45 CFR § 180 compliance
F · 55
This hospital published little 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
16,015
Insurances with rates
7
CPT / HCPCS codes
12,377
Source MRF
Most expensive procedures (gross)
J3357
$67,345
ustekinumab 90 mg/mL Solution Prefilled Syringe 1 mL Syringe
Gross
$122,446
J3245
$41,496
tildrakizumab-asmn 100 MG/ML Solution Prefilled Syringe 1 mL Syringe
Gross
$75,448
J1323
$31,044
elranatamab-bcmm 76 mg/1.9 mL Solution 1.9 mL Vial
Gross
$56,444
C9047
$19,806
caplacizumab-yhdp 11 MG Kit 1 Each Box
Gross
$36,011
J3101
$15,543
tenecteplase 50 mg/10 mL Kit 1 Each Box
Gross
$28,260
J0717
$13,864
certolizumab pegol 200 mg/mL Kit 1 Each Box
Gross
$25,208
81416
$10,440
HC WHOLE EXOME, SEQUENCE ANALYSIS, EA COMPARATOR EXOME, EA ADDL
Gross
$18,982
J2356
$10,098
Tezepelumab-ekko 210 MG/1.91ML Solution Prefilled Syringe 1.91 mL Syringe
Gross
$18,360
Q5127
$9,939
Pegfilgrastim-fpgk 6 MG/0.6ML Solution Prefilled Syringe 0.6 mL Syringe
Gross
$18,071
J0739
$9,304
cabotegravir 600 mg/3 mL Suspension Extended Release 3 mL Vial
Gross
$16,916
21235
$7,588
HC GRAFT, EAR CARTILAGE, AUTOGENOUS, TO NOSE/EAR, INCLUDES OBTAINING GRAFT
Gross
$13,797
J0401
$6,715
ARIPiprazole ER 400 mg/2 mL Suspension Reconstituted ER 1 Each Vial
Gross
$12,209
81229
$6,108
HC DNA DELET DUP, CYTOGENOM ANLYS CONST CHR ABNORM,INTERROG COPY NUM&SNP V
Gross
$11,105
J1950
$5,358
leuprolide acetate 3.75 MG Kit 1 Each Box
Gross
$9,741
81455
$5,225
HC NEURO EXP, SOL ORG/HEMLYMPH NEOPL, 51+GENES, GEN SEQ PNL, DNA/DNA&RNA
Gross
$9,500
81415
$5,185
HC CONGENITAL ANOMALIES PANEL, EXONE; SEQUENCE ANALYSIS
Gross
$9,428
J2315
$5,029
naltrexone 380 MG Recon Susp 1 Each Vial
Gross
$9,143
15731
$4,797
HC FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE
Gross
$8,722
15600
$4,797
HC DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET), AT TRUNK
Gross
$8,722
15730
$4,797
HC MIDFACE FLAP W/ PRESERVATION OF VASCULAR PEDICLES
Gross
$8,722
15120
$4,797
HC SPLIT A-GRAFT FACE/MOUTH/NECK/EARS/HANDS/FEET MULT DIGITS FIRST 100 CM
Gross
$8,722
81443
$4,797
HC MAYO HERED HA, GENET TST SEVERE INHER COND,GENOM SEQ ANLYS PNL, 15 GENES
Gross
$8,721
J1944
$4,734
ARIPiprazole lauroxil ER 441 mg/1.6 mL Prefilled Syringe 1.6 mL Syringe
Gross
$8,606
J0897
$4,655
denosumab 60 MG/ML Solution Prefilled Syringe 1 mL Syringe
Gross
$8,464
23066
$4,459
HC BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP
Gross
$8,108
27324
$4,446
