONTRAST | $4,584 | $4,584 | — | — | 22 |
| 73702 | CT EXT LOWER WO THEN W CONT | $4,584 | $4,584 | — | — | 22 |
| 73202 | CT EXT UPPER WWO CONTRAST | $4,584 | $4,584 | — | — | 22 |
| 73719 | MRI LOWER EXT W CONTRAST | $4,484 | $4,484 | — | — | 22 |
| 70491 | CT SOFT TISSUE NECK W CONTRAST | $4,477 | $4,477 | — | — | 22 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $4,460 | $4,460 | — | — | 22 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,460 | $4,460 | — | — | 22 |
| Q5122 | Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML | $4,460 | $4,460 | — | — | 22 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,414 | $4,414 | — | — | 22 |
| 73201 | CT EXT UPPER W CONT | $4,401 | $4,401 | — | — | 22 |
| 73701 | CT EXT LOWER W CONT | $4,401 | $4,401 | — | — | 22 |
| 70470 | CT HEAD WO THEN W CONTRAST | $4,330 | $4,330 | — | — | 22 |
| 72196 | MRI PELVIS W CONTRAST | $4,330 | $4,330 | — | — | 22 |
| 70549 | MRA NECK WO THEN W CONT | $4,315 | $4,315 | — | — | 22 |
| 72129 | CT THORACIC SPINE W CONTRAST | $4,299 | $4,299 | — | — | 22 |
Showing top 50 of 1,543 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.