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
3,212
Insurances with rates
16
CPT / HCPCS codes
1,101
Most expensive procedures (gross)
J2406
$45,406
Oritavancin (Kimyrsa) 10 mg
Gross
$45,406
J1162
$32,509
Digifab 40 mg
Gross
$32,509
J1568
$29,387
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$29,387
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
33208
$23,121
Ins/Rplc Pacemkr; Atr+vnt
Gross
$23,121
15830
$20,192
Excision Skin Abdomen
Gross
$20,192
37236
$19,914
Open/Perq Place Stent 1st
Gross
$19,914
J3262
$19,618
Tocilizumab 400 mg
Gross
$19,618
33207
$19,194
Insrt Heart Pm Venticular
Gross
$19,194
J0349
$17,779
INJ, Rezafungin, 1 mg
Gross
$17,779
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
J0875
$13,852
Dalbavancin HCL
Gross
$13,852
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
72156
$11,377
MRI Neck Spine W/O & W/Dye
Gross
$11,377
72157
$11,377
MRI Thoracic Spine W/O & W/Dye
Gross
$11,377
72158
$11,377
MRI Lumbar Spine W/O & W/Dye
Gross
$11,377
28730
$10,632
Fusion of Foot Bones
Gross
$10,632
33216
$10,048
Insert 1 Electrode Pm-Defib
Gross
$10,048
33217
$10,048
Insert 2 Electrode Pm-Defib
Gross
$10,048
78803
$9,594
NM Rp Loclzj Tum Spect 1 Area
Gross
$9,594
0636
$9,448
Onabotulinumtoxina
Gross
$9,448
J0585
$9,448
Botox 100 unit
Gross
$9,448
J3489
$9,275
Zoledronic Acid 1 mg
Gross
$9,275
31645
$9,232
Bronchoscopy, Initial Procedur
Gross
$9,232
J0887
$9,070
Methoxy Peg-Epoetin Beta
Gross
$9,070
47531
$9,023
Injection for Cholangiogram
Gross
$9,023
36558
$9,007
Ins Tunneled CV CATH
Gross
$9,007
24685
$9,007
Treat Ulnar Fracture
Gross
$9,007
36581
$9,007
Replace TunnelED Cv Cath
Gross
$9,007
31600
$8,997
Tracheostomy Trach Placement
Gross
$8,997
J2407
$8,726
Oritavancin Diphosphate 400 mg
Gross
$8,726
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
43870
$8,384
Repair Stomach Opening
Gross
$8,384
15946
$8,365
Remove Hip Pressure Sore
Gross
$8,365
73200
$8,200
CT Upper Extrm W/O Dye Lt
Gross
$8,200
28113
$8,058
Part Removal of Metatarsal
Gross
$8,058
28124
$8,058
Partial Removal of Toe
Gross
$8,058
14040
$7,993
TIS TRNFR F/C/C/M/N/A/G/H/F
Gross
$7,993
32550
$7,908
Insert Pleural Cath
Gross
$7,908
50200
$7,830
Renal Biopsy Perq
Gross
$7,830
15110
$7,813
Epidrm Auto Trnk/Arm/Leg
Gross
$7,813
36247
$7,392
Ins Cath/Abd/L-Ext Art 3r
Gross
$7,392
36246
$7,392
Ins Cath Abd/L Ext Art 2n Lt
Gross
$7,392
72147
$7,324
MRI Thoracic Spn W/Dye
Gross
$7,324
72148
$7,324
MRI Lumbar Spine W/O Dye
Gross
$7,324
73222
$7,324
MRI Upper Ext Jnt W/ Dye
Gross
$7,324
72146
$7,324
MRI Thoracic Spine W/O Dye
Gross
$7,324
74181
$7,324
MRI Abdomen W/O Dye
Gross
$7,324
72149
$7,324
MRI Lumbar Spine W/Dye
Gross
$7,324
36245
$7,252
Ins Cath Abd/Lext Art 1st
Gross
$7,252
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2406 | Oritavancin (Kimyrsa) 10 mg | $45,406 | $45,406 | — | — | 10 |
| J1162 | Digifab 40 mg | $32,509 | $32,509 | — | — | 10 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $29,387 | $29,387 | — | — | 10 |
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 9 |