HC BX SOFT TISSUE OF THIGH OR KNEE AREA DEEP (SUBFASCIAL OR INTRAMUSCULAR)
Gross
$8,083
24066
$4,396
HC BX SOFT TISSUE OF UPPER ARM/ELBOW AREA DEEP (SUBFASCIAL / INTRAMUSCULAR)
Gross
$7,992
15121
$4,324
HC SPLIT AUTOGRAFT, FACE, EA ADDL 100 SQ CM
Gross
$7,861
40525
$4,305
HC EXC OF LIP; FULL THICKNESS, RECONSTR W/ LOCAL FLAP
Gross
$7,828
15760
$4,239
HC COMPOSITE SKIN GRAFT
Gross
$7,707
81459
$4,016
HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS
Gross
$7,301
11426
$4,010
HC EXC, BEN LES INCL MARG, EXCPT SKN TG, SCLP NK HND FT GEN, DIA OVR 4.0 CM
Gross
$7,291
15273
$3,988
HC APL HI SK SUB GFT TK AR LG, TOT WND SA GR THN/EQ 100 SQCM, 1ST 100 SQCM
Gross
$7,251
47532
$3,887
HC INJ FOR CHOLANGIOGRAPHY, PERC, INCL IMAGE GUID, NEW ACCESS
Gross
$7,068
15780
$3,800
HC DERMABRASION TOTAL FACE
Gross
$6,909
22905
$3,800
HC RADICAL RESECT TUMOR SOFT TISS ABD WALL, 5 CM OR GREATER
Gross
$6,909
11446
$3,800
HC EXC BENIGN LESION INCL MARGIN FACE, DIAM OVER 4.0 CM
Gross
$6,909
11462
$3,800
HC EXC SKIN & SUBCUT TISSUE FOR HIDRADENITIS, INGUINAL SIMPLE/INTERM RPR
Gross
$6,909
11450
$3,800
HC EXC SKIN SUBQ TISS HIDRADENITIS AXILLARY SIMPL-INTERMED REPR
Gross
$6,909
27614
$3,728
HC BX SOFT TISSUE OF LEG OR ANKLE AREA DEEP (SUBFASCIAL OR INTRAMUSCULAR)
Gross
$6,778
21925
$3,647
HC BIOPSY, SOFT TISSUE OF BACK OR FLANK, DEEP
Gross
$6,630
81457
$3,543
HC MAYOCOMPLETE SARCOMA PANEL,DNA ANLYS, MICROSATELLITE INSTABILITY
Gross
$6,441
11626
$3,363
HC EXC, MALG LES INCL MARG, SCALP, NECK, HANDS, FT, GENIT, DIA OVER 4.0 CM
Gross
$6,114
11646
$3,363
HC EXC, MALG LES INCL MARG, FACE, EARS, EYLDS, NOSE, LIPS, DIA OVER 4.0 CM
Gross
$6,114
25066
$3,362
HC BIOPSY SOFT TISSUE OF FOREARM A/OR WRIST DEEP (SUBFASCIAL/INTRAMUSCULAR)
Gross
$6,113
14301
$3,332
HC ADJCNT TISS TRANSFR ANY AREA 30.1-60.0 SQ CM
Gross
$6,059
15822
$3,264
HC BLEPHAROPLASTY UPR EYELID
Gross
$5,934
75710
$3,259
HC ANGIOGRAPY, EXTREMITY, UNILAT
Gross
$5,925
15572
$3,140
HC FORMATION OF DIRECT OR TUBED PEDICLE, W/WO TRANSFER, SCALP, ARM, OR LEG
Gross
$5,709
67973
$3,125
HC RECONSTRUCTION OF EYELID FULL THICKNESS LOWER EYELID 1 STAGE
Gross
$5,682
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3357 | ustekinumab 90 mg/mL Solution Prefilled Syringe 1 mL Syringe | $122,446 | $67,345 | — | — | 14 |
| J3245 | tildrakizumab-asmn 100 MG/ML Solution Prefilled Syringe 1 mL Syringe | $75,448 | $41,496 | — | — | 15 |
| J1323 | elranatamab-bcmm 76 mg/1.9 mL Solution 1.9 mL Vial | $56,444 | $31,044 | — | — | 14 |
