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
19,833
Insurances with rates
3
CPT / HCPCS codes
17,388
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 DIPHOSPHATE 1200MG
Gross
$26,883
J1162
$24,747
DIGIFAB 40MG POWDER INJ
Gross
$24,747
J2997
$24,694
ALTEPLASE 50 MG INJ
Gross
$24,694
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
37191
$16,133
INSERT IVC FILTER W/WO VAS ACC
Gross
$16,133
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 20mg/ml 20ml vial
Gross
$13,742
Q4100
$13,319
ACTISHIELD BARRIER 16 SQ CM
Gross
$13,319
C1884
$13,266
SYS EMBOLIZATN PROTECT
Gross
$13,266
C1757
$12,519
CATH THROMB/EMBOLECTOMY
Gross
$12,519
J7187
$11,389
Antihemophilic Fctr(Humate-P)
Gross
$11,389
74178
$10,385
CT SCAN ABD&PELVIS W/WO CONT
Gross
$10,385
99291
$9,679
CRITICAL CARE 1ST 30-74MIN.
Gross
$9,679
47531
$9,613
CHOLANGIOGRAM T TUBE
Gross
$9,613
74177
$8,979
CT SCAN ABD&PELVIS W CONT
Gross
$8,979
78452
$8,687
MYOCARD PERF SPECT MULT
Gross
$8,687
J0630
$8,605
CALCITONIN 200IU/ML INJ
Gross
$8,605
74174
$8,530
CT ANGIO ABD&PELV W/O&W/DYE
Gross
$8,530
38222
$7,842
DX BONE MARROW BX&ASPIR.
Gross
$7,842
99285
$7,568
LEVEL V - COMPREHENSIVE
Gross
$7,568
70553
$7,208
MRI BRAIN W/O & W/CONT.
Gross
$7,208
74176
$7,167
CT SCAN ABD&PELVIS W/O CONT
Gross
$7,167
C1880
$7,022
VenaCava Fltr Set Jglr&Fmlr
Gross
$7,022
72156
$6,964
MRI C/SPINE W/O & W/CONT.
Gross
$6,964
70543
$6,964
MRI ORBIT,FACE,NECK W&W/O CONT
Gross
$6,964
73720
$6,825
MRI LOWER EXT W&W/O CONT NO JT
Gross
$6,825
73722
$6,825
MRI LOWER EXT JOINT W/CONT
Gross
$6,825
73723
$6,825
MRI LOWER EXT JOINT W&W/O CONT
Gross
$6,825
74183
$6,825
MRI ABDOMEN W & W/O CONT.
Gross
$6,825
73223
$6,594
MRI UPPER EXT JOINT W&W/O CONT
Gross
$6,594
72197
$6,594
MRI PELVIS W & W/O CONT.
Gross
$6,594
J7205
$6,412
Factor VIII RecFC (Eloct) 547U
Gross
$6,412
72158
$6,205
MRI SP LUMB W/WO CONT
Gross
$6,205
75822
$6,200
VEIN X-RAY ARMS/LEGS UNI
Gross
$6,200
70552
$6,173
MRI BRAIN W/CONT.
Gross
$6,173
70544
$6,017
MRI MRA-HEAD
Gross
$6,017
70547
$6,017
MRI MRA-NECK
Gross
$6,017
72142
$5,964
MRI C/SPINE W/CONT.
Gross
$5,964
C1886
$5,913
CATHETER, ABLATION,ANY,INSERT
Gross
$5,913
73222
$5,854
MRI UPPER EXT JOINT W/CONT
Gross
$5,854
77002
$5,848
FLUORO BX/ASP/INJ/GUIDE
Gross
$5,848
C2615
$5,847
Progel Plural Sealant
Gross
$5,847
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | tenecteplase (TKNase) 50 mg intravenous injection | $38,880 | $38,880 | — | — | 12 |
| C1889 | LINX DEVICE | $35,975 | $35,975 | — | — | 9 |
| J0391 | ARTESUNATE 110 MG VIAL SUV | $28,170 | $28,170 | — | — | 6 |
| J2406 | ORITAVANCIN DIPHOSPHATE 1200MG | $26,883 | $26,883 | — | — | 6 |
| J1162 | DIGIFAB 40MG POWDER INJ | $24,747 | $24,747 | — | — | 6 |
| J2997 | ALTEPLASE 50 MG INJ | $24,694 | $24,694 | — | — | 6 |
| C1052 | HEMOSPRAY | $19,038 | $19,038 | — | — | 5 |
| C1724 | CATH ATHR TRANSLUM ROT | $18,331 | $18,331 | — | — | 5 |
