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
1,946
Insurances with rates
14
CPT / HCPCS codes
1,935
Source MRF
Most expensive procedures (gross)
J3101
$18,802
TENECTEPLSE (TNKASE) 50MG VIAL
Gross
$23,502
J9312
$10,339
RITUXIMAB 500MG/50ML
Gross
$12,923
15120
$10,050
Spl Th Atgrft F/H/Ft 1st 100
Gross
$12,563
Q4187
$9,073
EPICORD SKIN REPLACE GRAF 3X5
Gross
$11,341
10180
$8,358
I&D Post-Op Infection
Gross
$10,448
J2505
$8,239
NULSTA/PEGFLGRASTM INJ UPTO 6M
Gross
$10,299
Q4186
$7,121
EPIFIX MICRONIZED 160MG
Gross
$8,901
J1561
$6,741
GAMUNEX-C(IVIG)[1GM/10ml]1GM
Gross
$8,426
15002
$5,109
Surg Prp-Tk/Am/Lg,1st 100sqcm
Gross
$6,386
15100
$5,109
Spl Th Atgrft Tr/Am/Lg 1st 100
Gross
$6,386
15110
$5,109
Epid Atgrft, T/A/L 1st 100sqcm
Gross
$6,386
15115
$5,109
Epid Atgrft F/H/Ft 1st 100sqcm
Gross
$6,386
J0881
$5,108
Aranesp 300mcg inj (non-ESRD)
Gross
$6,386
10140
$4,770
I&D Of Hematoma
Gross
$5,962
11044
$4,770
Deb Sk,SQ Tis,Ms,Bn;1st 20sqcm
Gross
$5,962
74174
$4,550
CTA abdomen/pelvis
Gross
$5,687
20220
$4,542
Biopsy Bone Superficial, Ndle
Gross
$5,678
20225
$4,542
Biopsy Bone Deep, Needle
Gross
$5,678
28001
$4,542
I&D Bursa Foot
Gross
$5,678
28010
$4,502
Tenotomy, Toe, Sngl
Gross
$5,628
43202
$4,305
Esophagoscopy diag w/biopsy
Gross
$5,381
43249
$4,305
EGD diag w/balloon dialation
Gross
$5,381
43251
$4,305
EGD diag w/les rmvl by snare
Gross
$5,381
31525
$4,279
Lrynspy Drt, w/w/out trch;diag
Gross
$5,349
J0897
$4,250
Denosumab (PROLIA)[60 mg]
Gross
$5,312
26742
$4,053
CldTrt Artcl Frt Met/Intph W/M
Gross
$5,066
J1826
$4,031
INTERFERON BETA-1A 30MCG SYR
Gross
$5,039
72198
$3,879
MRA/MRV Pelvis, with & w/out
Gross
$4,849
J1745
$3,772
INFLIXIMAB 100MG VIAL
Gross
$4,716
A0434
$3,736
Amb Svc, Spclty Care Transport
Gross
$4,671
J7307
$3,706
Nexplanon
Gross
$4,633
74178
$3,639
CT abdmn/pelvs 1/> regns w/wo
Gross
$4,549
69005
$3,573
Drainage Ext Ear,Abs/Hem; Comp
Gross
$4,466
J1439
$3,572
INJECTAFER 750 MG
Gross
$4,465
J7300
$3,529
Paragard IUD/SUPPLIES
Gross
$4,412
77295
$3,516
3-D radiotherapy plan
Gross
$4,395
71275
$3,481
CTA chest
Gross
$4,351
74177
$3,427
CT abdomen/pelvis w/contrast
Gross
$4,284
74170
$3,412
CT abdomen w/wo contrast
Gross
$4,265
J7298
$3,377
Mirena IUD/SUPPLIES
Gross
$4,222
93312
$3,301
ECHO TRANSESOPHAGEAL/CWH
Gross
$4,126
71555
$3,296
MRA Chest with & w/out cntrst
Gross
$4,120
74183
$3,287
MRI Abd, w & w/o contrast
Gross
$4,109
70471
$3,152
CTA Head& Neck
Gross
$3,940
A0433
$3,114
ALS2 AMB SVC Emergent
Gross
$3,893
70496
$3,105
CTA head
Gross
$3,881
70498
$3,105
CTA neck
Gross
$3,881
74175
$3,104
CTA abdomen
Gross
$3,880
J7326
$3,036
Hyaluronan Sod, CrossLink 30mg
Gross
$3,795
72191
$3,024
CTA pelvis w/wo contrast
Gross
$3,780
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TENECTEPLSE (TNKASE) 50MG VIAL | $23,502 | $18,802 | — | — | 23 |
| J9312 | RITUXIMAB 500MG/50ML | $12,923 | $10,339 | — | — | 23 |
| 15120 | Spl Th Atgrft F/H/Ft 1st 100 | $12,563 | $10,050 | — | — | 46 |
| Q4187 | EPICORD SKIN REPLACE GRAF 3X5 | $11,341 | $9,073 | — | — | 21 |
| 10180 | I&D Post-Op Infection | $10,448 | $8,358 | — | — | 46 |