| C9047 | caplacizumab-yhdp 11 MG Kit 1 Each Box | $36,011 | $19,806 | — | — | 11 |
| J3101 | tenecteplase 50 mg/10 mL Kit 1 Each Box | $28,260 | $15,543 | — | — | 14 |
| J0717 | certolizumab pegol 200 mg/mL Kit 1 Each Box | $25,208 | $13,864 | — | — | 14 |
| 81416 | HC WHOLE EXOME, SEQUENCE ANALYSIS, EA COMPARATOR EXOME, EA ADDL | $18,982 | $10,440 | — | — | 11 |
| J2356 | Tezepelumab-ekko 210 MG/1.91ML Solution Prefilled Syringe 1.91 mL Syringe | $18,360 | $10,098 | — | — | 15 |
| Q5127 | Pegfilgrastim-fpgk 6 MG/0.6ML Solution Prefilled Syringe 0.6 mL Syringe | $18,071 | $9,939 | — | — | 14 |
| J0739 | cabotegravir 600 mg/3 mL Suspension Extended Release 3 mL Vial | $16,916 | $9,304 | — | — | 14 |
| 21235 | HC GRAFT, EAR CARTILAGE, AUTOGENOUS, TO NOSE/EAR, INCLUDES OBTAINING GRAFT | $13,797 | $7,588 | — | — | 11 |
| J0401 | ARIPiprazole ER 400 mg/2 mL Suspension Reconstituted ER 1 Each Vial | $12,209 | $6,715 | — | — | 14 |
| 81229 | HC DNA DELET DUP, CYTOGENOM ANLYS CONST CHR ABNORM,INTERROG COPY NUM&SNP V | $11,105 | $6,108 | — | — | 10 |
| J1950 | leuprolide acetate 3.75 MG Kit 1 Each Box | $9,741 | $5,358 | — | — | 15 |
| 81455 | HC NEURO EXP, SOL ORG/HEMLYMPH NEOPL, 51+GENES, GEN SEQ PNL, DNA/DNA&RNA | $9,500 | $5,225 | — | — | 11 |
| 81415 | HC CONGENITAL ANOMALIES PANEL, EXONE; SEQUENCE ANALYSIS | $9,428 | $5,185 | — | — | 10 |
| J2315 | naltrexone 380 MG Recon Susp 1 Each Vial | $9,143 | $5,029 | — | — | 14 |
| 15731 | HC FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE | $8,722 | $4,797 | — | — | 11 |
| 15600 | HC DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET), AT TRUNK | $8,722 | $4,797 | — | — | 10 |
| 15730 | HC MIDFACE FLAP W/ PRESERVATION OF VASCULAR PEDICLES | $8,722 | $4,797 | — | — | 10 |
| 15120 | HC SPLIT A-GRAFT FACE/MOUTH/NECK/EARS/HANDS/FEET MULT DIGITS FIRST 100 CM | $8,722 | $4,797 | — | — | 10 |
| 81443 | HC MAYO HERED HA, GENET TST SEVERE INHER COND,GENOM SEQ ANLYS PNL, 15 GENES | $8,721 | $4,797 | — | — | 10 |
| J1944 | ARIPiprazole lauroxil ER 441 mg/1.6 mL Prefilled Syringe 1.6 mL Syringe | $8,606 | $4,734 | — | — | 14 |
| J0897 | denosumab 60 MG/ML Solution Prefilled Syringe 1 mL Syringe | $8,464 | $4,655 | — | — | 14 |
| 23066 | HC BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP | $8,108 | $4,459 | — | — | 10 |
| 27324 | HC BX SOFT TISSUE OF THIGH OR KNEE AREA DEEP (SUBFASCIAL OR INTRAMUSCULAR) | $8,083 | $4,446 | — | — | 10 |
