45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
18,854
Insurances with rates
4
CPT / HCPCS codes
16,489
Most expensive procedures (gross)
J3101
$38,880
tenecteplase (TKNase) 50 mg intravenous injection
Gross
$38,880
C1889
$35,975
LINX DEVICE
Gross
$35,975
J0391
$28,170
ARTESUNATE 110 MG VIAL SUV
Gross
$28,170
J2406
$26,883
oritavancin 1200 mg Powder for injection
Gross
$26,883
J1162
$24,747
DIGIFAB 40MG POWDER INJ
Gross
$24,747
J2997
$24,694
alteplase (Activase) 50 mg intravenous injection
Gross
$24,694
37191
$20,559
INSERT IVC FILTER W/WO VAS ACC
Gross
$20,559
C1052
$19,038
HEMOSPRAY
Gross
$19,038
C1724
$18,331
CATH ATHR TRANSLUM ROT
Gross
$18,331
A7048
$17,268
ASPIRA DRAINAGE COLLECTION KIT
Gross
$17,268
C1714
$16,053
CATH ATHR TRANSLUM DIREC
Gross
$16,053
C2628
$15,983
CATH TOTAL OCCLUSSION(CROSSER)
Gross
$15,983
J7192
$15,450
Antihemophilic fctr(Rec)Advate
Gross
$15,450
Q5115
$14,033
TRUXIMA 500MG/50ML SDV
Gross
$14,033
Q0249
$13,742
tocilizumab 20 mg/mL (20 mL) injectable solution
Gross
$13,742
47531
$13,422
CHOLANGIOGRAM T TUBE
Gross
$13,422
Q4100
$13,319
ACTISHIELD BARRIER 16 SQ CM
Gross
$13,319
C1884
$13,271
SYS EMBOLIZATN PROTECT
Gross
$13,271
C1757
$12,519
CATH THROMB/EMBOLECTOMY
Gross
$12,519
J7187
$11,389
Antihemophilic Fctr(Humate-P)
Gross
$11,389
74178
$9,624
CT SCAN ABD&PELVIS W/WO CONT
Gross
$9,624
72197
$9,232
MRI PELVIS W & W/O CONT.
Gross
$9,232
70553
$9,127
MRI BRAIN W/O & W/CONT.
Gross
$9,127
74183
$8,767
MRI ABDOMEN W & W/O CONT.
Gross
$8,767
73723
$8,766
MRI LOWER EXT JOINT W&W/O CONT
Gross
$8,766
72158
$8,687
MRI SP LUMB W/WO CONT
Gross
$8,687
J0630
$8,605
CALCITONIN 200IU/ML INJ
Gross
$8,605
73223
$8,469
MRI UPPER EXT JOINT W&W/O CONT
Gross
$8,469
74177
$8,322
CT SCAN ABD&PELVIS W CONT
Gross
$8,322
90375
$7,978
rabies immune globulin, human 150 intl units/mL solution for injection
Gross
$7,978
72157
$7,969
MRI SP THOR W/WO CM
Gross
$7,969
70543
$7,894
MRI ORBIT,FACE,NECK W&W/O CONT
Gross
$7,894
72156
$7,894
MRI C/SPINE W/O & W/CONT.
Gross
$7,894
71550
$7,508
MRI CHEST W/O CONT.
Gross
$7,508
78452
$7,355
MYOCARD PERF SPECT MULT
Gross
$7,355
72149
$7,254
MRI L/SPINE W/CONT.
Gross
$7,254
74182
$7,254
MRI ABDOMEN W/CONT.
Gross
$7,254
49440
$7,215
G-TUBE INS PERC W/FLUORO RAD
Gross
$7,215
C1880
$7,022
VenaCava Fltr Set Jglr&Fmlr
Gross
$7,022
70544
$6,822
MRI MRA-HEAD
Gross
$6,822
70547
$6,822
MRI MRA-NECK
Gross
$6,822
70542
$6,761
MRI ORBIT,FACE,NECK W/CONT.
Gross
$6,761
72142
$6,761
MRI C/SPINE W/CONT.
Gross
$6,761
70551
$6,670
MRI BRAIN W/O CONT.
Gross
$6,670
74176
$6,642
CT SCAN ABD&PELVIS W/O CONT
Gross
$6,642
73218
$6,614
MRI UPPER EXT NO JT W/O CONT
Gross
$6,614
72148
$6,505
MRI L/SPINE W/O CONT.
Gross
$6,505
J7205
$6,412
antihemophilic factor recombinant fc fusion protein (Eloctate) powder injectable
Gross
$6,412
99291
$6,347
CRITICAL CARE 1ST 30-74 MIN
Gross
$6,347
72195
$6,327
MRI PELVIS W/O CONT.