| J2505 | NULSTA/PEGFLGRASTM INJ UPTO 6M | $10,299 | $8,239 | — | — | 23 |
| Q4186 | EPIFIX MICRONIZED 160MG | $8,901 | $7,121 | — | — | 23 |
| J1561 | GAMUNEX-C(IVIG)[1GM/10ml]1GM | $8,426 | $6,741 | — | — | 23 |
| 15002 | Surg Prp-Tk/Am/Lg,1st 100sqcm | $6,386 | $5,109 | — | — | 46 |
| 15100 | Spl Th Atgrft Tr/Am/Lg 1st 100 | $6,386 | $5,109 | — | — | 46 |
| 15110 | Epid Atgrft, T/A/L 1st 100sqcm | $6,386 | $5,109 | — | — | 46 |
| 15115 | Epid Atgrft F/H/Ft 1st 100sqcm | $6,386 | $5,109 | — | — | 46 |
| J0881 | Aranesp 300mcg inj (non-ESRD) | $6,386 | $5,108 | — | — | 23 |
| 10140 | I&D Of Hematoma | $5,962 | $4,770 | — | — | 46 |
| 11044 | Deb Sk,SQ Tis,Ms,Bn;1st 20sqcm | $5,962 | $4,770 | — | — | 46 |
| 74174 | CTA abdomen/pelvis | $5,687 | $4,550 | — | — | 23 |
| 20220 | Biopsy Bone Superficial, Ndle | $5,678 | $4,542 | — | — | 46 |
| 20225 | Biopsy Bone Deep, Needle | $5,678 | $4,542 | — | — | 46 |
| 28001 | I&D Bursa Foot | $5,678 | $4,542 | — | — | 46 |
| 28010 | Tenotomy, Toe, Sngl | $5,628 | $4,502 | — | — | 46 |
| 43202 | Esophagoscopy diag w/biopsy | $5,381 | $4,305 | — | — | 23 |
| 43249 | EGD diag w/balloon dialation | $5,381 | $4,305 | — | — | 23 |
| 43251 | EGD diag w/les rmvl by snare | $5,381 | $4,305 | — | — | 23 |
| 31525 | Lrynspy Drt, w/w/out trch;diag | $5,349 | $4,279 | — | — | 46 |
| J0897 | Denosumab (PROLIA)[60 mg] | $5,312 | $4,250 | — | — | 23 |
| 26742 | CldTrt Artcl Frt Met/Intph W/M | $5,066 | $4,053 | — | — | 46 |
| J1826 | INTERFERON BETA-1A 30MCG SYR | $5,039 | $4,031 | — | — | 23 |
| 72198 | MRA/MRV Pelvis, with & w/out | $4,849 | $3,879 | — | — | 46 |
| J1745 | INFLIXIMAB 100MG VIAL | $4,716 | $3,772 | — | — | 23 |
| A0434 | Amb Svc, Spclty Care Transport | $4,671 | $3,736 | — | — | 21 |
| J7307 | Nexplanon | $4,633 | $3,706 | — | — | 21 |
| 74178 | CT abdmn/pelvs 1/> regns w/wo | $4,549 | $3,639 | — | — | 23 |
| 69005 | Drainage Ext Ear,Abs/Hem; Comp | $4,466 | $3,573 | — | — | 46 |
| J1439 | INJECTAFER 750 MG | $4,465 | $3,572 | — | — | 23 |
| J7300 | Paragard IUD/SUPPLIES | $4,412 | $3,529 | — | — | 21 |
| 77295 | 3-D radiotherapy plan | $4,395 | $3,516 | — | — | 23 |
| 71275 | CTA chest | $4,351 | $3,481 | — | — | 23 |
| 74177 | CT abdomen/pelvis w/contrast | $4,284 | $3,427 | — | — | 23 |
| 74170 | CT abdomen w/wo contrast | $4,265 | $3,412 | — | — | 23 |
| J7298 | Mirena IUD/SUPPLIES | $4,222 | $3,377 | — | — | 21 |
| 93312 | ECHO TRANSESOPHAGEAL/CWH | $4,126 | $3,301 | — | — | 23 |
| 71555 | MRA Chest with & w/out cntrst | $4,120 | $3,296 | — | — | 46 |
| 74183 | MRI Abd, w & w/o contrast | $4,109 | $3,287 | — | — | 23 |
| 70471 | CTA Head& Neck | $3,940 | $3,152 | — | — | 23 |
| A0433 | ALS2 AMB SVC Emergent | $3,893 | $3,114 | — | — | 21 |
| 70496 | CTA head | $3,881 | $3,105 | — | — | 23 |
| 70498 | CTA neck | $3,881 | $3,105 | — | — | 23 |
| 74175 | CTA abdomen | $3,880 | $3,104 | — | — | 23 |
| J7326 | Hyaluronan Sod, CrossLink 30mg | $3,795 | $3,036 | — | — | 21 |
| 72191 | CTA pelvis w/wo contrast | $3,780 | $3,024 | — | — | 23 |
Showing top 50 of 1,946 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.