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
1,429
Insurances with rates
9
CPT / HCPCS codes
1,404
Source MRF
Most expensive procedures (gross)
J3357
$36,009
Ustekinumab Soln Prefilled Syringe 90 MG/ML
Gross
$45,012
J1930
$12,807
Lanreotide Acetate Extended Release Inj 120 MG/0.5ML
Gross
$16,009
J3101
$8,649
Tenecteplase For IV Soln Kit 50 MG
Gross
$10,811
J2506
$7,933
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$9,917
J0517
$7,828
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$9,785
J2353
$7,045
Octreotide Acetate For IM Inj Kit 30 MG
Gross
$8,806
36561
$6,914
SURG 36561 INS TUN CVA WPORT
Gross
$8,643
Q5127
$6,616
Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,270
Q5123
$5,579
Rituximab-arrx IV Soln 500 MG/50ML (10 MG/ML)
Gross
$6,974
Q5111
$5,519
Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML
Gross
$6,899
74178
$5,310
CT ABD PELVIS WO THEN W CONT
Gross
$6,638
J2182
$4,851
Mepolizumab For Inj 100 MG
Gross
$6,064
78452
$4,746
NM MYOCARDIAL SPECT MULT STDY
Gross
$5,933
95811
$4,730
SLEEP STUDY SPLT NGHT 95811
Gross
$5,912
72156
$4,723
MRI C SPINE WO THEN W CONT
Gross
$5,904
74177
$4,703
CT ABD PELVIS W CONTRAST
Gross
$5,879
70543
$4,657
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,821
70553
$4,516
MRI BRAIN WO THEN W CONT
Gross
$5,645
J1162
$4,439
Digoxin Immune Fab For Inj 40 MG
Gross
$5,548
72158
$4,430
MRI L SPINE WO THEN W CONT
Gross
$5,538
72157
$4,424
MRI T SPINE WO THEN W CONT
Gross
$5,530
95810
$4,361
PSG 4+ PARAMETERS
Gross
$5,451
74183
$4,211
MRI ABDOMEN WO THEN W CONT
Gross
$5,264
71552
$4,186
MRI CHEST WO THEN W CONT
Gross
$5,232
11606
$4,170
SURG 11606 EXC MALIG LESN INCL MARGINS TRUNK ARMS LEGS EXC DIAM > 4.0 CM
Gross
$5,212
73223
$4,104
MRI UPPER EXT JT WO THEN W CONT
Gross
$5,130
74176
$4,067
CT ABD PELVIS WO CONTRAST
Gross
$5,084
73723
$4,055
MRI LOWER EXT JT WO THEN W CONT
Gross
$5,069
72197
$4,042
MRI PELVIS WO THEN W CONT
Gross
$5,053
72196
$4,011
MRI PELVIS W CONTRAST
Gross
$5,014
73720
$3,926
MRI LOWER EXT WO THEN W CONT
Gross
$4,908
70549
$3,848
MRA NECK WO THEN W CONT
Gross
$4,810
70546
$3,833
MRA HEAD WO THEN W CONT
Gross
$4,791
73220
$3,821
MRI UPPER EXT WO THEN W CONT
Gross
$4,776
70542
$3,799
MRI FACE NECK ORB W CONTRAST
Gross
$4,749
73719
$3,653
MRI LOWER EXT W CONTRAST
Gross
$4,566
73222
$3,598
MRI UP EXT JT WCONT
Gross
$4,497
73219
$3,563
MRI UPPER EXT W CONTRAST
Gross
$4,454
J1561
$3,552
Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML
Gross
$4,439
78451
$3,508
NM MYOCARDIAL SPECT SNGL STDY
Gross
$4,385
J3358
$3,433
Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion)
Gross
$4,291
72147
$3,414
MRI T SPINE W CONTRAST
Gross
$4,268
74182
$3,373
MRI ABDOMEN W CONTRAST
Gross
$4,216
72146
$3,372
MRI T SPINE WO CONTRAST
Gross
$4,215
72142
$3,370
MRI C SPINE W CONTRAST
Gross
$4,212
73722
$3,370
MRI LOWER EXT JT W CONTRAST
Gross
$4,212
72149
$3,362
MRI L SPINE W CONTRAST
Gross
$4,203
Q5120
$3,306
Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML
Gross
$4,132
71551
$3,288
MRI CHEST W CONTRAST
Gross
$4,110
71270
$3,286
CT THORAX DIAGNOSTIC WO THEN W CONTRAST
Gross
$4,108
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3357 | Ustekinumab Soln Prefilled Syringe 90 MG/ML | $45,012 | $36,009 | — | — | 44 |
| J1930 | Lanreotide Acetate Extended Release Inj 120 MG/0.5ML | $16,009 | $12,807 | — | — | 44 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $10,811 | $8,649 | — | — | 88 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $9,917 | $7,933 | — | — | 44 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $9,785 | $7,828 | — | — | 44 |
