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
4,373
Insurances with rates
12
CPT / HCPCS codes
0
Most expensive procedures (gross)
8809742
$99,000
00264-7389-60 - physiological Irrigationigating solution (Lactated Ringers) 3000 mL [JERS]
Gross
$99,000
9131493
$67,725
00990-7828-08 - physiological irrigating solution Lactated Ringers Sol
Gross
$67,725
9361161
$32,700
ILIVIA NEO 7 DR-T DF-1 PRO MRI
Gross
$32,700
9270293
$25,000
INS NGRC-ECAPS MRI
Gross
$25,000
8819242
$22,464
64764-0300-20 - vedolizumab 300 mg intravenous injection [JERS]
Gross
$22,464
8819036
$21,121
50242-0085-27 - alteplase 100 mg intravenous injection [JERS]
Gross
$21,121
9348166
$21,044
INS 977006 NG PAIN PC VANTA
Gross
$21,044
9247243
$20,778
00527-5137-62 - oseltamivir 6 mg/mL Pow
Gross
$20,778
9039356
$19,986
INS INTELLIS ADAPTIVESTIM PAIN
Gross
$19,986
8809850
$19,913
50242-0120-47 - tenecteplase 50 mg intravenous injection [JERS]
Gross
$19,913
9272152
$19,913
50242-0176-01 - tenecteplase 50 mg Pow
Gross
$19,913
9233674
$19,684
27241-0139-09 - oseltamivir 6 mg/mL Pow
Gross
$19,684
8809716
$19,684
70710-1165-06 - oseltamivir 6 mg/mL oral suspension 60 mL [JERS]
Gross
$19,684
9249316
$18,744
INTICA NEO 7 HF-T DF-1 PRO MRI
Gross
$18,744
9059328
$14,863
PUMP SYNCHROMEDIII INFUSION 20ML
Gross
$14,863
9224238
$14,520
AUGMENT INJECTABLE KIT 3.0CC INJECTABLE USA
Gross
$14,520
9146078
$13,857
PROBE ABLATION RADIOFREQUENCY BIPOLAR
Gross
$13,857
9039221
$13,857
RF PROBE
Gross
$13,857
9048643
$13,585
UNILATERAL PSIF KIT
Gross
$13,585
9040660
$13,389
PUMP SYNCHROMED II
Gross
$13,389
9213231
$13,050
72578-0129-08 - metroNIDAZOLE topical 0.75% Cre
Gross
$13,050
8875148
$12,961
50474-0710-79 - certolizumab 200 mg/mL Kit {JERS}
Gross
$12,961
9361369
$12,375
RIVACOR 7 VR-T DF4 PRO MRI
Gross
$12,375
9137466
$11,756
NI IMPLANT
Gross
$11,756
8819201
$11,274
50242-0053-06 - riTUXimab 10 mg/mL intravenous solution 50 mL [JERS]
Gross
$11,274
8890961
$11,200
CT Biopsy Adrenal
Gross
$11,200
9234354
$10,560
50242-0044-13 - alteplase 50 mg intraveneous injection [JERS]
Gross
$10,560
9039316
$10,280
MILD DEVICE KIT
Gross
$10,280
9328333
$9,390
DUODENOSCOPE SINGLE USE ( BX 1)
Gross
$9,390
9348236
$9,294
FRACTURE STEM SZ 8S L. 130MM
Gross
$9,294
8819073
$9,288
55513-0032-01 - darbepoetin alfa 500 mcg/mL injectable solution 1 mL [JERS]
Gross
$9,288
9327917
$9,119
TORNIER PERFORM ANATOMICGLENOID CORTILOC PEGGED S40
Gross
$9,119
9347564
$9,108
LAPIPLASTY SPEEDPLATE 18X14MM RAPID COMPRESSION IMPLANT
Gross
$9,108
9327919
$9,009
PERFORM CONCR HUMERAL HEAD 41X15
Gross
$9,009
9328334
$8,790
DUODENOSCOPE SINGLE USE (BX 2)
Gross
$8,790
9327920
$8,631
PERFORM HUMERAL STEM SZ2 PLUS LONG
Gross
$8,631
9288406
$8,631
