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
1,570
Insurances with rates
15
CPT / HCPCS codes
1,547
Most expensive procedures (gross)
J3245
$26,814
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$31,545
J3245
$26,814
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$31,545
J3101
$14,912
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$17,543
J3101
$14,912
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$17,543
J0717
$12,221
Certolizumab Pegol 400 Mg Kit
Gross
$14,377
J0717
$12,221
Certolizumab Pegol 400 Mg Kit
Gross
$14,377
J0491
$11,292
Anifrolumab-FNIA 300Mg/2Ml Via
Gross
$13,284
J0491
$11,292
Anifrolumab-FNIA 300Mg/2Ml Via
Gross
$13,284
J0565
$8,143
Bezlotoxumab 1,000 Mg/40 Ml Vl
Gross
$9,579
J0565
$8,143
Bezlotoxumab 1,000 Mg/40 Ml Vl
Gross
$9,579
J1306
$7,362
Inclisiran 284mg/1.5ml Syringe
Gross
$8,661
J1306
$7,362
Inclisiran 284mg/1.5ml Syringe
Gross
$8,661
J3111
$5,441
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$6,401
J3111
$5,441
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$6,401
74178
$5,127
CT Abd & Pelv WWO Contrast
Gross
$6,032
74178
$5,127
CT Abd & Pelv WWO Contrast
Gross
$6,032
72156
$5,086
MRI Neck Spine WWO Dye
Gross
$5,983
72158
$5,086
MRI Lumbar Spine WWO Dye
Gross
$5,983
72158
$5,086
MRI Lumbar Spine WWO Dye
Gross
$5,983
72156
$5,086
MRI Neck Spine WWO Dye
Gross
$5,983
73720
$4,893
MRI LE WWO Dye LT
Gross
$5,756
73720
$4,893
MRI LE WWO Dye LT
Gross
$5,756
Q5119
$4,872
Rituximab-PVVR 500Mg/50Ml Vial
Gross
$5,732
Q5119
$4,872
Rituximab-PVVR 500Mg/50Ml Vial
Gross
$5,732
95811
$4,832
Polysomnogram W CPap
Gross
$5,685
95811
$4,832
Polysomnogram W CPap
Gross
$5,685
73723
$4,803
MRI Joint LE WWO Dye LT
Gross
$5,650
73723
$4,803
MRI Joint LE WWO Dye LT
Gross
$5,650
72157
$4,786
MRI Chest Spine WWO Dye
Gross
$5,630
72157
$4,786
MRI Chest Spine WWO Dye
Gross
$5,630
74177
$4,749
CT Abd & Pelv W Contrast
Gross
$5,587
74177
$4,749
CT Abd & Pelv W Contrast
Gross
$5,587
70553
$4,498
MRI Brain WWO Contrast
Gross
$5,292
70553
$4,498
MRI Brain WWO Contrast
Gross
$5,292
74174
$4,316
CTA Abd&Pelv WWO Dye
Gross
$5,078
74174
$4,316
CTA Abd&Pelv WWO Dye
Gross
$5,078
74183
$4,311
MRI Abdomen WWO Dye
Gross
$5,072
74183
$4,311
MRI Abdomen WWO Dye
Gross
$5,072
95810
$4,300
Polysomnogram
Gross
$5,059
95810
$4,300
Polysomnogram
Gross
$5,059
J0349
$4,291
Rezafungin 200 Mg Vial
Gross
$5,048
J0349
$4,291
Rezafungin 200 Mg Vial
Gross
$5,048
72148
$4,281
MRI Lumbar Spine WO Dye
Gross
$5,036
72148
$4,281
MRI Lumbar Spine WO Dye
Gross
$5,036
Q5111
$4,212
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$4,955
Q5111
$4,212
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$4,955
75635
$4,118
CTA Abdominal Arteries
Gross
$4,845
75635
$4,118
CTA Abdominal Arteries
Gross
$4,845
74176
$4,058
CT Abd & Pelvis WO Contrast
Gross
$4,774
74176
$4,058
CT Abd & Pelvis WO Contrast
Gross
$4,774
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $31,545 | $26,814 | — | — | 8 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $31,545 | $26,814 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $17,543 | $14,912 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $17,543 | $14,912 | — | — | 10 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $14,377 | $12,221 | — | — | 8 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $14,377 | $12,221 | — | — | 8 |
