45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,355
Insurances with rates
8
CPT / HCPCS codes
1,220
Most expensive procedures (gross)
J3110
$16,294
teriparatide 600 mcg/2.4 mL inj [MCH]
Gross
$29,096
J9217
$13,558
leuprolide 30 mg/4 months IM Inj, ER [MCH]
Gross
$24,210
J3101
$13,525
tenecteplase 50 mg IV Inj [MCH]
Gross
$24,152
00004-0820-09
$8,011
oseltamivir 6 mg/mL Susp 60ml [MCH]
Gross
$14,305
J1162
$7,872
digoxin immune FAB 40 mg Pow
Gross
$14,057
J0565
$6,371
bezlotoxumab 25 mg/mL Sol
Gross
$11,377
J0840
$5,050
antivenin (Crotalidae)polyvalent 1 gm Inj Sol [MCH]
Gross
$9,018
J7296
$3,738
levonorgestrel 19.5 mg Dev
Gross
$6,675
J2407
$3,675
oritavancin 400 mg Pow
Gross
$6,562
C5273
$3,455
GO PROSTHETIC TRAIN CHARGE
Gross
$6,170
J0248
$2,775
remdesivir 100 mg Pow
Gross
$4,954
Q4197
$2,716
KIT,CATH 16FR W/URINE MET
Gross
$4,850
J0875
$2,449
dalbavancin 500 mg Pow
Gross
$4,373
J0585
$2,438
onabotulinumtoxinA 100 units Pow
Gross
$4,354
J0897
$2,361
denosumab 60 mg/mL Sol
Gross
$4,216
63256-0100-30
$2,321
sterile talc - Aer
Gross
$4,144
J1670
$2,056
tetanus immune globulin 250 units IM [MCH]
Gross
$3,671
J7298
$2,041
levonorgestrel 52 mg Dev
Gross
$3,644
J1442
$2,029
filgrastim 480 mcg/0.8 mL Inj Sol [MCH]
Gross
$3,623
90376
$1,877
rabies immune glob, human 300iu/2mL IM [MCH]
Gross
$3,352
59514
$1,779
4609514 EMERGENCY CESAREAN DELIVERY ONLY
Gross
$3,176
J0630
$1,748
calcitonin 200 intl units/mL Sol
Gross
$3,121
C5274
$1,728
MISC EVALUATION-SC CHARGE
Gross
$3,085
J2760
$1,719
phentolamine 5 mg Pow
Gross
$3,069
90675
$1,605
rabies vaccine, purified chick embryo cell 2.5 intl units Pow
Gross
$2,866
15271
$1,582
15271 APL SKIN SUB LEG 25 SQ
Gross
$2,825
15272
$1,582
15272 APL SKN SUB EA AD 25
Gross
$2,825
15275
$1,582
15275 APL SKIN SUB FEET 25
Gross
$2,825
15276
$1,582
15276 APL SKIN SUB FT EA ADD
Gross
$2,825
70471
$1,532
CT Angio Head/Neck
Gross
$2,736
J0714
$1,530
avibactam-ceftazidime 0.5 g-2 g Pow
Gross
$2,732
J0882
$1,478
darbepoetin alfa 100 mcg/0.5 mL Inj Sol [MCH]
Gross
$2,639
11047
$1,442
11047 WC DEBRIDE, BONE - EACH ADDITIONAL 20CM2
Gross
$2,575
J1410
$1,389
conjugated estrogens 25 mg IV Inj [MCH]
Gross
$2,480
J0561
$1,363
penicillin G benzathine 1.2munits/2mL Inj [MCH]
Gross
$2,433
74185
$1,355
MRA Abdomen w/ + w/o Cont
Gross
$2,420
70553
$1,332
MRI Brain w/ + w/o Cont
Gross
$2,378
72157
$1,332
MRI Spine Thoracic w/ + w/o Cont
Gross
$2,378
73725
$1,332
MRA LE w/ + w/o Cont Lt
Gross
$2,378
99291
$1,278
99281 - Level 1 - Lynx Visit Level
Gross
$2,283
J0637
$1,258
caspofungin 50 mg Pow
Gross
$2,246
70546
$1,220
MRA Head w/ + w/o Cont
Gross
$2,178
70549
$1,220
MRA Neck w/ + w/o Cont
Gross
$2,178
70552
$1,220
MRI Brain w/ Cont
Gross
$2,178
71552
$1,220
MRI Chest w/ + w/o Cont
Gross
$2,178
72147
$1,220
MRI Spine Thoracic w/ Cont
Gross
$2,178
72156
$1,220
MRI Spine Cervical w/ + w/o Cont
Gross
$2,178
72158
$1,220
MRI Spine Lumbar w/ + w/o Cont
Gross
$2,178
72197
$1,220
MRI Pelvis w/ + w/o Cont
Gross
$2,178
73220
$1,220
MRI Elbow w/ + w/o Cont Lt
Gross
$2,178
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3110 | teriparatide 600 mcg/2.4 mL inj [MCH] | $29,096 | $16,294 | — | — | 23 |
| J9217 | leuprolide 30 mg/4 months IM Inj, ER [MCH] | $24,210 | $13,558 | — | — | 24 |
| J3101 | tenecteplase 50 mg IV Inj [MCH] | $24,152 | $13,525 | — | — | 23 |
| 00004-0820-09 | oseltamivir 6 mg/mL Susp 60ml [MCH] | $14,305 | $8,011 | — | — | 23 |