PERFORM HUMERAL STEM SZ3 PLUS LONG
Gross
$8,631
9057061
$8,250
REUNION RFX-HUMERAL FRACTURE STEM 8MM
Gross
$8,250
9039012
$8,235
TRI TS FEMUR SZ5 RIGHT
Gross
$8,235
9040622
$8,099
INSPACE US LARGE
Gross
$8,099
1167919
$8,072
CT Biopsy Liver
Gross
$8,072
1167921
$8,072
CT Biopsy Lung/Mediastinum
Gross
$8,072
1167931
$8,072
CT Biopsy Renal
Gross
$8,072
8901147
$8,072
CT Biopsy Soft Tissue Neck
Gross
$8,072
8901150
$8,072
CT Biopsy Soft Tissue Pelvis
Gross
$8,072
9039364
$7,945
REUNION S PRESS-FIT HUMERAL STEM 13MML97
Gross
$7,945
9328335
$7,800
GORE VIABIL SHORT WIRE BILIARY ENDOPROSTHESIS 10MM C 6CM 8.5FR
Gross
$7,800
8819041
$7,675
50633-0110-12 - antivenin (Crotalidae ovine) polyvalent intravenous injection [JERS]
Gross
$7,675
9039449
$7,671
REUNION RFX-HUMERAL FRACTURE STEM 10MM
Gross
$7,671
2727071
$7,627
Routine obstetric care including antepartum care, vaginal delivery and postpartum care 59400
Gross
$7,627
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8809742 | 00264-7389-60 - physiological Irrigationigating solution (Lactated Ringers) 3000 mL [JERS] | $99,000 | $99,000 | — | — | 15 |
| 9131493 | 00990-7828-08 - physiological irrigating solution Lactated Ringers Sol | $67,725 | $67,725 | — | — | 15 |
| 9361161 | ILIVIA NEO 7 DR-T DF-1 PRO MRI | $32,700 | $32,700 | — | — | 15 |
| 9270293 | INS NGRC-ECAPS MRI | $25,000 | $25,000 | — | — | 15 |
| 8819242 | 64764-0300-20 - vedolizumab 300 mg intravenous injection [JERS] | $22,464 | $22,464 | — | — | 15 |
| 8819036 | 50242-0085-27 - alteplase 100 mg intravenous injection [JERS] | $21,121 | $21,121 | — | — | 15 |
| 9348166 | INS 977006 NG PAIN PC VANTA | $21,044 | $21,044 | — | — | 15 |
| 9247243 | 00527-5137-62 - oseltamivir 6 mg/mL Pow | $20,778 | $20,778 | — | — | 15 |
| 9039356 | INS INTELLIS ADAPTIVESTIM PAIN | $19,986 | $19,986 | — | — | 15 |
| 8809850 | 50242-0120-47 - tenecteplase 50 mg intravenous injection [JERS] | $19,913 | $19,913 | — | — | 15 |
| 9272152 | 50242-0176-01 - tenecteplase 50 mg Pow | $19,913 | $19,913 | — | — | 15 |
| 9233674 | 27241-0139-09 - oseltamivir 6 mg/mL Pow | $19,684 | $19,684 | — | — | 15 |
| 8809716 | 70710-1165-06 - oseltamivir 6 mg/mL oral suspension 60 mL [JERS] | $19,684 | $19,684 | — | — | 15 |
| 9249316 | INTICA NEO 7 HF-T DF-1 PRO MRI | $18,744 | $18,744 | — | — | 15 |
| 9059328 | PUMP SYNCHROMEDIII INFUSION 20ML | $14,863 | $14,863 | — | — | 15 |
| 9224238 | AUGMENT INJECTABLE KIT 3.0CC INJECTABLE USA | $14,520 | $14,520 | — | — | 15 |
| 9146078 | PROBE ABLATION RADIOFREQUENCY BIPOLAR | $13,857 | $13,857 | — | — | 15 |
| 9039221 | RF PROBE | $13,857 | $13,857 | — | — | 15 |
| 9048643 | UNILATERAL PSIF KIT | $13,585 | $13,585 | — | — | 15 |
