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
852
Insurances with rates
0
CPT / HCPCS codes
836
Source MRF
Most expensive procedures (gross)
J3101
$14,463
TENECTEPLASE INJ KIT [50 MG] (TNKASE)
Gross
$19,284
J2997
$13,154
ACTIVASE IV POWDER FOR SOLUTION 100MG
Gross
$17,539
64635
$4,035
DESTRUCT PARAVERT FACET L/S
Gross
$5,380
120
$3,332
SWING BED ROOM ISOLATION
Gross
$4,443
11643
$3,293
EXCISION OF MALIGNANT LESION FACILITY
Gross
$4,390
11443
$3,293
PHYS EXCISION/BENIGN LESION 2.1 TO 3.0CM
Gross
$4,390
11623
$3,293
PHYS EXC MALIG LESION 2.1-3.0CMS/N/H/F/G
Gross
$4,390
11644
$3,293
PHYS EXCISION MALIGNANT LES 3.1 TO 4.0CM
Gross
$4,390
11404
$3,293
EXCISION B9 LESION 3.1-4.0CM
Gross
$4,390
10140
$3,293
DRAINAGE OF HEMATOMA/FLUID
Gross
$4,390
10121
$3,225
REMOVE FOREIGN BODY COMP
Gross
$4,300
46320
$2,410
EXC THROMBOSED HEMORRHOID XTRNL
Gross
$3,213
81432
$2,235
HEREDITARY TESTING/BREAST CA
Gross
$2,980
74178
$2,198
CT ABD PELVIS W/WO CONTRAST,Technical Compoent
Gross
$2,930
99291
$2,162
CRITICAL CARE ER
Gross
$2,882
64483
$1,949
EPIDURAL INJECTION L/S
Gross
$2,598
64493
$1,949
INJ PARAVERTEBRAL L/S 1ST LEVEL
Gross
$2,598
81435
$1,926
HEREDITARY TESTING/COLON CA
Gross
$2,568
88184
$1,650
FLOWCYTOMETRY LEUKEMIA/LYMPHOMA EVAL
Gross
$2,200
J3262
$1,638
ACTEMRA 162MG/0.9ML
Gross
$2,184
J0248
$1,560
REMDESIVIR (Remdesivir) 100 MG/100 ML NS
Gross
$2,080
G0260
$1,500
INJ SACROILIAC JNT ANESTH
Gross
$2,000
11403
$1,464
EXCISION BENIGN LESION FACILITY
Gross
$1,952
11402
$1,463
EXCISION LESION B9 TRUNK 1.1 - 2.0CM
Gross
$1,950
11442
$1,463
PHYS EXC B9 LESION 1.1-2.0CM
Gross
$1,950
11622
$1,463
EXCISION MALIGNANT LESION 1.1 - 2.0CM
Gross
$1,950
11440
$1,463
EXCISION BENIGN LESION FACE 0.5CM <
Gross
$1,950
81437
$1,444
HEREDITARY TESTING/NEUROENDOCRINE TUMOR
Gross
$1,925
87633
$1,426
RP 2
Gross
$1,901
74170
$1,418
CT ABDOMEN WITH/WITHOUT CONTRAST,Technical Compoent
Gross
$1,890
74177
$1,418
CT ABD PELVIS WITH CONTRAST,Technical Compoent
Gross
$1,890
71270
$1,388
CT CHEST W/WO CONTRAST,Technical Compoent
Gross
$1,850
72194
$1,388
CT PELVIS WITH/WITHOUT CONTRAST,Technical Compoent
Gross
$1,850
71275
$1,388
CT CHEST PE STUDY,Technical Compoent
Gross
$1,850
74175
$1,388
CT CTA ABD,Technical Compoent
Gross
$1,850
70498
$1,350
CTA NECK CAROTIDS,Technical Compoent
Gross
$1,800
70470
$1,331
CT HEAD WITH/WITHOUT CONTRAST,Technical Compoent
Gross
$1,775
99285
$1,286
ER-LEVEL 5
Gross
$1,715
70492
$1,268
CT NECK ST W/WO CONTRAST,Technical Compoent
Gross
$1,690
73202
$1,260
CT UPP EXT W/WO CONTRAST LT,Technical Compoent
Gross
$1,680
73702
$1,253
CT LOW EXT W/WO CONTRAST LT
Gross
$1,670
74176
$1,200
CT ABD PELVIS W/O CONTRAST,Technical Compoent
Gross
$1,600
P9035
$1,199
PLATELETS PER UNIT
Gross
$1,598
71260
$1,196
CT CHEST WITH CONTRAST,Technical Compoent
Gross
$1,595
93304
$1,156
US ECHO-LIMITED,Technical Compoent
Gross
$1,541
87506
$1,129
GI PANEL
Gross
$1,505
70491
$1,125
CT NECK ST WITH CONTRAST,Technical Compoent
Gross
$1,500
74160
$1,125
CT ABDOMEN WITH CONTRAST,Technical Compoent
Gross
$1,500
93306
$1,110
US ECHO DOP & CLR FLO MM,Technical Compoent
Gross
$1,480
72193
$1,073
CT PELVIS WITH CONTRAST,Technical Compoent
Gross
$1,430
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TENECTEPLASE INJ KIT [50 MG] (TNKASE) | $19,284 | $14,463 | — | — | 0 |
| J2997 | ACTIVASE IV POWDER FOR SOLUTION 100MG | $17,539 | $13,154 | — | — | 0 |
| 64635 | DESTRUCT PARAVERT FACET L/S | $5,380 | $4,035 | — | — | 0 |
| 120 | SWING BED ROOM ISOLATION | $4,443 | $3,332 | — | — | 0 |
| 11643 | EXCISION OF MALIGNANT LESION FACILITY | $4,390 | $3,293 | — | — | 0 |
