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
4,859
Insurances with rates
15
CPT / HCPCS codes
3,467
Source MRF
Most expensive procedures (gross)
J9029
$80,745
INSTILL ADSTILADRIN, TX DOSE
Gross
$161,490
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
50242-0150-01
$72,243
Ocrevus
Gross
$144,487
75987-0080-10
$40,846
Krystexxa
Gross
$81,692
64628
$19,739
HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN BONES OF SPINE IN LOWER BACK; FIRST TWO BONE
Gross
$39,478
50242-0053-06
$18,790
Rituxan
Gross
$37,581
64406-0008-01
$17,075
Tysabri
Gross
$34,151
11770
$16,967
SIMPLE REMOVAL OF CYST OF TAILBONE
Gross
$33,934
55513-0222-01
$16,149
Nplate
Gross
$32,299
44970
$15,977
REMOVAL OF APPENDIX USING AN ENDOSCOPE
Gross
$31,954
C1826
$15,425
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO
Gross
$30,850
49507
$15,383
REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER)
Gross
$30,766
63833-0387-02
$14,800
Kcentra
Gross
$29,600
63650
$13,205
INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN
Gross
$26,410
C1768
$13,150
GRAFT, VASCULAR
Gross
$26,299
0275T
$12,611
REMOVAL OF BONE FROM LOWER SPINE FOR DECOMPRESSION OF NERVE TISSUE USING IMAGING GUIDANCE; ACCESSED
Gross
$25,222
36561
$12,611
INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER)
Gross
$25,222
28008
$12,413
INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE
Gross
$24,826
46255
$11,819
REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP
Gross
$23,638
13533-0318-05
$11,634
HyperRAB
Gross
$23,267
C2622
$11,041
PROSTHESIS, PENILE, NON-INF
Gross
$22,081
43889
$10,522
GSTR RSTCV PX TRNSORL ESG
Gross
$21,044
33270
$10,482
INS/REP SUBQ DEFIBRILLATOR
Gross
$20,964
21044
$10,473
REMOVAL OF JAW BONE LESION
Gross
$20,945
J2787
$10,260
RIBOFLAVIN 5'PHOS OPTH<=3ML
Gross
$20,520
J0480
$10,098
BASILIXIMAB
Gross
$20,195
00069-0249-01
$10,089
Ruxience
Gross
$20,178
64596
$10,061
INS/RPLCMT PRQ ELTRD RA PN 1
Gross
$20,122
43770
$9,959
LAP PLACE GASTR ADJ DEVICE
Gross
$19,918
33202
$9,790
INSERT EPICARD ELTRD OPEN
Gross
$19,580
55513-0190-01
$9,523
Neulasta
Gross
$19,045
25073
$9,443
REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST; 3.0 CM OR MORE
Gross
$18,886
C1815
$8,530
PROS, URINARY SPH, IMP
Gross
$17,059
44389
$8,422
BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWE
Gross
$16,844
28200
$8,275
REPAIR OF TENDON ON SOLE OF FOOT
Gross
$16,551
21552
$8,255
REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST; 3.0 CM OR MORE
Gross
$16,510
19357
$8,162
TISS XPNDR PLMT BRST RCNSTJ
Gross
$16,324
72512-0930-01
$8,079
Qutenza(capsaicin) 8% topical system
Gross
$16,158
55513-0221-01
$8,022
Nplate
Gross
$16,045
27279
$7,940
ARTHRD SI JT PLMT TARTCLR DV
Gross
$15,879
11606
$7,859
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
Gross
$15,718
50242-0120-47
$7,718
TNKase
Gross
$15,436
0803T
$7,699
TCAT RMV&RPL2CHMB LDLS PM RV
Gross
$15,397
0797T
$7,699
TCAT INS 2CHMBR LDLS PM RV
Gross
$15,397
00078-1000-60
$7,608
Leqvio
Gross
$15,216
13533-0318-03
$7,489
HyperRAB
Gross
$14,978
27827
$7,416
TREAT LOWER LEG FRACTURE
Gross
$14,832
20982
$7,416
ABLATE BONE TUMOR(S) PERQ
Gross
$14,832
G0121
$7,365
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
Gross
$14,730
31661
$7,166
BRONCH THERMOPLSTY 2/> LOBES
Gross
$14,332
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $161,490 | $80,745 | — | — | 19 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 19 |
| 50242-0150-01 | Ocrevus | $144,487 | $72,243 | — | — | 18 |
| 75987-0080-10 | Krystexxa | $81,692 | $40,846 | — | — | 19 |
| 64628 | HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN BONES OF SPINE IN LOWER BACK; FIRST TWO BONE | $39,478 | $19,739 | — | — | 20 |
