45 CFR § 180 compliance
D · 65
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
1,886
Insurances with rates
2
CPT / HCPCS codes
567
Source MRF
Most expensive procedures (gross)
143134
$15,175
Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML
Gross
$18,968
133089
$6,991
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,738
4903770
$6,800
HC ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN
Gross
$8,500
28530
$6,198
Tenecteplase For IV Soln Kit 50 MG
Gross
$7,748
600948
$6,198
Tenecteplase For IV Soln Kit 50 MG
Gross
$7,748
111243
$4,950
Immune Globulin (Human) IV Soln 30 GM/300ML
Gross
$6,188
4903450
$4,944
HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN
Gross
$6,180
4901242
$4,944
HC ENDOVENOUS RF,1ST VEIN
Gross
$6,180
600825
$4,936
Alteplase For Inj 50 MG
Gross
$6,170
600826
$4,936
Alteplase For Inj 50 MG
Gross
$6,170
45388
$3,782
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
Gross
$4,728
145650
$3,707
Mepolizumab Subcutaneous Solution Pref Syringe 100 MG/ML
Gross
$4,634
6100008
$3,617
HC MRA NECK W/WO DYE
Gross
$4,521
4903775
$3,400
HC ENDOVEN ABLITI THER CHEM ADHESIVE SBSQ VEIN
Gross
$4,250
149123
$3,358
Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq)
Gross
$4,198
4900125
$3,331
HC LAYR CLOS WND TRUNK,ARM,LEG >30CM
Gross
$4,164
111097
$3,310
Immune Globulin (Human) IV Soln 20 GM/200ML
Gross
$4,137
4901307
$2,855
HC TEMPORAL ARTERY PROCEDURE
Gross
$3,569
4902144
$2,855
HC REMOVE ANAL TAG
Gross
$3,569
6100029
$2,855
HC MRI LOWER EXT JOINT W/WO DYE
Gross
$3,569
149939
$2,756
Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML
Gross
$3,445
4901319
$2,665
HC BONE MARROW BIOPSY
Gross
$3,331
109717
$2,623
Denosumab Inj 120 MG/1.7ML
Gross
$3,278
54065
$2,539
PR DSTRJ LESION PENIS EXTENSIVE
Gross
$3,174
4900131
$2,538
HC LAYR CLOS WND REST BODY >30CM
Gross
$3,173
4903451
$2,472
HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS
Gross
$3,090
4901243
$2,472
HC ENDOVENOUS RF,VEIN ADD-ON
Gross
$3,090
6100007
$2,472
HC MRA NECK W/DYE
Gross
$3,090
6100019
$2,472
HC MRI-UPPER EXT W/WO DYE
Gross
$3,090
6100022
$2,472
HC MRI UPPER EXT JOINT W/WO DYE
Gross
$3,090
137602
$2,417
Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion)
Gross
$3,021
7500004
$2,380
HC UPPER GI SCOPE DILATE STRICTURE
Gross
$2,975
7500007
$2,380
HC UPPER GI BALLOON DILATION
Gross
$2,975
7500008
$2,380
HC UPPER GI ENDOSCOPY,TUMOR
Gross
$2,975
7500010
$2,380
HC UPPER GI ENDOSCOPY,CTRL BLEED
Gross
$2,975
4902622
$2,380
HC EGD LESION ABLATION
Gross
$2,975
6100003
$2,380
HC MRA HEAD W/O DYE
Gross
$2,975
6100006
$2,380
HC MRA NECK W/O DYE
Gross
$2,975
6100032
$2,320
HC MRI ABDOMEN W/DYE
Gross
$2,900
3520038
$2,307
HC CTA ABDOMEN/PELVIS W/CONTRAST
Gross
$2,884
144893
$1,934
Denosumab Inj Soln Prefilled Syringe 60 MG/ML
Gross
$2,417
4900462
$1,903
HC CLOSED RX SHLDR DISLOC,ANESTHESIA
Gross
$2,379
27752
$1,903
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
Gross
$2,379
5420005
$1,882
HC ALS 2
Gross
$2,353
4900314
$1,813
HC REMOVAL OF FOREIGN BODY
Gross
$2,266
76527
$1,771
Naltrexone For IM Extended Release Susp 380 MG
Gross
$2,214
142968
$1,731
Pegfilgrastim-jmdb Soln Prefilled Syringe 6 MG/0.6ML
Gross
$2,163
1210000
$1,728
HC ROOM & NURSING SP
Gross
$2,160
7500032
$1,713
HC COLONOSCOPY W/FB REMOVAL
Gross
$2,141
7500033
$1,713
HC COLONOSCOPY W/BIOPSY(S)
Gross
$2,141
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 143134 | Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML | $18,968 | $15,175 | — | — | 0 |
| 133089 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $8,738 | $6,991 | — | — | 0 |
| 4903770 | HC ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN | $8,500 | $6,800 | — | — | 0 |
