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
1,527
Insurances with rates
10
CPT / HCPCS codes
1,509
Source MRF
Most expensive procedures (gross)
J2350
$32,904
Ocrelizumab Soln For IV Infusion 300 MG/10ML
Gross
$41,130
J3245
$21,323
Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML
Gross
$26,654
J3380
$14,953
Vedolizumab For IV Solution 300 MG
Gross
$18,692
J3101
$11,025
Tenecteplase For IV Soln Kit 50 MG
Gross
$13,781
J0717
$8,359
Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML
Gross
$10,448
J2353
$6,838
Octreotide Acetate For IM Inj Kit 20 MG
Gross
$8,548
Q5127
$6,616
Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,270
90378
$5,534
Palivizumab IM Soln 100 MG/ML
Gross
$6,917
37785
$5,520
SURG 37785 LIGATION DIVISION &/OR EXCISION VARICOSE VEIN CLUSTER 1 LEG
Gross
$6,900
74178
$5,310
CT ABD PELVIS WO THEN W CONT
Gross
$6,638
J1306
$5,260
Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML
Gross
$6,575
95811
$4,890
SLEEP STUDY SPLT NGHT 95811
Gross
$6,112
78452
$4,810
NM MYOCARDIAL SPECT MULT STDY
Gross
$6,013
36571
$4,635
SURG 36571 INSERT PVA WPORT >5
Gross
$5,794
72156
$4,566
MRI C SPINE WO THEN W CONT
Gross
$5,708
70543
$4,530
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,663
74177
$4,458
CT ABD PELVIS W CONTRAST
Gross
$5,573
J2802
$4,442
Romiplostim For Inj 250 MCG
Gross
$5,552
95810
$4,370
PSG 4+ PARAMETERS
Gross
$5,463
72197
$4,350
MRI PELVIS WO THEN W CONT
Gross
$5,437
72157
$4,325
MRI T SPINE WO THEN W CONT
Gross
$5,406
72158
$4,319
MRI L SPINE WO THEN W CONT
Gross
$5,399
71552
$4,277
MRI CHEST WO THEN W CONT
Gross
$5,346
73723
$4,274
MRI LOWER EXT JT WO THEN W CONT
Gross
$5,342
10180
$4,240
ED 10180 I&D POSTOP WOUND INF
Gross
$5,300
70546
$4,209
MRA HEAD WO THEN W CONT
Gross
$5,261
74183
$4,195
MRI ABDOMEN WO THEN W CONT
Gross
$5,244
74174
$4,180
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$5,225
70553
$4,156
MRI BRAIN WO THEN W CONT
Gross
$5,195
70549
$4,025
MRA NECK WO THEN W CONT
Gross
$5,031
72196
$3,974
MRI PELVIS W CONTRAST
Gross
$4,968
73220
$3,933
MRI UPPER EXT WO THEN W CONT
Gross
$4,916
73223
$3,926
MRI UPPER EXT JT WO THEN W CONT
Gross
$4,907
25999
$3,847
ED 25999 FOREARM/WRIST UNLSTD PROC
Gross
$4,809
73720
$3,786
MRI LOWER EXT WO THEN W CONT
Gross
$4,732
74176
$3,744
CT ABD PELVIS WO CONTRAST
Gross
$4,680
70542
$3,728
MRI FACE NECK ORB W CONTRAST
Gross
$4,660
73719
$3,621
MRI LOWER EXT W CONTRAST
Gross
$4,526
72149
$3,616
MRI L SPINE W CONTRAST
Gross
$4,520
72147
$3,603
MRI T SPINE W CONTRAST
Gross
$4,504
72142
$3,586
MRI C SPINE W CONTRAST
Gross
$4,482
73219
$3,563
MRI UPPER EXT W CONTRAST
Gross
$4,454
28192
$3,536
ED 28192 REMOVE FB FOOT DEEP
Gross
$4,420
73222
$3,516
MRI UP EXT JT WCONT
Gross
$4,395
71551
$3,504
MRI CHEST W CONTRAST
Gross
$4,380
74182
$3,489
MRI ABDOMEN W CONTRAST
Gross
$4,361
70545
$3,430
MRA HEAD W CONTRAST
Gross
$4,288
70552
$3,430
MRI BRAIN W CONTRAST
Gross
$4,288
59414
$3,419
ED 59414 DELIVERY OF PLACENTA
Gross
$4,274
73722
$3,373
MRI LOWER EXT JT W CONTRAST
Gross
$4,216
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab Soln For IV Infusion 300 MG/10ML | $41,130 | $32,904 | — | — | 40 |
| J3245 | Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML | $26,654 | $21,323 | — | — | 40 |
| J3380 | Vedolizumab For IV Solution 300 MG | $18,692 | $14,953 | — | — | 40 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $13,781 | $11,025 | — | — | 120 |
| J0717 | Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML | $10,448 | $8,359 | — | — | 40 |