| 9040660 | PUMP SYNCHROMED II | $13,389 | $13,389 | — | — | 15 |
| 9213231 | 72578-0129-08 - metroNIDAZOLE topical 0.75% Cre | $13,050 | $13,050 | — | — | 15 |
| 8875148 | 50474-0710-79 - certolizumab 200 mg/mL Kit {JERS} | $12,961 | $12,961 | — | — | 15 |
| 9361369 | RIVACOR 7 VR-T DF4 PRO MRI | $12,375 | $12,375 | — | — | 15 |
| 9137466 | NI IMPLANT | $11,756 | $11,756 | — | — | 15 |
| 8819201 | 50242-0053-06 - riTUXimab 10 mg/mL intravenous solution 50 mL [JERS] | $11,274 | $11,274 | — | — | 15 |
| 8890961 | CT Biopsy Adrenal | $11,200 | $11,200 | — | — | 19 |
| 9234354 | 50242-0044-13 - alteplase 50 mg intraveneous injection [JERS] | $10,560 | $10,560 | — | — | 15 |
| 9039316 | MILD DEVICE KIT | $10,280 | $10,280 | — | — | 15 |
| 9328333 | DUODENOSCOPE SINGLE USE ( BX 1) | $9,390 | $9,390 | — | — | 15 |
| 9348236 | FRACTURE STEM SZ 8S L. 130MM | $9,294 | $9,294 | — | — | 15 |
| 8819073 | 55513-0032-01 - darbepoetin alfa 500 mcg/mL injectable solution 1 mL [JERS] | $9,288 | $9,288 | — | — | 15 |
| 9327917 | TORNIER PERFORM ANATOMICGLENOID CORTILOC PEGGED S40 | $9,119 | $9,119 | — | — | 15 |
| 9347564 | LAPIPLASTY SPEEDPLATE 18X14MM RAPID COMPRESSION IMPLANT | $9,108 | $9,108 | — | — | 15 |
| 9327919 | PERFORM CONCR HUMERAL HEAD 41X15 | $9,009 | $9,009 | — | — | 15 |
| 9328334 | DUODENOSCOPE SINGLE USE (BX 2) | $8,790 | $8,790 | — | — | 15 |
| 9327920 | PERFORM HUMERAL STEM SZ2 PLUS LONG | $8,631 | $8,631 | — | — | 15 |
| 9288406 | PERFORM HUMERAL STEM SZ3 PLUS LONG | $8,631 | $8,631 | — | — | 15 |
| 9057061 | REUNION RFX-HUMERAL FRACTURE STEM 8MM | $8,250 | $8,250 | — | — | 15 |
| 9039012 | TRI TS FEMUR SZ5 RIGHT | $8,235 | $8,235 | — | — | 15 |
| 9040622 | INSPACE US LARGE | $8,099 | $8,099 | — | — | 15 |
| 1167919 | CT Biopsy Liver | $8,072 | $8,072 | — | — | 19 |
| 1167921 | CT Biopsy Lung/Mediastinum | $8,072 | $8,072 | — | — | 19 |
| 1167931 | CT Biopsy Renal | $8,072 | $8,072 | — | — | 19 |
| 8901147 | CT Biopsy Soft Tissue Neck | $8,072 | $8,072 | — | — | 19 |
| 8901150 | CT Biopsy Soft Tissue Pelvis | $8,072 | $8,072 | — | — | 19 |
| 9039364 | REUNION S PRESS-FIT HUMERAL STEM 13MML97 | $7,945 | $7,945 | — | — | 15 |
| 9328335 | GORE VIABIL SHORT WIRE BILIARY ENDOPROSTHESIS 10MM C 6CM 8.5FR | $7,800 | $7,800 | — | — | 15 |
| 8819041 | 50633-0110-12 - antivenin (Crotalidae ovine) polyvalent intravenous injection [JERS] | $7,675 | $7,675 | — | — | 15 |
| 9039449 | REUNION RFX-HUMERAL FRACTURE STEM 10MM | $7,671 | $7,671 | — | — | 15 |
| 2727071 | Routine obstetric care including antepartum care, vaginal delivery and postpartum care 59400 | $7,627 | $7,627 | — | — | 18 |
Showing top 50 of 4,373 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.