45 CFR § 180 compliance
B · 80
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
1,323
Insurances with rates
0
CPT / HCPCS codes
580
Source MRF
Most expensive procedures (gross)
J3101
$13,791
Tenecteplase For IV Soln Kit 50 MG
Gross
$17,239
J1568
$5,471
Immune Globulin (Human) IV Soln 10 GM/100ML
Gross
$6,839
J2505
$5,079
PR INJECTION, PEGFILGRASTIM 6MG
Gross
$6,349
J0840
$4,605
Crotalidae Polyvalent Immune Fab (Ovine) For IV Infusion
Gross
$5,756
J1439
$3,610
Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent)
Gross
$4,513
J2357
$3,575
Omalizumab For Inj 150 MG
Gross
$4,469
J0885
$3,387
Epoetin Alfa Inj 40000 Unit/ML
Gross
$4,233
960
$2,861
EXC SKIN SUBQ TISSUE
Gross
$3,576
361
$2,163
APP SKIN SUB HIGH T/A/L <100CM 1ST 25CM
Gross
$2,704
J7307
$2,160
PR ETONOGESTREL IMPL SYS INCL IMPL&SPL
Gross
$2,700
J1442
$1,995
Filgrastim Inj 300 MCG/ML
Gross
$2,493
J1670
$1,763
Tetanus Immune Globulin (Human) Inj 250 Unit/ML
Gross
$2,203
618
$1,639
MRI MRA ABD W/O FOL W/CONTRAST
Gross
$2,049
740
$1,530
POLYSOMN 4 OR MORE >=6YRS
Gross
$1,913
J3262
$1,461
Tocilizumab IV Inj 80 MG/4ML,Tocilizumab IV Inj 200 MG/10ML,Tocilizumab IV Inj 400 MG/20ML
Gross
$1,826
Ipratropium-Albuterol Inhal Aerosol Soln 20-100
$1,351
Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT
Gross
$1,689
483
$1,310
TTE 2D WO CON W DOPPLER AND COLOR CMPL
Gross
$1,638
610
$1,151
MRI LOWER EXT NON JOINT WITH CONTRAST
Gross
$1,439
615
$1,060
MRA ANGIO HEAD NON CONTRAST
Gross
$1,325
611
$1,060
MRI BRAIN NON CONTRAST
Gross
$1,325
612
$1,060
MRI SPINE CERVICAL NON CONTRAST
Gross
$1,325
352
$1,012
CT ABDOMEN PELVIS WWO CONTRAST
Gross
$1,265
23655
$976
PR CLOSED RX SHLDR DISLOC,ANESTHESIA
Gross
$1,220
J0712
$959
Ceftaroline Fosamil for IV Soln 400 MG
Gross
$1,198
J3489
$950
Zoledronic Acid IV Soln 5 MG/100ML
Gross
$1,188
J0878
$878
Daptomycin For IV Soln 350 MG
Gross
$1,097
26350
$851
PR FIX FLEX TENDON,FINGER/HAND,EACH
Gross
$1,064
200
$832
RB ICU MEDICAL
Gross
$1,040
99306
$814
PR NURSING FACILITY CARE INIT, HIGH COMLEXITY
Gross
$1,018
164
$810
MED/SURG UNIT-ISOLATION MED/JUSTI
Gross
$1,012
28820
$790
PR AMPUTATION TOE,MT-P JT
Gross
$988
Collagenase Oint 250 Unit/GM
$788
Collagenase Oint 250 Unit/GM
Gross
$985
350
$788
CT ANGIO CHEST W/WO CONTRAST
Gross
$985
27372
$786
PR REMV FOREIGN BODY,KNEE/THIGH,DEEP
Gross
$982
13121
$775
PR REPR CMPL WND SCALP,EXTR 2.6-7.5
Gross
$969
15822
$773
PR REVISION OF UPPER EYELID
Gross
$966
25605
$747
PR CLOSED RX DIST RAD/ULNA FX,MANIPUL
Gross
$934
13131
$746