| J2353 | Octreotide Acetate For IM Inj Kit 20 MG | $8,548 | $6,838 | — | — | 40 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,270 | $6,616 | — | — | 40 |
| 90378 | Palivizumab IM Soln 100 MG/ML | $6,917 | $5,534 | — | — | 40 |
| 37785 | SURG 37785 LIGATION DIVISION &/OR EXCISION VARICOSE VEIN CLUSTER 1 LEG | $6,900 | $5,520 | — | — | 40 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $6,638 | $5,310 | — | — | 40 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $6,575 | $5,260 | — | — | 40 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $6,112 | $4,890 | — | — | 40 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $6,013 | $4,810 | — | — | 40 |
| 36571 | SURG 36571 INSERT PVA WPORT >5 | $5,794 | $4,635 | — | — | 40 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,708 | $4,566 | — | — | 40 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,663 | $4,530 | — | — | 40 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,573 | $4,458 | — | — | 40 |
| J2802 | Romiplostim For Inj 250 MCG | $5,552 | $4,442 | — | — | 40 |
| 95810 | PSG 4+ PARAMETERS | $5,463 | $4,370 | — | — | 40 |
| 72197 | MRI PELVIS WO THEN W CONT | $5,437 | $4,350 | — | — | 40 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,406 | $4,325 | — | — | 40 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,399 | $4,319 | — | — | 40 |
| 71552 | MRI CHEST WO THEN W CONT | $5,346 | $4,277 | — | — | 40 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $5,342 | $4,274 | — | — | 40 |
| 10180 | ED 10180 I&D POSTOP WOUND INF | $5,300 | $4,240 | — | — | 40 |
| 70546 | MRA HEAD WO THEN W CONT | $5,261 | $4,209 | — | — | 40 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $5,244 | $4,195 | — | — | 40 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $5,225 | $4,180 | — | — | 40 |
| 70553 | MRI BRAIN WO THEN W CONT | $5,195 | $4,156 | — | — | 40 |
| 70549 | MRA NECK WO THEN W CONT | $5,031 | $4,025 | — | — | 40 |
| 72196 | MRI PELVIS W CONTRAST | $4,968 | $3,974 | — | — | 40 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $4,916 | $3,933 | — | — | 40 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $4,907 | $3,926 | — | — | 40 |
| 25999 | ED 25999 FOREARM/WRIST UNLSTD PROC | $4,809 | $3,847 | — | — | 40 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,732 | $3,786 | — | — | 40 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,680 | $3,744 | — | — | 40 |
| 70542 | MRI FACE NECK ORB W CONTRAST | $4,660 | $3,728 | — | — | 40 |
| 73719 | MRI LOWER EXT W CONTRAST | $4,526 | $3,621 | — | — | 40 |
| 72149 | MRI L SPINE W CONTRAST | $4,520 | $3,616 | — | — | 40 |
| 72147 | MRI T SPINE W CONTRAST | $4,504 | $3,603 | — | — | 40 |
| 72142 | MRI C SPINE W CONTRAST | $4,482 | $3,586 | — | — | 40 |
| 73219 | MRI UPPER EXT W CONTRAST | $4,454 | $3,563 | — | — | 40 |
| 28192 | ED 28192 REMOVE FB FOOT DEEP | $4,420 | $3,536 | — | — | 40 |
| 73222 | MRI UP EXT JT WCONT | $4,395 | $3,516 | — | — | 40 |
| 71551 | MRI CHEST W CONTRAST | $4,380 | $3,504 | — | — | 40 |
| 74182 | MRI ABDOMEN W CONTRAST | $4,361 | $3,489 | — | — | 40 |
| 70545 | MRA HEAD W CONTRAST | $4,288 | $3,430 | — | — | 40 |
| 70552 | MRI BRAIN W CONTRAST | $4,288 | $3,430 | — | — | 40 |
| 59414 | ED 59414 DELIVERY OF PLACENTA | $4,274 | $3,419 | — | — | 40 |
| 73722 | MRI LOWER EXT JT W CONTRAST | $4,216 | $3,373 | — | — | 40 |
Showing top 50 of 1,527 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.