| 11443 | PHYS EXCISION/BENIGN LESION 2.1 TO 3.0CM | $4,390 | $3,293 | — | — | 0 |
| 11623 | PHYS EXC MALIG LESION 2.1-3.0CMS/N/H/F/G | $4,390 | $3,293 | — | — | 0 |
| 11644 | PHYS EXCISION MALIGNANT LES 3.1 TO 4.0CM | $4,390 | $3,293 | — | — | 0 |
| 11404 | EXCISION B9 LESION 3.1-4.0CM | $4,390 | $3,293 | — | — | 0 |
| 10140 | DRAINAGE OF HEMATOMA/FLUID | $4,390 | $3,293 | — | — | 0 |
| 10121 | REMOVE FOREIGN BODY COMP | $4,300 | $3,225 | — | — | 0 |
| 46320 | EXC THROMBOSED HEMORRHOID XTRNL | $3,213 | $2,410 | — | — | 0 |
| 81432 | HEREDITARY TESTING/BREAST CA | $2,980 | $2,235 | — | — | 0 |
| 74178 | CT ABD PELVIS W/WO CONTRAST,Technical Compoent | $2,930 | $2,198 | — | — | 0 |
| 99291 | CRITICAL CARE ER | $2,882 | $2,162 | — | — | 0 |
| 64483 | EPIDURAL INJECTION L/S | $2,598 | $1,949 | — | — | 0 |
| 64493 | INJ PARAVERTEBRAL L/S 1ST LEVEL | $2,598 | $1,949 | — | — | 0 |
| 81435 | HEREDITARY TESTING/COLON CA | $2,568 | $1,926 | — | — | 0 |
| 88184 | FLOWCYTOMETRY LEUKEMIA/LYMPHOMA EVAL | $2,200 | $1,650 | — | — | 0 |
| J3262 | ACTEMRA 162MG/0.9ML | $2,184 | $1,638 | — | — | 0 |
| J0248 | REMDESIVIR (Remdesivir) 100 MG/100 ML NS | $2,080 | $1,560 | — | — | 0 |
| G0260 | INJ SACROILIAC JNT ANESTH | $2,000 | $1,500 | — | — | 0 |
| 11403 | EXCISION BENIGN LESION FACILITY | $1,952 | $1,464 | — | — | 0 |
| 11402 | EXCISION LESION B9 TRUNK 1.1 - 2.0CM | $1,950 | $1,463 | — | — | 0 |
| 11442 | PHYS EXC B9 LESION 1.1-2.0CM | $1,950 | $1,463 | — | — | 0 |
| 11622 | EXCISION MALIGNANT LESION 1.1 - 2.0CM | $1,950 | $1,463 | — | — | 0 |
| 11440 | EXCISION BENIGN LESION FACE 0.5CM < | $1,950 | $1,463 | — | — | 0 |
| 81437 | HEREDITARY TESTING/NEUROENDOCRINE TUMOR | $1,925 | $1,444 | — | — | 0 |
| 87633 | RP 2 | $1,901 | $1,426 | — | — | 0 |
| 74170 | CT ABDOMEN WITH/WITHOUT CONTRAST,Technical Compoent | $1,890 | $1,418 | — | — | 0 |
| 74177 | CT ABD PELVIS WITH CONTRAST,Technical Compoent | $1,890 | $1,418 | — | — | 0 |
| 71270 | CT CHEST W/WO CONTRAST,Technical Compoent | $1,850 | $1,388 | — | — | 0 |
| 72194 | CT PELVIS WITH/WITHOUT CONTRAST,Technical Compoent | $1,850 | $1,388 | — | — | 0 |
| 71275 | CT CHEST PE STUDY,Technical Compoent | $1,850 | $1,388 | — | — | 0 |
| 74175 | CT CTA ABD,Technical Compoent | $1,850 | $1,388 | — | — | 0 |
| 70498 | CTA NECK CAROTIDS,Technical Compoent | $1,800 | $1,350 | — | — | 0 |
| 70470 | CT HEAD WITH/WITHOUT CONTRAST,Technical Compoent | $1,775 | $1,331 | — | — | 0 |
| 99285 | ER-LEVEL 5 | $1,715 | $1,286 | — | — | 0 |
| 70492 | CT NECK ST W/WO CONTRAST,Technical Compoent | $1,690 | $1,268 | — | — | 0 |
| 73202 | CT UPP EXT W/WO CONTRAST LT,Technical Compoent | $1,680 | $1,260 | — | — | 0 |
| 73702 | CT LOW EXT W/WO CONTRAST LT | $1,670 | $1,253 | — | — | 0 |
| 74176 | CT ABD PELVIS W/O CONTRAST,Technical Compoent | $1,600 | $1,200 | — | — | 0 |
| P9035 | PLATELETS PER UNIT | $1,598 | $1,199 | — | — | 0 |
| 71260 | CT CHEST WITH CONTRAST,Technical Compoent | $1,595 | $1,196 | — | — | 0 |
| 93304 | US ECHO-LIMITED,Technical Compoent | $1,541 | $1,156 | — | — | 0 |
| 87506 | GI PANEL | $1,505 | $1,129 | — | — | 0 |
| 70491 | CT NECK ST WITH CONTRAST,Technical Compoent | $1,500 | $1,125 | — | — | 0 |
| 74160 | CT ABDOMEN WITH CONTRAST,Technical Compoent | $1,500 | $1,125 | — | — | 0 |
| 93306 | US ECHO DOP & CLR FLO MM,Technical Compoent | $1,480 | $1,110 | — | — | 0 |
| 72193 | CT PELVIS WITH CONTRAST,Technical Compoent | $1,430 | $1,073 | — | — | 0 |
Showing top 50 of 852 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.