| 33208 | Ins/Rplc Pacemkr; Atr+vnt | $23,121 | $23,121 | — | — | 9 |
| 15830 | Excision Skin Abdomen | $20,192 | $20,192 | — | — | 9 |
| 37236 | Open/Perq Place Stent 1st | $19,914 | $19,914 | — | — | 9 |
| J3262 | Tocilizumab 400 mg | $19,618 | $19,618 | — | — | 10 |
| 33207 | Insrt Heart Pm Venticular | $19,194 | $19,194 | — | — | 9 |
| J0349 | INJ, Rezafungin, 1 mg | $17,779 | $17,779 | — | — | 10 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 9 |
| J0875 | Dalbavancin HCL | $13,852 | $13,852 | — | — | 10 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 9 |
| 72156 | MRI Neck Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 9 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 9 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 9 |
| 28730 | Fusion of Foot Bones | $10,632 | $10,632 | — | — | 9 |
| 33216 | Insert 1 Electrode Pm-Defib | $10,048 | $10,048 | — | — | 9 |
| 33217 | Insert 2 Electrode Pm-Defib | $10,048 | $10,048 | — | — | 9 |
| 78803 | NM Rp Loclzj Tum Spect 1 Area | $9,594 | $9,594 | — | — | 9 |
| 0636 | Onabotulinumtoxina | $9,448 | $9,448 | — | — | 30 |
| J0585 | Botox 100 unit | $9,448 | $9,448 | — | — | 10 |
| J3489 | Zoledronic Acid 1 mg | $9,275 | $9,275 | — | — | 10 |
| 31645 | Bronchoscopy, Initial Procedur | $9,232 | $9,232 | — | — | 9 |
| J0887 | Methoxy Peg-Epoetin Beta | $9,070 | $9,070 | — | — | 10 |
| 47531 | Injection for Cholangiogram | $9,023 | $9,023 | — | — | 9 |
| 36558 | Ins Tunneled CV CATH | $9,007 | $9,007 | — | — | 9 |
| 24685 | Treat Ulnar Fracture | $9,007 | $9,007 | — | — | 9 |
| 36581 | Replace TunnelED Cv Cath | $9,007 | $9,007 | — | — | 9 |
| 31600 | Tracheostomy Trach Placement | $8,997 | $8,997 | — | — | 9 |
| J2407 | Oritavancin Diphosphate 400 mg | $8,726 | $8,726 | — | — | 9 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 9 |
| 43870 | Repair Stomach Opening | $8,384 | $8,384 | — | — | 9 |
| 15946 | Remove Hip Pressure Sore | $8,365 | $8,365 | — | — | 9 |
| 73200 | CT Upper Extrm W/O Dye Lt | $8,200 | $8,200 | — | — | 9 |
| 28113 | Part Removal of Metatarsal | $8,058 | $8,058 | — | — | 9 |
| 28124 | Partial Removal of Toe | $8,058 | $8,058 | — | — | 9 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 9 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 9 |
| 50200 | Renal Biopsy Perq | $7,830 | $7,830 | — | — | 9 |
| 15110 | Epidrm Auto Trnk/Arm/Leg | $7,813 | $7,813 | — | — | 9 |
| 36247 | Ins Cath/Abd/L-Ext Art 3r | $7,392 | $7,392 | — | — | 9 |
| 36246 | Ins Cath Abd/L Ext Art 2n Lt | $7,392 | $7,392 | — | — | 9 |
| 72147 | MRI Thoracic Spn W/Dye | $7,324 | $7,324 | — | — | 9 |
| 72148 | MRI Lumbar Spine W/O Dye | $7,324 | $7,324 | — | — | 9 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $7,324 | $7,324 | — | — | 9 |
| 72146 | MRI Thoracic Spine W/O Dye | $7,324 | $7,324 | — | — | 9 |
| 74181 | MRI Abdomen W/O Dye | $7,324 | $7,324 | — | — | 9 |
| 72149 | MRI Lumbar Spine W/Dye | $7,324 | $7,324 | — | — | 9 |
| 36245 | Ins Cath Abd/Lext Art 1st | $7,252 | $7,252 | — | — | 9 |
Showing top 50 of 3,212 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.