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
4,641
Insurances with rates
16
CPT / HCPCS codes
1,914
Most expensive procedures (gross)
J9334
$138,262
EFGARTIG ALF/HYAL 1080MG-11,2000U/5.6ML
Gross
$138,262
J2327
$57,271
RISANKIZUMAB-RZAA (SKYRIZI):600MG/10ML
Gross
$57,271
J3380
$51,009
VEDOLIZUMAB (ENTYVIO) 300MG FTV
Gross
$51,009
J3101
$47,114
TENECTEPLASE(TNKASE) INJ 50 MG
Gross
$47,114
J2997
$44,572
ALTEPLASE (ACTIVASE) 100MG/100ML INJ
Gross
$44,572
J9310
$24,669
**RITUXIMAB 500MG/50ML:RITUXAN
Gross
$24,669
Q5115
$23,028
riTUXimab-abbs 500mg/50mL (TRUXIMA) SDV
Gross
$23,028
J3247
$17,321
SECUKINUMAB (COSENTYX) 125MG/5ML SDV
Gross
$17,321
13160
$12,141
2NDARY CLS SURG WND/DEHISC EXT/COMPL
Gross
$12,141
28505
$11,422
OPEN FX GR TOE/PHALX/PHALG W WO FIXA
Gross
$11,422
73221
$11,342
**MRI UE JNT BI W/O CONTRAST
Gross
$11,342
73720
$10,306
**MRI LOW EXT OTHER W & W/O CONTRAST
Gross
$10,306
73723
$10,306
**MRI LE JOINT W/WO CONTRAST
Gross
$10,306
73223
$10,306
**MRI UE JNT W & W/O CONTRAST
Gross
$10,306
J3358
$10,278
USTEKINUMAB FTV: 130mg/26 mL
Gross
$10,278
11770
$10,077
EXCISION PILONIDAL CYST/SINUS SIMPLE
Gross
$10,077
C1776
$10,005
**150680006 ATTUNE RP TIB BASE SZ6 CEM
Gross
$10,005
72149
$9,977
MRI LUMBAR SPINE W/ CONTRAST
Gross
$9,977
J3111
$9,586
ROMOSOZUMAB (EVENITY) 105MG/1.17ML
Gross
$9,586
J9312
$9,485
riTUXimab (RITUXAN) 100MG SDV
Gross
$9,485
52315
$9,371
SCOPE BLADDER COMPLEX REMOVAL
Gross
$9,371
G0390
$9,087
TRAUMA RESPONSE ACTIVATION WITHOUT CRITI
Gross
$9,087
73719
$9,074
**MRI LE OTHER W/CONTRAST
Gross
$9,074
73722
$9,074
**MRI LE JNT W/ CONTRAST
Gross
$9,074
73222
$9,074
**MRI UE JNT W/CONTRAST
Gross
$9,074
73219
$9,074
**MRI UE JNT OTHER W/ CONTRAST
Gross
$9,074
74174
$9,028
CT ANGIO ABD/PELVIS W OR W&W/O
Gross
$9,028
27301
$8,723
ER-I&D DEEP ABSC BURSA.HEMATOMA THIGH/K
Gross
$8,723
95811
$8,424
SLEEP STAGING INITIATION OF CPAP BIPAP
Gross
$8,424
73721
$8,143
**MRI LE JOINT W/O CONTRAST
Gross
$8,143
74177
$8,137
CT ABD PELVIS W CONTRAST
Gross
$8,137
72157
$8,126
MRI T SPINE W/ WO CONTRAST
Gross
$8,126
72156
$8,104
MRI C SPINE W/ AND W/O CONTRAST
Gross
$8,104
70553
$8,013
MRI BRAIN W/O AND W CONTRAST
Gross
$8,013
72159
$7,939
**MRA SPINE WITH CONTRAST
Gross
$7,939
72198
$7,939
**MRA PELVIS WITH CONTRAST
Gross
$7,939
73225
$7,939
**MRA UPPER EXT WITHOUT CONTRAST LT
Gross
$7,939
72158
$7,930