| J0491 | Anifrolumab-FNIA 300Mg/2Ml Via | $13,284 | $11,292 | — | — | 8 |
| J0491 | Anifrolumab-FNIA 300Mg/2Ml Via | $13,284 | $11,292 | — | — | 10 |
| J0565 | Bezlotoxumab 1,000 Mg/40 Ml Vl | $9,579 | $8,143 | — | — | 8 |
| J0565 | Bezlotoxumab 1,000 Mg/40 Ml Vl | $9,579 | $8,143 | — | — | 8 |
| J1306 | Inclisiran 284mg/1.5ml Syringe | $8,661 | $7,362 | — | — | 8 |
| J1306 | Inclisiran 284mg/1.5ml Syringe | $8,661 | $7,362 | — | — | 8 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $6,401 | $5,441 | — | — | 8 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $6,401 | $5,441 | — | — | 8 |
| 74178 | CT Abd & Pelv WWO Contrast | $6,032 | $5,127 | — | — | 8 |
| 74178 | CT Abd & Pelv WWO Contrast | $6,032 | $5,127 | — | — | 11 |
| 72156 | MRI Neck Spine WWO Dye | $5,983 | $5,086 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,983 | $5,086 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,983 | $5,086 | — | — | 11 |
| 72156 | MRI Neck Spine WWO Dye | $5,983 | $5,086 | — | — | 11 |
| 73720 | MRI LE WWO Dye LT | $5,756 | $4,893 | — | — | 8 |
| 73720 | MRI LE WWO Dye LT | $5,756 | $4,893 | — | — | 8 |
| Q5119 | Rituximab-PVVR 500Mg/50Ml Vial | $5,732 | $4,872 | — | — | 8 |
| Q5119 | Rituximab-PVVR 500Mg/50Ml Vial | $5,732 | $4,872 | — | — | 8 |
| 95811 | Polysomnogram W CPap | $5,685 | $4,832 | — | — | 8 |
| 95811 | Polysomnogram W CPap | $5,685 | $4,832 | — | — | 12 |
| 73723 | MRI Joint LE WWO Dye LT | $5,650 | $4,803 | — | — | 8 |
| 73723 | MRI Joint LE WWO Dye LT | $5,650 | $4,803 | — | — | 8 |
| 72157 | MRI Chest Spine WWO Dye | $5,630 | $4,786 | — | — | 8 |
| 72157 | MRI Chest Spine WWO Dye | $5,630 | $4,786 | — | — | 11 |
| 74177 | CT Abd & Pelv W Contrast | $5,587 | $4,749 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $5,587 | $4,749 | — | — | 13 |
| 70553 | MRI Brain WWO Contrast | $5,292 | $4,498 | — | — | 8 |
| 70553 | MRI Brain WWO Contrast | $5,292 | $4,498 | — | — | 11 |
| 74174 | CTA Abd&Pelv WWO Dye | $5,078 | $4,316 | — | — | 8 |
| 74174 | CTA Abd&Pelv WWO Dye | $5,078 | $4,316 | — | — | 8 |
| 74183 | MRI Abdomen WWO Dye | $5,072 | $4,311 | — | — | 8 |
| 74183 | MRI Abdomen WWO Dye | $5,072 | $4,311 | — | — | 10 |
| 95810 | Polysomnogram | $5,059 | $4,300 | — | — | 8 |
| 95810 | Polysomnogram | $5,059 | $4,300 | — | — | 10 |
| J0349 | Rezafungin 200 Mg Vial | $5,048 | $4,291 | — | — | 8 |
| J0349 | Rezafungin 200 Mg Vial | $5,048 | $4,291 | — | — | 8 |
| 72148 | MRI Lumbar Spine WO Dye | $5,036 | $4,281 | — | — | 8 |
| 72148 | MRI Lumbar Spine WO Dye | $5,036 | $4,281 | — | — | 12 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $4,955 | $4,212 | — | — | 8 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $4,955 | $4,212 | — | — | 8 |
| 75635 | CTA Abdominal Arteries | $4,845 | $4,118 | — | — | 8 |
| 75635 | CTA Abdominal Arteries | $4,845 | $4,118 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $4,774 | $4,058 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $4,774 | $4,058 | — | — | 13 |
Showing top 50 of 1,570 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.