45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
5,842
Insurances with rates
9
CPT / HCPCS codes
1,721
Most expensive procedures (gross)
90473
$54,284
IMMUNE ADMIN ORAL/NASAL
Gross
$90,473
50633-0110-12
$49,770
Crofab
Gross
$82,950
50242-0085-27
$22,840
Activase
Gross
$38,066
50242-0120-47
$19,727
TNKase
Gross
$32,879
00074-3346-03
$15,924
Lupron Depot
Gross
$26,540
47600
$15,304
REMOVAL OF GALLBLADDER
Gross
$25,506
00310-1730-30
$14,743
Fasenra PFS
Gross
$24,572
C1713
$13,773
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$22,955
43280
$12,753
STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS U
Gross
$21,255
50633-0120-11
$11,497
DigiFab
Gross
$19,161
28043
$9,352
REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE
Gross
$15,587
27490887
$8,622
AXIOFILL 2000 MG #PCM-2000
Gross
$14,370
00078-1000-60
$8,453
Leqvio
Gross
$14,089
50633-0110-12
$8,324
Crofab
Gross
$13,874
55500
$7,652
REMOVAL OF FLUID COLLECTION IN SPERM CORD
Gross
$12,753
23428509
$7,459
VIABAHN STENT 7X100MM #VBCR071002A
Gross
$12,432
64624
$7,237
DSTRJ NULYT AGT GNCLR NRV
Gross
$12,061
27470144
$7,166
AMNIOFIX FENESTRATED 6X16CM #APS-5616
Gross
$11,943
Q4148
$7,098
NEOX NEOX RT OR CLARIX CORD
Gross
$11,830
28297
$6,802
CORRECTION OF BUNION WITH MIDFOOT AND HINDFOOT BONE FUSION
Gross
$11,336
23624415
$6,671
BARIATRIC KIT #RR4
Gross
$11,118
23428573
$6,529
VIABAHN STENT 7X50MM #VBCR070502A
Gross
$10,882
23214759
$6,444
VIABAHN STENT 6X5 #VBCR060501A
Gross
$10,740
50242-0137-01
$6,400
Actemra
Gross
$10,667
C1750
$6,394
CATHETER; HEMODIALYSIS/PERITONEAL; LONG-TERM
Gross
$10,657
35190
$6,352
REPAIR ACQ AV FISTULA XTR
Gross
$10,587
55513-0111-01
$6,048
Aranesp
Gross
$10,080
49593
$5,951
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$9,919
54600
$5,942
REDUCE TESTIS TORSION
Gross
$9,903
23214912
$5,928
TIBIALIS TENDON
Gross
$9,880
26425668
$5,873
STRATTICE PORCINE DERMEL MATRIX 10X10 #1010002
Gross
$9,788
Q4186
$5,795
EPIFIX 1 SQ CM
Gross
$9,658
37615
$5,631
LIGATION MAJOR ARTERY NECK
Gross
$9,384
23287048
$5,593
FIBULAR PLATE CLUSTER 9 HOLE ANATOMICAL LEFT
Gross
$9,322
33210
$5,560
INSERT ELECTRD/PM CATH SNGL
Gross
$9,267
55513-0998-02
$5,552
Evenity
Gross
$9,253
10180
$5,306
I&D COMPLEX PO WOUND INFCTJ
Gross
$8,844
74178
$5,301
CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST
Gross
$8,835
23214626
$5,218
HERNIA DUALMESH+ 20CMX30CM #1DLMCP07
Gross
$8,696
58661
$5,101
REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE
Gross
$8,502
28810
$5,101
AMPUTATION OF TOE AND MIDFOOT BONE
Gross
$8,502
36901
$5,101
INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST
Gross
$8,502
28750
$5,101
FUSION OF BIG TOE AT JOINT WITH FOOT
Gross
$8,502
36905
$5,101
REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEG
Gross
$8,502
49320
$5,101
DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE
Gross
$8,502
49324
$5,101
INSERTION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE
Gross
$8,502
49505
$5,101
REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)
Gross
$8,502
23214628
$5,077
HERNIA DUALMESH 15X19X2MMTHICK#1DLMCP201
Gross
$8,462
23214446
$5,008
NOVASURE DEVICE #NSV5US-003
Gross
$8,347
50242-0040-62
$4,930
Xolair
Gross
$8,217
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 90473 | IMMUNE ADMIN ORAL/NASAL | $90,473 | $54,284 | — | — | 0 |
| 50633-0110-12 | Crofab | $82,950 | $49,770 | — | — | 0 |
| 50242-0085-27 | Activase | $38,066 | $22,840 | — | — | 2 |
| 50242-0120-47 | TNKase | $32,879 | $19,727 | — | — | 0 |
| 00074-3346-03 | Lupron Depot | $26,540 | $15,924 | — | — | 2 |