| 28530 | Tenecteplase For IV Soln Kit 50 MG | $7,748 | $6,198 | — | — | 0 |
| 600948 | Tenecteplase For IV Soln Kit 50 MG | $7,748 | $6,198 | — | — | 0 |
| 111243 | Immune Globulin (Human) IV Soln 30 GM/300ML | $6,188 | $4,950 | — | — | 0 |
| 4903450 | HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN | $6,180 | $4,944 | — | — | 0 |
| 4901242 | HC ENDOVENOUS RF,1ST VEIN | $6,180 | $4,944 | — | — | 0 |
| 600825 | Alteplase For Inj 50 MG | $6,170 | $4,936 | — | — | 0 |
| 600826 | Alteplase For Inj 50 MG | $6,170 | $4,936 | — | — | 0 |
| 45388 | PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES | $4,728 | $3,782 | — | — | 0 |
| 145650 | Mepolizumab Subcutaneous Solution Pref Syringe 100 MG/ML | $4,634 | $3,707 | — | — | 0 |
| 6100008 | HC MRA NECK W/WO DYE | $4,521 | $3,617 | — | — | 0 |
| 4903775 | HC ENDOVEN ABLITI THER CHEM ADHESIVE SBSQ VEIN | $4,250 | $3,400 | — | — | 0 |
| 149123 | Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq) | $4,198 | $3,358 | — | — | 0 |
| 4900125 | HC LAYR CLOS WND TRUNK,ARM,LEG >30CM | $4,164 | $3,331 | — | — | 0 |
| 111097 | Immune Globulin (Human) IV Soln 20 GM/200ML | $4,137 | $3,310 | — | — | 0 |
| 4901307 | HC TEMPORAL ARTERY PROCEDURE | $3,569 | $2,855 | — | — | 0 |
| 4902144 | HC REMOVE ANAL TAG | $3,569 | $2,855 | — | — | 0 |
| 6100029 | HC MRI LOWER EXT JOINT W/WO DYE | $3,569 | $2,855 | — | — | 0 |
| 149939 | Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML | $3,445 | $2,756 | — | — | 0 |
| 4901319 | HC BONE MARROW BIOPSY | $3,331 | $2,665 | — | — | 0 |
| 109717 | Denosumab Inj 120 MG/1.7ML | $3,278 | $2,623 | — | — | 0 |
| 54065 | PR DSTRJ LESION PENIS EXTENSIVE | $3,174 | $2,539 | — | — | 0 |
| 4900131 | HC LAYR CLOS WND REST BODY >30CM | $3,173 | $2,538 | — | — | 0 |
| 4903451 | HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS | $3,090 | $2,472 | — | — | 0 |
| 4901243 | HC ENDOVENOUS RF,VEIN ADD-ON | $3,090 | $2,472 | — | — | 0 |
| 6100007 | HC MRA NECK W/DYE | $3,090 | $2,472 | — | — | 0 |
| 6100019 | HC MRI-UPPER EXT W/WO DYE | $3,090 | $2,472 | — | — | 0 |
| 6100022 | HC MRI UPPER EXT JOINT W/WO DYE | $3,090 | $2,472 | — | — | 0 |
| 137602 | Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion) | $3,021 | $2,417 | — | — | 0 |
| 7500004 | HC UPPER GI SCOPE DILATE STRICTURE | $2,975 | $2,380 | — | — | 0 |
| 7500007 | HC UPPER GI BALLOON DILATION | $2,975 | $2,380 | — | — | 0 |
| 7500008 | HC UPPER GI ENDOSCOPY,TUMOR | $2,975 | $2,380 | — | — | 0 |
| 7500010 | HC UPPER GI ENDOSCOPY,CTRL BLEED | $2,975 | $2,380 | — | — | 0 |
| 4902622 | HC EGD LESION ABLATION | $2,975 | $2,380 | — | — | 0 |
| 6100003 | HC MRA HEAD W/O DYE | $2,975 | $2,380 | — | — | 0 |
| 6100006 | HC MRA NECK W/O DYE | $2,975 | $2,380 | — | — | 0 |
| 6100032 | HC MRI ABDOMEN W/DYE | $2,900 | $2,320 | — | — | 0 |
| 3520038 | HC CTA ABDOMEN/PELVIS W/CONTRAST | $2,884 | $2,307 | — | — | 0 |
| 144893 | Denosumab Inj Soln Prefilled Syringe 60 MG/ML | $2,417 | $1,934 | — | — | 0 |
| 4900462 | HC CLOSED RX SHLDR DISLOC,ANESTHESIA | $2,379 | $1,903 | — | — | 0 |
| 27752 | PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ | $2,379 | $1,903 | — | — | 0 |
| 5420005 | HC ALS 2 | $2,353 | $1,882 | — | — | 0 |
| 4900314 | HC REMOVAL OF FOREIGN BODY | $2,266 | $1,813 | — | — | 0 |
| 76527 | Naltrexone For IM Extended Release Susp 380 MG | $2,214 | $1,771 | — | — | 0 |
| 142968 | Pegfilgrastim-jmdb Soln Prefilled Syringe 6 MG/0.6ML | $2,163 | $1,731 | — | — | 0 |
| 1210000 | HC ROOM & NURSING SP | $2,160 | $1,728 | — | — | 2 |
| 7500032 | HC COLONOSCOPY W/FB REMOVAL | $2,141 | $1,713 | — | — | 0 |
| 7500033 | HC COLONOSCOPY W/BIOPSY(S) | $2,141 | $1,713 | — | — | 0 |
Showing top 50 of 1,886 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.