| 50242-0053-06 | Rituxan | $37,581 | $18,790 | — | — | 19 |
| 64406-0008-01 | Tysabri | $34,151 | $17,075 | — | — | 18 |
| 11770 | SIMPLE REMOVAL OF CYST OF TAILBONE | $33,934 | $16,967 | — | — | 20 |
| 55513-0222-01 | Nplate | $32,299 | $16,149 | — | — | 18 |
| 44970 | REMOVAL OF APPENDIX USING AN ENDOSCOPE | $31,954 | $15,977 | — | — | 20 |
| C1826 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO | $30,850 | $15,425 | — | — | 0 |
| 49507 | REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER) | $30,766 | $15,383 | — | — | 20 |
| 63833-0387-02 | Kcentra | $29,600 | $14,800 | — | — | 18 |
| 63650 | INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN | $26,410 | $13,205 | — | — | 20 |
| C1768 | GRAFT, VASCULAR | $26,299 | $13,150 | — | — | 0 |
| 0275T | REMOVAL OF BONE FROM LOWER SPINE FOR DECOMPRESSION OF NERVE TISSUE USING IMAGING GUIDANCE; ACCESSED | $25,222 | $12,611 | — | — | 0 |
| 36561 | INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER) | $25,222 | $12,611 | — | — | 20 |
| 28008 | INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE | $24,826 | $12,413 | — | — | 18 |
| 46255 | REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $23,638 | $11,819 | — | — | 20 |
| 13533-0318-05 | HyperRAB | $23,267 | $11,634 | — | — | 19 |
| C2622 | PROSTHESIS, PENILE, NON-INF | $22,081 | $11,041 | — | — | 0 |
| 43889 | GSTR RSTCV PX TRNSORL ESG | $21,044 | $10,522 | — | — | 18 |
| 33270 | INS/REP SUBQ DEFIBRILLATOR | $20,964 | $10,482 | — | — | 20 |
| 21044 | REMOVAL OF JAW BONE LESION | $20,945 | $10,473 | — | — | 20 |
| J2787 | RIBOFLAVIN 5'PHOS OPTH<=3ML | $20,520 | $10,260 | — | — | 1 |
| J0480 | BASILIXIMAB | $20,195 | $10,098 | — | — | 19 |
| 00069-0249-01 | Ruxience | $20,178 | $10,089 | — | — | 19 |
| 64596 | INS/RPLCMT PRQ ELTRD RA PN 1 | $20,122 | $10,061 | — | — | 20 |
| 43770 | LAP PLACE GASTR ADJ DEVICE | $19,918 | $9,959 | — | — | 20 |
| 33202 | INSERT EPICARD ELTRD OPEN | $19,580 | $9,790 | — | — | 20 |
| 55513-0190-01 | Neulasta | $19,045 | $9,523 | — | — | 18 |
| 25073 | REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST; 3.0 CM OR MORE | $18,886 | $9,443 | — | — | 18 |
| C1815 | PROS, URINARY SPH, IMP | $17,059 | $8,530 | — | — | 0 |
| 44389 | BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWE | $16,844 | $8,422 | — | — | 18 |
| 28200 | REPAIR OF TENDON ON SOLE OF FOOT | $16,551 | $8,275 | — | — | 18 |
| 21552 | REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST; 3.0 CM OR MORE | $16,510 | $8,255 | — | — | 20 |
| 19357 | TISS XPNDR PLMT BRST RCNSTJ | $16,324 | $8,162 | — | — | 20 |
| 72512-0930-01 | Qutenza(capsaicin) 8% topical system | $16,158 | $8,079 | — | — | 18 |
| 55513-0221-01 | Nplate | $16,045 | $8,022 | — | — | 18 |
| 27279 | ARTHRD SI JT PLMT TARTCLR DV | $15,879 | $7,940 | — | — | 20 |
| 11606 | REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM | $15,718 | $7,859 | — | — | 20 |
| 50242-0120-47 | TNKase | $15,436 | $7,718 | — | — | 19 |
| 0803T | TCAT RMV&RPL2CHMB LDLS PM RV | $15,397 | $7,699 | — | — | 18 |
| 0797T | TCAT INS 2CHMBR LDLS PM RV | $15,397 | $7,699 | — | — | 18 |
| 00078-1000-60 | Leqvio | $15,216 | $7,608 | — | — | 18 |
| 13533-0318-03 | HyperRAB | $14,978 | $7,489 | — | — | 19 |
| 27827 | TREAT LOWER LEG FRACTURE | $14,832 | $7,416 | — | — | 20 |
| 20982 | ABLATE BONE TUMOR(S) PERQ | $14,832 | $7,416 | — | — | 20 |
| G0121 | COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $14,730 | $7,365 | — | — | 20 |
| 31661 | BRONCH THERMOPLSTY 2/> LOBES | $14,332 | $7,166 | — | — | 20 |
Showing top 50 of 4,859 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.