MRI LUMBAR SPINE W/O AND W CONTRAST
Gross
$7,930
70543
$7,887
MRI ORBIT FACE NECK W W/O CONTRAST
Gross
$7,887
20525
$7,823
RMVL FOREIGN BODY MUSCLE/TENDON
Gross
$7,823
78452
$7,779
NM MYOCARD PERF MULTI
Gross
$7,779
37799
$7,721
UNLISTED PROCEDURE, VASCULAR SURGERY
Gross
$7,721
69205
$7,655
RMVL FRGN BODY EX AUDITORY CANAL
Gross
$7,655
74178
$7,608
CT ABD PELVIS W/WO CONTRAST
Gross
$7,608
J2325
$7,574
**NESIRITIDE: (NATRECOR) 1.5MG VIAL
Gross
$7,574
72197
$7,530
MRI PELVIS W/WO CONTRAST
Gross
$7,530
J1162
$7,484
DIGOXIN IMMUNE FAB (DIGIBIND) 38MG VIA
Gross
$7,484
53899
$7,450
UNLISTED PROCEDURE, URINARY SYSTEM
Gross
$7,450
J7168
$7,412
PROTHROMBIN COMPLEX CONC (KCENTRA) 500IU
Gross
$7,412
10121
$7,336
I&R FOREIGN BODY SUBCUT TISS COMPLI
Gross
$7,336
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9334 | EFGARTIG ALF/HYAL 1080MG-11,2000U/5.6ML | $138,262 | $138,262 | — | — | 34 |
| J2327 | RISANKIZUMAB-RZAA (SKYRIZI):600MG/10ML | $57,271 | $57,271 | — | — | 34 |
| J3380 | VEDOLIZUMAB (ENTYVIO) 300MG FTV | $51,009 | $51,009 | — | — | 34 |
| J3101 | TENECTEPLASE(TNKASE) INJ 50 MG | $47,114 | $47,114 | — | — | 34 |
| J2997 | ALTEPLASE (ACTIVASE) 100MG/100ML INJ | $44,572 | $44,572 | — | — | 34 |
| J9310 | **RITUXIMAB 500MG/50ML:RITUXAN | $24,669 | $24,669 | — | — | 34 |
| Q5115 | riTUXimab-abbs 500mg/50mL (TRUXIMA) SDV | $23,028 | $23,028 | — | — | 34 |
| J3247 | SECUKINUMAB (COSENTYX) 125MG/5ML SDV | $17,321 | $17,321 | — | — | 34 |
| 13160 | 2NDARY CLS SURG WND/DEHISC EXT/COMPL | $12,141 | $12,141 | — | — | 34 |
| 28505 | OPEN FX GR TOE/PHALX/PHALG W WO FIXA | $11,422 | $11,422 | — | — | 34 |
| 73221 | **MRI UE JNT BI W/O CONTRAST | $11,342 | $11,342 | — | — | 34 |
| 73720 | **MRI LOW EXT OTHER W & W/O CONTRAST | $10,306 | $10,306 | — | — | 34 |
| 73723 | **MRI LE JOINT W/WO CONTRAST | $10,306 | $10,306 | — | — | 34 |
| 73223 | **MRI UE JNT W & W/O CONTRAST | $10,306 | $10,306 | — | — | 34 |
| J3358 | USTEKINUMAB FTV: 130mg/26 mL | $10,278 | $10,278 | — | — | 34 |
| 11770 | EXCISION PILONIDAL CYST/SINUS SIMPLE | $10,077 | $10,077 | — | — | 34 |
| C1776 | **150680006 ATTUNE RP TIB BASE SZ6 CEM | $10,005 | $10,005 | — | — | 34 |
| 72149 | MRI LUMBAR SPINE W/ CONTRAST | $9,977 | $9,977 | — | — | 34 |
| J3111 | ROMOSOZUMAB (EVENITY) 105MG/1.17ML | $9,586 | $9,586 | — | — | 34 |
| J9312 | riTUXimab (RITUXAN) 100MG SDV | $9,485 | $9,485 | — | — | 34 |