| A7048 | ASPIRA DRAINAGE COLLECTION KIT | $17,268 | $17,268 | — | — | 5 |
| 37191 | INSERT IVC FILTER W/WO VAS ACC | $16,133 | $16,133 | — | — | 6 |
| C1714 | CATH ATHR TRANSLUM DIREC | $16,053 | $16,053 | — | — | 5 |
| C2628 | CATH TOTAL OCCLUSSION(CROSSER) | $15,983 | $15,983 | — | — | 5 |
| J7192 | Antihemophilic fctr(Rec)Advate | $15,450 | $15,450 | — | — | 6 |
| Q5115 | TRUXIMA 500MG/50ML SDV | $14,033 | $14,033 | — | — | 7 |
| Q0249 | Tocilizumab 20mg/ml 20ml vial | $13,742 | $13,742 | — | — | 8 |
| Q4100 | ACTISHIELD BARRIER 16 SQ CM | $13,319 | $13,319 | — | — | 9 |
| C1884 | SYS EMBOLIZATN PROTECT | $13,266 | $13,266 | — | — | 5 |
| C1757 | CATH THROMB/EMBOLECTOMY | $12,519 | $12,519 | — | — | 5 |
| J7187 | Antihemophilic Fctr(Humate-P) | $11,389 | $11,389 | — | — | 6 |
| 74178 | CT SCAN ABD&PELVIS W/WO CONT | $10,385 | $10,385 | — | — | 6 |
| 99291 | CRITICAL CARE 1ST 30-74MIN. | $9,679 | $9,679 | — | — | 5 |
| 47531 | CHOLANGIOGRAM T TUBE | $9,613 | $9,613 | — | — | 6 |
| 74177 | CT SCAN ABD&PELVIS W CONT | $8,979 | $8,979 | — | — | 6 |
| 78452 | MYOCARD PERF SPECT MULT | $8,687 | $8,687 | — | — | 6 |
| J0630 | CALCITONIN 200IU/ML INJ | $8,605 | $8,605 | — | — | 6 |
| 74174 | CT ANGIO ABD&PELV W/O&W/DYE | $8,530 | $8,530 | — | — | 10 |
| 38222 | DX BONE MARROW BX&ASPIR. | $7,842 | $7,842 | — | — | 6 |
| 99285 | LEVEL V - COMPREHENSIVE | $7,568 | $7,568 | — | — | 5 |
| 70553 | MRI BRAIN W/O & W/CONT. | $7,208 | $7,208 | — | — | 6 |
| 74176 | CT SCAN ABD&PELVIS W/O CONT | $7,167 | $7,167 | — | — | 6 |
| C1880 | VenaCava Fltr Set Jglr&Fmlr | $7,022 | $7,022 | — | — | 5 |
| 72156 | MRI C/SPINE W/O & W/CONT. | $6,964 | $6,964 | — | — | 6 |
| 70543 | MRI ORBIT,FACE,NECK W&W/O CONT | $6,964 | $6,964 | — | — | 6 |
| 73720 | MRI LOWER EXT W&W/O CONT NO JT | $6,825 | $6,825 | — | — | 6 |
| 73722 | MRI LOWER EXT JOINT W/CONT | $6,825 | $6,825 | — | — | 6 |
| 73723 | MRI LOWER EXT JOINT W&W/O CONT | $6,825 | $6,825 | — | — | 6 |
| 74183 | MRI ABDOMEN W & W/O CONT. | $6,825 | $6,825 | — | — | 6 |
| 73223 | MRI UPPER EXT JOINT W&W/O CONT | $6,594 | $6,594 | — | — | 6 |
| 72197 | MRI PELVIS W & W/O CONT. | $6,594 | $6,594 | — | — | 6 |
| J7205 | Factor VIII RecFC (Eloct) 547U | $6,412 | $6,412 | — | — | 6 |
| 72158 | MRI SP LUMB W/WO CONT | $6,205 | $6,205 | — | — | 6 |
| 75822 | VEIN X-RAY ARMS/LEGS UNI | $6,200 | $6,200 | — | — | 8 |
| 70552 | MRI BRAIN W/CONT. | $6,173 | $6,173 | — | — | 6 |
| 70544 | MRI MRA-HEAD | $6,017 | $6,017 | — | — | 6 |
| 70547 | MRI MRA-NECK | $6,017 | $6,017 | — | — | 6 |
| 72142 | MRI C/SPINE W/CONT. | $5,964 | $5,964 | — | — | 6 |
| C1886 | CATHETER, ABLATION,ANY,INSERT | $5,913 | $5,913 | — | — | 5 |
| 73222 | MRI UPPER EXT JOINT W/CONT | $5,854 | $5,854 | — | — | 6 |
| 77002 | FLUORO BX/ASP/INJ/GUIDE | $5,848 | $5,848 | — | — | 8 |
| C2615 | Progel Plural Sealant | $5,847 | $5,847 | — | — | 9 |
Showing top 50 of 19,833 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.