Gross
$6,327
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | tenecteplase (TKNase) 50 mg intravenous injection | $38,880 | $38,880 | — | — | 14 |
| C1889 | LINX DEVICE | $35,975 | $35,975 | — | — | 7 |
| J0391 | ARTESUNATE 110 MG VIAL SUV | $28,170 | $28,170 | — | — | 7 |
| J2406 | oritavancin 1200 mg Powder for injection | $26,883 | $26,883 | — | — | 8 |
| J1162 | DIGIFAB 40MG POWDER INJ | $24,747 | $24,747 | — | — | 8 |
| J2997 | alteplase (Activase) 50 mg intravenous injection | $24,694 | $24,694 | — | — | 8 |
| 37191 | INSERT IVC FILTER W/WO VAS ACC | $20,559 | $20,559 | — | — | 9 |
| C1052 | HEMOSPRAY | $19,038 | $19,038 | — | — | 4 |
| C1724 | CATH ATHR TRANSLUM ROT | $18,331 | $18,331 | — | — | 4 |
| A7048 | ASPIRA DRAINAGE COLLECTION KIT | $17,268 | $17,268 | — | — | 8 |
| C1714 | CATH ATHR TRANSLUM DIREC | $16,053 | $16,053 | — | — | 4 |
| C2628 | CATH TOTAL OCCLUSSION(CROSSER) | $15,983 | $15,983 | — | — | 4 |
| J7192 | Antihemophilic fctr(Rec)Advate | $15,450 | $15,450 | — | — | 7 |
| Q5115 | TRUXIMA 500MG/50ML SDV | $14,033 | $14,033 | — | — | 9 |
| Q0249 | tocilizumab 20 mg/mL (20 mL) injectable solution | $13,742 | $13,742 | — | — | 9 |
| 47531 | CHOLANGIOGRAM T TUBE | $13,422 | $13,422 | — | — | 9 |
| Q4100 | ACTISHIELD BARRIER 16 SQ CM | $13,319 | $13,319 | — | — | 7 |
| C1884 | SYS EMBOLIZATN PROTECT | $13,271 | $13,271 | — | — | 4 |
| C1757 | CATH THROMB/EMBOLECTOMY | $12,519 | $12,519 | — | — | 4 |
| J7187 | Antihemophilic Fctr(Humate-P) | $11,389 | $11,389 | — | — | 7 |
| 74178 | CT SCAN ABD&PELVIS W/WO CONT | $9,624 | $9,624 | — | — | 9 |
| 72197 | MRI PELVIS W & W/O CONT. | $9,232 | $9,232 | — | — | 9 |
| 70553 | MRI BRAIN W/O & W/CONT. | $9,127 | $9,127 | — | — | 9 |
| 74183 | MRI ABDOMEN W & W/O CONT. | $8,767 | $8,767 | — | — | 9 |
| 73723 | MRI LOWER EXT JOINT W&W/O CONT | $8,766 | $8,766 | — | — | 9 |
| 72158 | MRI SP LUMB W/WO CONT | $8,687 | $8,687 | — | — | 9 |
| J0630 | CALCITONIN 200IU/ML INJ | $8,605 | $8,605 | — | — | 8 |
| 73223 | MRI UPPER EXT JOINT W&W/O CONT | $8,469 | $8,469 | — | — | 9 |
| 74177 | CT SCAN ABD&PELVIS W CONT | $8,322 | $8,322 | — | — | 9 |
| 90375 | rabies immune globulin, human 150 intl units/mL solution for injection | $7,978 | $7,978 | — | — | 10 |
| 72157 | MRI SP THOR W/WO CM | $7,969 | $7,969 | — | — | 9 |
| 70543 | MRI ORBIT,FACE,NECK W&W/O CONT | $7,894 | $7,894 | — | — | 9 |
| 72156 | MRI C/SPINE W/O & W/CONT. | $7,894 | $7,894 | — | — | 9 |
| 71550 | MRI CHEST W/O CONT. | $7,508 | $7,508 | — | — | 9 |
| 78452 | MYOCARD PERF SPECT MULT | $7,355 | $7,355 | — | — | 10 |
| 72149 | MRI L/SPINE W/CONT. | $7,254 | $7,254 | — | — | 9 |
| 74182 | MRI ABDOMEN W/CONT. | $7,254 | $7,254 | — | — | 9 |
| 49440 | G-TUBE INS PERC W/FLUORO RAD | $7,215 | $7,215 | — | — | 9 |
| C1880 | VenaCava Fltr Set Jglr&Fmlr | $7,022 | $7,022 | — | — | 4 |
| 70544 | MRI MRA-HEAD | $6,822 | $6,822 | — | — | 9 |
| 70547 | MRI MRA-NECK | $6,822 | $6,822 | — | — | 9 |
| 70542 | MRI ORBIT,FACE,NECK W/CONT. | $6,761 | $6,761 | — | — | 9 |
| 72142 | MRI C/SPINE W/CONT. | $6,761 | $6,761 | — | — | 9 |
| 70551 | MRI BRAIN W/O CONT. | $6,670 | $6,670 | — | — | 9 |
| 74176 | CT SCAN ABD&PELVIS W/O CONT | $6,642 | $6,642 | — | — | 9 |
| 73218 | MRI UPPER EXT NO JT W/O CONT | $6,614 | $6,614 | — | — | 9 |
| 72148 | MRI L/SPINE W/O CONT. | $6,505 | $6,505 | — | — | 9 |
| J7205 | antihemophilic factor recombinant fc fusion protein (Eloctate) powder injectable | $6,412 | $6,412 | — | — | 7 |
| 99291 | CRITICAL CARE 1ST 30-74 MIN | $6,347 | $6,347 | — | — | 9 |
| 72195 | MRI PELVIS W/O CONT. | $6,327 | $6,327 | — | — | 9 |
Showing top 50 of 18,854 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.