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: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
319
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
3009936
—
ECULIZUMAB 10MG/ML INJECTION
Gross
$16,308
3009069
—
OCTREOTIDE(SANDOSTATIN) LAR 30MG INJ
Gross
$11,847
3000144
—
CROTALIDAE (CROFAB) VIAL: 1 GRAM
Gross
$9,594
3009551
—
TNKASE 50MG
Gross
$8,424
3008339
—
GAMMAGARD 20G INJECTION
Gross
$5,881
13036561
—
ER INSERT TUNNELED CV CATH W/ AGE 5 YR/>
Gross
$5,216
57078815
—
PET IMAGE W/ CT SKULLTHIGH
Gross
$4,575
5104178
—
CT ABDOMEN & PELVIS W & W/O CONT
Gross
$3,880
ecw15
—
Lap chole w cholangiogram
Gross
$3,490
ecw16
—
Cholecystectomy
Gross
$3,300
3009076
—
INFLIXIMAB 100MG INJECTION
Gross
$3,264
5104177
—
CT scan of abdomen and pelvis with contrast
Gross
$3,075
5104176
—
CT ABDOMEN & PELVIS WO CONT
Gross
$2,880
ecw14
—
Removal of gallbladder using an endoscope
Gross
$2,854
ecw9
—
Appendectomy w perf
Gross
$2,700
MN MPI SPECT DUAL STUDY
—
MN MPI SPECT DUAL STUDY
Gross
$2,654
53078452
—
NM MPI SPECT DUAL STUDY
Gross
$2,654
66095812
—
SLEEP STUDY CPAP TITRATION
Gross
$2,650
66095811
—
SLEEP STUDY PSG/CPAP
Gross
$2,650
6101602
—
DME CPAP DREAMSTATION W/HUMIDIF PURCHASE
Gross
$2,600
66095810
—
Sleep study PSG
Gross
$2,450
ecw18
—
Hernia repair
Gross
$2,415
13000600
—
ER CRITICAL CARE FIRST 3074 MINUTES
Gross
$2,250
ecw19
—
Hernia repair, umb
Gross
$2,174
5670553
—
MRI scan of brain before and after contrast
Gross
$2,000
5674183
—
MRI ABDOMEN W & WO CONTRAST
Gross
$2,000
ecw3
—
Excision pilondal cyst, > 2cm
Gross
$1,961
13004640
—
I&D PERIRECT ABCE
Gross
$1,939
ecw5
—
Amputation toe
Gross
$1,932
ecw7
—
Colostomy
Gross
$1,900
5100130
—
CT HEAD COMBINED
Gross
$1,852
1158330
—
BB PHERISIS PLATELETS LR
Gross
$1,818
13236571
—
INPAT INSERTION CHARGE PICC
Gross
$1,800
13036569
—
OP ER PICC INSERTION
Gross
$1,800
13006571
—
ER PICC INSERTION
Gross
$1,800
14703657
—
OR PICC INSERTION
Gross
$1,800
ecw10
—
Lap appy
Gross
$1,800
5105570
—
CT CHEST W/CONTRAST
Gross
$1,755
14700751
—
Removal of polyps or growths of large bowel using an endoscope
Gross
$1,729
ecw11
—
Colonoscopy
Gross
$1,729
14700730
—
Biopsy of large bowel using an endoscope
Gross
$1,725
5203306
—
US ECHO
Gross
$1,700
ecw17
—
Repair of groin hernia patient age 5 or older
Gross
$1,691
ecw8
—
Appendectomy
Gross
$1,691
ecw12
—
Hemorrhiodectomy
Gross
$1,691
14700741
—
COLONOSCOPY W/ HOT BX FORCEPS
Gross
$1,637
13000560
—
ER LEVEL 5 WITH ADD'L PROCEDURE
Gross
$1,600
13000850
—
ER LEVEL 5
Gross
$1,600
1002020
—
RESPCOV2 PANEL
Gross
$1,570
5100630
—
CT scan, pelvis, with contrast
Gross
$1,560
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3009936 | ECULIZUMAB 10MG/ML INJECTION | $16,308 | — | $176 | $14,677 | 0 |
| 3009069 | OCTREOTIDE(SANDOSTATIN) LAR 30MG INJ | $11,847 | — | $71.09 | $10,662 | 0 |
| 3000144 | CROTALIDAE (CROFAB) VIAL: 1 GRAM | $9,594 | — | $2,878 | $8,635 | 0 |
| 3009551 | TNKASE 50MG | $8,424 | — | $41.06 | $7,581 | 0 |
| 3008339 | GAMMAGARD 20G INJECTION | $5,881 | — | $31.65 | $5,293 | 0 |
| 13036561 | ER INSERT TUNNELED CV CATH W/ AGE 5 YR/> | $5,216 | — | $297 | $4,695 | 0 |
| 57078815 | PET IMAGE W/ CT SKULLTHIGH | $4,575 | — | $1,332 | $4,118 | 0 |