| 47600 | REMOVAL OF GALLBLADDER | $25,506 | $15,304 | — | — | 0 |
| 00310-1730-30 | Fasenra PFS | $24,572 | $14,743 | — | — | 0 |
| C1713 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $22,955 | $13,773 | — | — | 0 |
| 43280 | STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS U | $21,255 | $12,753 | — | — | 1 |
| 50633-0120-11 | DigiFab | $19,161 | $11,497 | — | — | 2 |
| 28043 | REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE | $15,587 | $9,352 | — | — | 0 |
| 27490887 | AXIOFILL 2000 MG #PCM-2000 | $14,370 | $8,622 | — | — | 0 |
| 00078-1000-60 | Leqvio | $14,089 | $8,453 | — | — | 0 |
| 50633-0110-12 | Crofab | $13,874 | $8,324 | — | — | 2 |
| 55500 | REMOVAL OF FLUID COLLECTION IN SPERM CORD | $12,753 | $7,652 | — | — | 0 |
| 23428509 | VIABAHN STENT 7X100MM #VBCR071002A | $12,432 | $7,459 | — | — | 0 |
| 64624 | DSTRJ NULYT AGT GNCLR NRV | $12,061 | $7,237 | — | — | 0 |
| 27470144 | AMNIOFIX FENESTRATED 6X16CM #APS-5616 | $11,943 | $7,166 | — | — | 0 |
| Q4148 | NEOX NEOX RT OR CLARIX CORD | $11,830 | $7,098 | — | — | 0 |
| 28297 | CORRECTION OF BUNION WITH MIDFOOT AND HINDFOOT BONE FUSION | $11,336 | $6,802 | — | — | 0 |
| 23624415 | BARIATRIC KIT #RR4 | $11,118 | $6,671 | — | — | 0 |
| 23428573 | VIABAHN STENT 7X50MM #VBCR070502A | $10,882 | $6,529 | — | — | 0 |
| 23214759 | VIABAHN STENT 6X5 #VBCR060501A | $10,740 | $6,444 | — | — | 0 |
| 50242-0137-01 | Actemra | $10,667 | $6,400 | — | — | 2 |
| C1750 | CATHETER; HEMODIALYSIS/PERITONEAL; LONG-TERM | $10,657 | $6,394 | — | — | 0 |
| 35190 | REPAIR ACQ AV FISTULA XTR | $10,587 | $6,352 | — | — | 0 |
| 55513-0111-01 | Aranesp | $10,080 | $6,048 | — | — | 2 |
| 49593 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $9,919 | $5,951 | — | — | 0 |
| 54600 | REDUCE TESTIS TORSION | $9,903 | $5,942 | — | — | 0 |
| 23214912 | TIBIALIS TENDON | $9,880 | $5,928 | — | — | 0 |
| 26425668 | STRATTICE PORCINE DERMEL MATRIX 10X10 #1010002 | $9,788 | $5,873 | — | — | 0 |
| Q4186 | EPIFIX 1 SQ CM | $9,658 | $5,795 | — | — | 0 |
| 37615 | LIGATION MAJOR ARTERY NECK | $9,384 | $5,631 | — | — | 0 |
| 23287048 | FIBULAR PLATE CLUSTER 9 HOLE ANATOMICAL LEFT | $9,322 | $5,593 | — | — | 0 |
| 33210 | INSERT ELECTRD/PM CATH SNGL | $9,267 | $5,560 | — | — | 0 |
| 55513-0998-02 | Evenity | $9,253 | $5,552 | — | — | 0 |
| 10180 | I&D COMPLEX PO WOUND INFCTJ | $8,844 | $5,306 | — | — | 0 |
| 74178 | CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $8,835 | $5,301 | — | — | 2 |
| 23214626 | HERNIA DUALMESH+ 20CMX30CM #1DLMCP07 | $8,696 | $5,218 | — | — | 0 |
| 58661 | REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $8,502 | $5,101 | — | — | 0 |
| 28810 | AMPUTATION OF TOE AND MIDFOOT BONE | $8,502 | $5,101 | — | — | 1 |
| 36901 | INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST | $8,502 | $5,101 | — | — | 0 |
| 28750 | FUSION OF BIG TOE AT JOINT WITH FOOT | $8,502 | $5,101 | — | — | 0 |
| 36905 | REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEG | $8,502 | $5,101 | — | — | 0 |
| 49320 | DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE | $8,502 | $5,101 | — | — | 0 |
| 49324 | INSERTION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE | $8,502 | $5,101 | — | — | 0 |
| 49505 | REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $8,502 | $5,101 | — | — | 2 |
| 23214628 | HERNIA DUALMESH 15X19X2MMTHICK#1DLMCP201 | $8,462 | $5,077 | — | — | 0 |
| 23214446 | NOVASURE DEVICE #NSV5US-003 | $8,347 | $5,008 | — | — | 0 |
| 50242-0040-62 | Xolair | $8,217 | $4,930 | — | — | 0 |
Showing top 50 of 5,842 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.