| 24066 | HC BX SOFT TISSUE OF UPPER ARM/ELBOW AREA DEEP (SUBFASCIAL / INTRAMUSCULAR) | $7,992 | $4,396 | — | — | 10 |
| 15121 | HC SPLIT AUTOGRAFT, FACE, EA ADDL 100 SQ CM | $7,861 | $4,324 | — | — | 10 |
| 40525 | HC EXC OF LIP; FULL THICKNESS, RECONSTR W/ LOCAL FLAP | $7,828 | $4,305 | — | — | 10 |
| 15760 | HC COMPOSITE SKIN GRAFT | $7,707 | $4,239 | — | — | 11 |
| 81459 | HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS | $7,301 | $4,016 | — | — | 10 |
| 11426 | HC EXC, BEN LES INCL MARG, EXCPT SKN TG, SCLP NK HND FT GEN, DIA OVR 4.0 CM | $7,291 | $4,010 | — | — | 21 |
| 15273 | HC APL HI SK SUB GFT TK AR LG, TOT WND SA GR THN/EQ 100 SQCM, 1ST 100 SQCM | $7,251 | $3,988 | — | — | 10 |
| 47532 | HC INJ FOR CHOLANGIOGRAPHY, PERC, INCL IMAGE GUID, NEW ACCESS | $7,068 | $3,887 | — | — | 11 |
| 15780 | HC DERMABRASION TOTAL FACE | $6,909 | $3,800 | — | — | 10 |
| 22905 | HC RADICAL RESECT TUMOR SOFT TISS ABD WALL, 5 CM OR GREATER | $6,909 | $3,800 | — | — | 10 |
| 11446 | HC EXC BENIGN LESION INCL MARGIN FACE, DIAM OVER 4.0 CM | $6,909 | $3,800 | — | — | 10 |
| 11462 | HC EXC SKIN & SUBCUT TISSUE FOR HIDRADENITIS, INGUINAL SIMPLE/INTERM RPR | $6,909 | $3,800 | — | — | 10 |
| 11450 | HC EXC SKIN SUBQ TISS HIDRADENITIS AXILLARY SIMPL-INTERMED REPR | $6,909 | $3,800 | — | — | 10 |
| 27614 | HC BX SOFT TISSUE OF LEG OR ANKLE AREA DEEP (SUBFASCIAL OR INTRAMUSCULAR) | $6,778 | $3,728 | — | — | 10 |
| 21925 | HC BIOPSY, SOFT TISSUE OF BACK OR FLANK, DEEP | $6,630 | $3,647 | — | — | 10 |
| 81457 | HC MAYOCOMPLETE SARCOMA PANEL,DNA ANLYS, MICROSATELLITE INSTABILITY | $6,441 | $3,543 | — | — | 11 |
| 11626 | HC EXC, MALG LES INCL MARG, SCALP, NECK, HANDS, FT, GENIT, DIA OVER 4.0 CM | $6,114 | $3,363 | — | — | 10 |
| 11646 | HC EXC, MALG LES INCL MARG, FACE, EARS, EYLDS, NOSE, LIPS, DIA OVER 4.0 CM | $6,114 | $3,363 | — | — | 10 |
| 25066 | HC BIOPSY SOFT TISSUE OF FOREARM A/OR WRIST DEEP (SUBFASCIAL/INTRAMUSCULAR) | $6,113 | $3,362 | — | — | 10 |
| 14301 | HC ADJCNT TISS TRANSFR ANY AREA 30.1-60.0 SQ CM | $6,059 | $3,332 | — | — | 10 |
| 15822 | HC BLEPHAROPLASTY UPR EYELID | $5,934 | $3,264 | — | — | 10 |
| 75710 | HC ANGIOGRAPY, EXTREMITY, UNILAT | $5,925 | $3,259 | — | — | 10 |
| 15572 | HC FORMATION OF DIRECT OR TUBED PEDICLE, W/WO TRANSFER, SCALP, ARM, OR LEG | $5,709 | $3,140 | — | — | 11 |
| 67973 | HC RECONSTRUCTION OF EYELID FULL THICKNESS LOWER EYELID 1 STAGE | $5,682 | $3,125 | — | — | 10 |
Showing top 50 of 16,015 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.