| 5104178 | CT ABDOMEN & PELVIS W & W/O CONT | $3,880 | — | $273 | $3,492 | 0 |
| ecw15 | Lap chole w cholangiogram | $3,490 | — | $363 | $4,716 | 0 |
| ecw16 | Cholecystectomy | $3,300 | — | $990 | $2,970 | 0 |
| 3009076 | INFLIXIMAB 100MG INJECTION | $3,264 | — | $65.7 | $2,938 | 0 |
| 5104177 | CT scan of abdomen and pelvis with contrast | $3,075 | — | $206 | $2,768 | 0 |
| 5104176 | CT ABDOMEN & PELVIS WO CONT | $2,880 | — | $108 | $2,592 | 0 |
| ecw14 | Removal of gallbladder using an endoscope | $2,854 | — | $363 | $4,716 | 0 |
| ecw9 | Appendectomy w perf | $2,700 | — | $810 | $2,430 | 0 |
| MN MPI SPECT DUAL STUDY | MN MPI SPECT DUAL STUDY | $2,654 | — | $267 | $2,388 | 0 |
| 53078452 | NM MPI SPECT DUAL STUDY | $2,654 | — | $267 | $2,388 | 0 |
| 66095812 | SLEEP STUDY CPAP TITRATION | $2,650 | — | $79.5 | $2,385 | 0 |
| 66095811 | SLEEP STUDY PSG/CPAP | $2,650 | — | $205 | $2,385 | 0 |
| 6101602 | DME CPAP DREAMSTATION W/HUMIDIF PURCHASE | $2,600 | — | $780 | $2,340 | 0 |
| 66095810 | Sleep study PSG | $2,450 | — | $122 | $2,205 | 0 |
| ecw18 | Hernia repair | $2,415 | — | $363 | $3,034 | 0 |
| 13000600 | ER CRITICAL CARE FIRST 3074 MINUTES | $2,250 | — | $675 | $2,025 | 0 |
| ecw19 | Hernia repair, umb | $2,174 | — | $363 | $3,034 | 0 |
| 5670553 | MRI scan of brain before and after contrast | $2,000 | — | $352 | $1,800 | 0 |
| 5674183 | MRI ABDOMEN W & WO CONTRAST | $2,000 | — | $352 | $2,149 | 0 |
| ecw3 | Excision pilondal cyst, > 2cm | $1,961 | — | $320 | $2,263 | 0 |
| 13004640 | I&D PERIRECT ABCE | $1,939 | — | $250 | $1,745 | 0 |
| ecw5 | Amputation toe | $1,932 | — | $250 | $2,671 | 0 |
| ecw7 | Colostomy | $1,900 | — | $570 | $1,710 | 0 |
| 5100130 | CT HEAD COMBINED | $1,852 | — | $168 | $1,667 | 0 |
| 1158330 | BB PHERISIS PLATELETS LR | $1,818 | — | $455 | $1,636 | 0 |
| 13236571 | INPAT INSERTION CHARGE PICC | $1,800 | — | $297 | $1,620 | 0 |
| 13036569 | OP ER PICC INSERTION | $1,800 | — | $297 | $1,620 | 0 |
| 13006571 | ER PICC INSERTION | $1,800 | — | $297 | $1,620 | 0 |
| 14703657 | OR PICC INSERTION | $1,800 | — | $297 | $1,620 | 0 |
| ecw10 | Lap appy | $1,800 | — | $363 | $4,716 | 0 |
| 5105570 | CT CHEST W/CONTRAST | $1,755 | — | $168 | $1,580 | 0 |
| 14700751 | Removal of polyps or growths of large bowel using an endoscope | $1,729 | — | $250 | $1,556 | 0 |
| ecw11 | Colonoscopy | $1,729 | — | $250 | $1,556 | 0 |
| 14700730 | Biopsy of large bowel using an endoscope | $1,725 | — | $250 | $1,553 | 0 |
| 5203306 | US ECHO | $1,700 | — | $258 | $1,530 | 0 |
| ecw17 | Repair of groin hernia patient age 5 or older | $1,691 | — | $363 | $3,034 | 0 |
| ecw8 | Appendectomy | $1,691 | — | $320 | $3,034 | 0 |
| ecw12 | Hemorrhiodectomy | $1,691 | — | $297 | $2,287 | 0 |
| 14700741 | COLONOSCOPY W/ HOT BX FORCEPS | $1,637 | — | $250 | $1,473 | 0 |
| 13000560 | ER LEVEL 5 WITH ADD'L PROCEDURE | $1,600 | — | $480 | $1,440 | 0 |
| 13000850 | ER LEVEL 5 | $1,600 | — | $480 | $1,440 | 0 |
| 1002020 | RESPCOV2 PANEL | $1,570 | — | $471 | $1,413 | 0 |
| 5100630 | CT scan, pelvis, with contrast | $1,560 | — | $168 | $1,404 | 0 |
Showing top 50 of 319 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.