| J1162 | digoxin immune FAB 40 mg Pow | $14,057 | $7,872 | — | — | 23 |
| J0565 | bezlotoxumab 25 mg/mL Sol | $11,377 | $6,371 | — | — | 24 |
| J0840 | antivenin (Crotalidae)polyvalent 1 gm Inj Sol [MCH] | $9,018 | $5,050 | — | — | 24 |
| J7296 | levonorgestrel 19.5 mg Dev | $6,675 | $3,738 | — | — | 24 |
| J2407 | oritavancin 400 mg Pow | $6,562 | $3,675 | — | — | 23 |
| C5273 | GO PROSTHETIC TRAIN CHARGE | $6,170 | $3,455 | — | — | 24 |
| J0248 | remdesivir 100 mg Pow | $4,954 | $2,775 | — | — | 23 |
| Q4197 | KIT,CATH 16FR W/URINE MET | $4,850 | $2,716 | — | — | 23 |
| J0875 | dalbavancin 500 mg Pow | $4,373 | $2,449 | — | — | 24 |
| J0585 | onabotulinumtoxinA 100 units Pow | $4,354 | $2,438 | — | — | 24 |
| J0897 | denosumab 60 mg/mL Sol | $4,216 | $2,361 | — | — | 24 |
| 63256-0100-30 | sterile talc - Aer | $4,144 | $2,321 | — | — | 24 |
| J1670 | tetanus immune globulin 250 units IM [MCH] | $3,671 | $2,056 | — | — | 23 |
| J7298 | levonorgestrel 52 mg Dev | $3,644 | $2,041 | — | — | 24 |
| J1442 | filgrastim 480 mcg/0.8 mL Inj Sol [MCH] | $3,623 | $2,029 | — | — | 24 |
| 90376 | rabies immune glob, human 300iu/2mL IM [MCH] | $3,352 | $1,877 | — | — | 46 |
| 59514 | 4609514 EMERGENCY CESAREAN DELIVERY ONLY | $3,176 | $1,779 | — | — | 24 |
| J0630 | calcitonin 200 intl units/mL Sol | $3,121 | $1,748 | — | — | 48 |
| C5274 | MISC EVALUATION-SC CHARGE | $3,085 | $1,728 | — | — | 24 |
| J2760 | phentolamine 5 mg Pow | $3,069 | $1,719 | — | — | 48 |
| 90675 | rabies vaccine, purified chick embryo cell 2.5 intl units Pow | $2,866 | $1,605 | — | — | 48 |
| 15271 | 15271 APL SKIN SUB LEG 25 SQ | $2,825 | $1,582 | — | — | 24 |
| 15272 | 15272 APL SKN SUB EA AD 25 | $2,825 | $1,582 | — | — | 24 |
| 15275 | 15275 APL SKIN SUB FEET 25 | $2,825 | $1,582 | — | — | 24 |
| 15276 | 15276 APL SKIN SUB FT EA ADD | $2,825 | $1,582 | — | — | 24 |
| 70471 | CT Angio Head/Neck | $2,736 | $1,532 | — | — | 24 |
| J0714 | avibactam-ceftazidime 0.5 g-2 g Pow | $2,732 | $1,530 | — | — | 24 |
| J0882 | darbepoetin alfa 100 mcg/0.5 mL Inj Sol [MCH] | $2,639 | $1,478 | — | — | 48 |
| 11047 | 11047 WC DEBRIDE, BONE - EACH ADDITIONAL 20CM2 | $2,575 | $1,442 | — | — | 24 |
| J1410 | conjugated estrogens 25 mg IV Inj [MCH] | $2,480 | $1,389 | — | — | 24 |
| J0561 | penicillin G benzathine 1.2munits/2mL Inj [MCH] | $2,433 | $1,363 | — | — | 23 |
| 74185 | MRA Abdomen w/ + w/o Cont | $2,420 | $1,355 | — | — | 24 |
| 70553 | MRI Brain w/ + w/o Cont | $2,378 | $1,332 | — | — | 24 |
| 72157 | MRI Spine Thoracic w/ + w/o Cont | $2,378 | $1,332 | — | — | 24 |
| 73725 | MRA LE w/ + w/o Cont Lt | $2,378 | $1,332 | — | — | 24 |
| 99291 | 99281 - Level 1 - Lynx Visit Level | $2,283 | $1,278 | — | — | 24 |
| J0637 | caspofungin 50 mg Pow | $2,246 | $1,258 | — | — | 24 |
| 70546 | MRA Head w/ + w/o Cont | $2,178 | $1,220 | — | — | 24 |
| 70549 | MRA Neck w/ + w/o Cont | $2,178 | $1,220 | — | — | 24 |
| 70552 | MRI Brain w/ Cont | $2,178 | $1,220 | — | — | 24 |
| 71552 | MRI Chest w/ + w/o Cont | $2,178 | $1,220 | — | — | 24 |
| 72147 | MRI Spine Thoracic w/ Cont | $2,178 | $1,220 | — | — | 24 |
| 72156 | MRI Spine Cervical w/ + w/o Cont | $2,178 | $1,220 | — | — | 24 |
| 72158 | MRI Spine Lumbar w/ + w/o Cont | $2,178 | $1,220 | — | — | 24 |
| 72197 | MRI Pelvis w/ + w/o Cont | $2,178 | $1,220 | — | — | 24 |
| 73220 | MRI Elbow w/ + w/o Cont Lt | $2,178 | $1,220 | — | — | 24 |
Showing top 50 of 1,355 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.