| 52315 | SCOPE BLADDER COMPLEX REMOVAL | $9,371 | $9,371 | — | — | 34 |
| G0390 | TRAUMA RESPONSE ACTIVATION WITHOUT CRITI | $9,087 | $9,087 | — | — | 34 |
| 73719 | **MRI LE OTHER W/CONTRAST | $9,074 | $9,074 | — | — | 34 |
| 73722 | **MRI LE JNT W/ CONTRAST | $9,074 | $9,074 | — | — | 34 |
| 73222 | **MRI UE JNT W/CONTRAST | $9,074 | $9,074 | — | — | 34 |
| 73219 | **MRI UE JNT OTHER W/ CONTRAST | $9,074 | $9,074 | — | — | 34 |
| 74174 | CT ANGIO ABD/PELVIS W OR W&W/O | $9,028 | $9,028 | — | — | 34 |
| 27301 | ER-I&D DEEP ABSC BURSA.HEMATOMA THIGH/K | $8,723 | $8,723 | — | — | 34 |
| 95811 | SLEEP STAGING INITIATION OF CPAP BIPAP | $8,424 | $8,424 | — | — | 34 |
| 73721 | **MRI LE JOINT W/O CONTRAST | $8,143 | $8,143 | — | — | 34 |
| 74177 | CT ABD PELVIS W CONTRAST | $8,137 | $8,137 | — | — | 34 |
| 72157 | MRI T SPINE W/ WO CONTRAST | $8,126 | $8,126 | — | — | 34 |
| 72156 | MRI C SPINE W/ AND W/O CONTRAST | $8,104 | $8,104 | — | — | 34 |
| 70553 | MRI BRAIN W/O AND W CONTRAST | $8,013 | $8,013 | — | — | 34 |
| 72159 | **MRA SPINE WITH CONTRAST | $7,939 | $7,939 | — | — | 34 |
| 72198 | **MRA PELVIS WITH CONTRAST | $7,939 | $7,939 | — | — | 34 |
| 73225 | **MRA UPPER EXT WITHOUT CONTRAST LT | $7,939 | $7,939 | — | — | 34 |
| 72158 | MRI LUMBAR SPINE W/O AND W CONTRAST | $7,930 | $7,930 | — | — | 34 |
| 70543 | MRI ORBIT FACE NECK W W/O CONTRAST | $7,887 | $7,887 | — | — | 34 |
| 20525 | RMVL FOREIGN BODY MUSCLE/TENDON | $7,823 | $7,823 | — | — | 34 |
| 78452 | NM MYOCARD PERF MULTI | $7,779 | $7,779 | — | — | 34 |
| 37799 | UNLISTED PROCEDURE, VASCULAR SURGERY | $7,721 | $7,721 | — | — | 34 |
| 69205 | RMVL FRGN BODY EX AUDITORY CANAL | $7,655 | $7,655 | — | — | 34 |
| 74178 | CT ABD PELVIS W/WO CONTRAST | $7,608 | $7,608 | — | — | 34 |
| J2325 | **NESIRITIDE: (NATRECOR) 1.5MG VIAL | $7,574 | $7,574 | — | — | 34 |
| 72197 | MRI PELVIS W/WO CONTRAST | $7,530 | $7,530 | — | — | 34 |
| J1162 | DIGOXIN IMMUNE FAB (DIGIBIND) 38MG VIA | $7,484 | $7,484 | — | — | 34 |
| 53899 | UNLISTED PROCEDURE, URINARY SYSTEM | $7,450 | $7,450 | — | — | 34 |
| J7168 | PROTHROMBIN COMPLEX CONC (KCENTRA) 500IU | $7,412 | $7,412 | — | — | 34 |
| 10121 | I&R FOREIGN BODY SUBCUT TISS COMPLI | $7,336 | $7,336 | — | — | 34 |
Showing top 50 of 4,641 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.