| J2353 | Octreotide Acetate For IM Inj Kit 30 MG | $8,806 | $7,045 | — | — | 44 |
| 36561 | SURG 36561 INS TUN CVA WPORT | $8,643 | $6,914 | — | — | 44 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,270 | $6,616 | — | — | 44 |
| Q5123 | Rituximab-arrx IV Soln 500 MG/50ML (10 MG/ML) | $6,974 | $5,579 | — | — | 44 |
| Q5111 | Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML | $6,899 | $5,519 | — | — | 44 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $6,638 | $5,310 | — | — | 44 |
| J2182 | Mepolizumab For Inj 100 MG | $6,064 | $4,851 | — | — | 44 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,933 | $4,746 | — | — | 44 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,912 | $4,730 | — | — | 44 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,904 | $4,723 | — | — | 44 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,879 | $4,703 | — | — | 44 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,821 | $4,657 | — | — | 44 |
| 70553 | MRI BRAIN WO THEN W CONT | $5,645 | $4,516 | — | — | 44 |
| J1162 | Digoxin Immune Fab For Inj 40 MG | $5,548 | $4,439 | — | — | 44 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,538 | $4,430 | — | — | 44 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,530 | $4,424 | — | — | 44 |
| 95810 | PSG 4+ PARAMETERS | $5,451 | $4,361 | — | — | 44 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $5,264 | $4,211 | — | — | 44 |
| 71552 | MRI CHEST WO THEN W CONT | $5,232 | $4,186 | — | — | 44 |
| 11606 | SURG 11606 EXC MALIG LESN INCL MARGINS TRUNK ARMS LEGS EXC DIAM > 4.0 CM | $5,212 | $4,170 | — | — | 44 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $5,130 | $4,104 | — | — | 44 |
| 74176 | CT ABD PELVIS WO CONTRAST | $5,084 | $4,067 | — | — | 44 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $5,069 | $4,055 | — | — | 44 |
| 72197 | MRI PELVIS WO THEN W CONT | $5,053 | $4,042 | — | — | 44 |
| 72196 | MRI PELVIS W CONTRAST | $5,014 | $4,011 | — | — | 44 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,908 | $3,926 | — | — | 44 |
| 70549 | MRA NECK WO THEN W CONT | $4,810 | $3,848 | — | — | 44 |
| 70546 | MRA HEAD WO THEN W CONT | $4,791 | $3,833 | — | — | 44 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $4,776 | $3,821 | — | — | 44 |
| 70542 | MRI FACE NECK ORB W CONTRAST | $4,749 | $3,799 | — | — | 44 |
| 73719 | MRI LOWER EXT W CONTRAST | $4,566 | $3,653 | — | — | 44 |
| 73222 | MRI UP EXT JT WCONT | $4,497 | $3,598 | — | — | 44 |
| 73219 | MRI UPPER EXT W CONTRAST | $4,454 | $3,563 | — | — | 44 |
| J1561 | Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML | $4,439 | $3,552 | — | — | 88 |
| 78451 | NM MYOCARDIAL SPECT SNGL STDY | $4,385 | $3,508 | — | — | 44 |
| J3358 | Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion) | $4,291 | $3,433 | — | — | 44 |
| 72147 | MRI T SPINE W CONTRAST | $4,268 | $3,414 | — | — | 44 |
| 74182 | MRI ABDOMEN W CONTRAST | $4,216 | $3,373 | — | — | 44 |
| 72146 | MRI T SPINE WO CONTRAST | $4,215 | $3,372 | — | — | 44 |
| 72142 | MRI C SPINE W CONTRAST | $4,212 | $3,370 | — | — | 44 |
| 73722 | MRI LOWER EXT JT W CONTRAST | $4,212 | $3,370 | — | — | 44 |
| 72149 | MRI L SPINE W CONTRAST | $4,203 | $3,362 | — | — | 44 |
| Q5120 | Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML | $4,132 | $3,306 | — | — | 44 |
| 71551 | MRI CHEST W CONTRAST | $4,110 | $3,288 | — | — | 44 |
| 71270 | CT THORAX DIAGNOSTIC WO THEN W CONTRAST | $4,108 | $3,286 | — | — | 44 |
Showing top 50 of 1,429 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.