PR REPR CMPL WND HEAD,FAC,HAND 1.1-2.5
Gross
$933
390
$734
RBC LR IRRAD
Gross
$918
23600
$703
PR CLOSED RX PROX HUMERUS FRACTURE
Gross
$879
26115
$692
PR EXC HAND LES SC < 1.5 CM
Gross
$865
24301
$689
PR MUSC/TENDON XFER,ARM/ELBOW,SINGLE
Gross
$861
27752
$684
PR CLOSED RX TIBIA SHAFT FX,MANIPULATN
Gross
$855
13132
$683
PR REPR CMPL WND HEAD,FAC,HAND 2.6-7.5
Gross
$854
26410
$680
PR FIX EXTEN TENDON,DORSUM HAND,EA
Gross
$850
13152
$678
PR REPR CMPL WND LID,NOS,EAR 2.5-7.5
Gross
$847
26160
$670
PR EXCIS TENDON SHEATH LESN,HAND/FINGR
Gross
$837
11606
$666
PR EXC SKIN MALIG >4CM TRUNK,ARM,LEG
Gross
$833
26770
$666
PR CLOSED RX IP JT DISLOCATION
Gross
$832
25565
$661
PR CLOSED RX RAD/ULNA SHAFT FX,MANIP
Gross
$826
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $17,239 | $13,791 | $11,205 | $16,808 | 0 |
| J1568 | Immune Globulin (Human) IV Soln 10 GM/100ML | $6,839 | $5,471 | $4,445 | $6,668 | 0 |
| J2505 | PR INJECTION, PEGFILGRASTIM 6MG | $6,349 | $5,079 | $3,607 | $4,643 | 0 |
| J0840 | Crotalidae Polyvalent Immune Fab (Ovine) For IV Infusion | $5,756 | $4,605 | $3,742 | $5,612 | 0 |
| J1439 | Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent) | $4,513 | $3,610 | $2,933 | $4,400 | 0 |
| J2357 | Omalizumab For Inj 150 MG | $4,469 | $3,575 | $2,905 | $4,357 | 0 |
| J0885 | Epoetin Alfa Inj 40000 Unit/ML | $4,233 | $3,387 | $2,752 | $4,127 | 0 |
| 960 | EXC SKIN SUBQ TISSUE | $3,576 | $2,861 | $1,159 | $1,504 | 0 |
| 361 | APP SKIN SUB HIGH T/A/L <100CM 1ST 25CM | $2,704 | $2,163 | $1,758 | $2,636 | 0 |
| J7307 | PR ETONOGESTREL IMPL SYS INCL IMPL&SPL | $2,700 | $2,160 | $0 | $0 | 0 |
| J1442 | Filgrastim Inj 300 MCG/ML | $2,493 | $1,995 | $1,621 | $2,431 | 0 |
| J1670 | Tetanus Immune Globulin (Human) Inj 250 Unit/ML | $2,203 | $1,763 | $1,432 | $2,148 | 0 |
| 618 | MRI MRA ABD W/O FOL W/CONTRAST | $2,049 | $1,639 | $1,332 | $1,998 | 0 |
| 740 | POLYSOMN 4 OR MORE >=6YRS | $1,913 | $1,530 | $1,243 | $1,865 | 0 |
| J3262 | Tocilizumab IV Inj 80 MG/4ML,Tocilizumab IV Inj 200 MG/10ML,Tocilizumab IV Inj 400 MG/20ML | $1,826 | $1,461 | $1,187 | $1,781 | 0 |
| Ipratropium-Albuterol Inhal Aerosol Soln 20-100 | Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT | $1,689 | $1,351 | $1,098 | $1,647 | 0 |
| 483 | TTE 2D WO CON W DOPPLER AND COLOR CMPL | $1,638 | $1,310 | $1,065 | $1,597 | 0 |
| 610 | MRI LOWER EXT NON JOINT WITH CONTRAST | $1,439 | $1,151 | $410 | $1,403 | 0 |
| 615 | MRA ANGIO HEAD NON CONTRAST | $1,325 | $1,060 | $410 | $1,292 | 0 |
| 611 | MRI BRAIN NON CONTRAST | $1,325 | $1,060 | $410 | $1,292 | 0 |
| 612 | MRI SPINE CERVICAL NON CONTRAST | $1,325 | $1,060 | $410 | $1,292 | 0 |
| 352 | CT ABDOMEN PELVIS WWO CONTRAST | $1,265 | $1,012 | $300 | $1,233 | 0 |
| 23655 | PR CLOSED RX SHLDR DISLOC,ANESTHESIA | $1,220 | $976 | $391 | $509 | 0 |
| J0712 | Ceftaroline Fosamil for IV Soln 400 MG | $1,198 | $959 | $779 | $1,168 | 0 |
| J3489 | Zoledronic Acid IV Soln 5 MG/100ML | $1,188 | $950 | $772 | $1,158 | 0 |
| J0878 | Daptomycin For IV Soln 350 MG | $1,097 | $878 | $713 | $1,069 | 0 |
| 26350 | PR FIX FLEX TENDON,FINGER/HAND,EACH | $1,064 | $851 | $672 | $897 | 0 |
| 200 | RB ICU MEDICAL | $1,040 | $832 | $780 | $780 | 0 |
| 99306 | PR NURSING FACILITY CARE INIT, HIGH COMLEXITY | $1,018 | $814 | $165 | $214 | 0 |
| 164 | MED/SURG UNIT-ISOLATION MED/JUSTI | $1,012 | $810 | $759 | $759 | 0 |
| 28820 | PR AMPUTATION TOE,MT-P JT | $988 | $790 | $389 | $512 | 0 |
| Collagenase Oint 250 Unit/GM | Collagenase Oint 250 Unit/GM | $985 | $788 | $640 | $961 | 0 |
| 350 | CT ANGIO CHEST W/WO CONTRAST | $985 | $788 | $300 | $960 | 0 |
| 27372 | PR REMV FOREIGN BODY,KNEE/THIGH,DEEP | $982 | $786 | $395 | $515 | 0 |
| 13121 | PR REPR CMPL WND SCALP,EXTR 2.6-7.5 | $969 | $775 | $259 | $343 | 0 |
| 15822 | PR REVISION OF UPPER EYELID | $966 | $773 | $377 | $491 | 0 |
| 25605 | PR CLOSED RX DIST RAD/ULNA FX,MANIPUL | $934 | $747 | $499 | $648 | 0 |
| 13131 | PR REPR CMPL WND HEAD,FAC,HAND 1.1-2.5 | $933 | $746 | $243 | $322 | 0 |
| 390 | RBC LR IRRAD | $918 | $734 | $597 | $895 | 0 |
| 23600 | PR CLOSED RX PROX HUMERUS FRACTURE | $879 | $703 | $295 | $386 | 0 |
| 26115 | PR EXC HAND LES SC < 1.5 CM | $865 | $692 | $323 | $420 | 0 |
| 24301 | PR MUSC/TENDON XFER,ARM/ELBOW,SINGLE | $861 | $689 | $736 | $955 | 0 |
| 27752 | PR CLOSED RX TIBIA SHAFT FX,MANIPULATN | $855 | $684 | $484 | $630 | 0 |
| 13132 | PR REPR CMPL WND HEAD,FAC,HAND 2.6-7.5 | $854 | $683 | $304 | $404 | 0 |
| 26410 | PR FIX EXTEN TENDON,DORSUM HAND,EA | $850 | $680 | $532 | $713 | 0 |
| 13152 | PR REPR CMPL WND LID,NOS,EAR 2.5-7.5 | $847 | $678 | $336 | $447 | 0 |
| 26160 | PR EXCIS TENDON SHEATH LESN,HAND/FINGR | $837 | $670 | $306 | $418 | 0 |
| 11606 | PR EXC SKIN MALIG >4CM TRUNK,ARM,LEG | $833 | $666 | $316 | $412 | 0 |
| 26770 | PR CLOSED RX IP JT DISLOCATION | $832 | $666 | $247 | $324 | 0 |
| 25565 | PR CLOSED RX RAD/ULNA SHAFT FX,MANIP | $826 | $661 | $456 | $595 | 0 |
Showing top 50 of 1,323 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.