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
2,313
Insurances with rates
15
CPT / HCPCS codes
2,250
Most expensive procedures (gross)
J1303
$58,745
Ravulizumab-CWVZ 1100 Mg/11 Ml
Gross
$58,744
J1303
$58,745
Ravulizumab-CWVZ 1100 Mg/11 Ml
Gross
$58,744
J2327
$25,424
Risankizumab-Rzaa 600 Mg/10 Ml
Gross
$25,424
J2327
$25,424
Risankizumab-Rzaa 600 Mg/10 Ml
Gross
$25,424
J1930
$24,474
Lanreotide Acet 90MG/0.3ML Syr
Gross
$24,474
J1930
$24,474
Lanreotide Acet 90MG/0.3ML Syr
Gross
$24,474
J3380
$22,305
Vedolizumab 300 MG Vial
Gross
$22,305
J3380
$22,305
Vedolizumab 300 MG Vial
Gross
$22,305
J2427
$21,857
Paliper Palm 819Mg/2.625Ml Syr
Gross
$21,857
J2427
$21,857
Paliper Palm 819Mg/2.625Ml Syr
Gross
$21,857
J3101
$21,107
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$21,106
J3101
$21,107
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$21,106
J9271
$20,388
Pembrolizumab 100 MG/4 ML Vial
Gross
$20,388
J9271
$20,388
Pembrolizumab 100 MG/4 ML Vial
Gross
$20,388
J2353
$18,267
Octreotide (Depot) 30 MG Syr
Gross
$18,266
J2353
$18,267
Octreotide (Depot) 30 MG Syr
Gross
$18,266
J0717
$16,942
Certolizumab Pegol 400 Mg Kit
Gross
$16,941
J0717
$16,942
Certolizumab Pegol 400 Mg Kit
Gross
$16,941
78816
$12,500
PET CT Whole Body Subsequent
Gross
$12,500
78816
$12,500
PET CT Whole Body Subsequent
Gross
$12,500
78815
$11,582
PET CT Skull To Mid Thigh Init
Gross
$11,582
78815
$11,582
PET CT Skull To Mid Thigh Init
Gross
$11,582
58563
$9,563
Hysteroscopy Ablation
Gross
$9,563
22514
$8,505
Kyphoplasty Lumbar
Gross
$8,505
J3111
$7,584
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$7,583
J3111
$7,584
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$7,583
15271
$7,157
Skin Substitute Graft 25 Sq CM
Gross
$7,157
15271
$7,157
Skin Substitute Graft 25 Sq CM
Gross
$7,157
J1602
$6,764
Golimumab 50 MG/4 ML Vial
Gross
$6,764
J1602
$6,764
Golimumab 50 MG/4 ML Vial
Gross
$6,764
750
$6,620
EGD
Gross
$6,620
750
$6,620
EGD
Gross
$6,620
J9217
$6,598
Leuprolide Acetate Sq 22.5Mg
Gross
$6,597
J9217
$6,598
Leuprolide Acetate Sq 22.5Mg
Gross
$6,597
57460
$6,185
Bx Cervix W Scope LEEP
Gross
$6,185
Q5111
$6,000
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$6,000
Q5111
$6,000
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$6,000
58558
$5,996
Hysteroscopy Biopsy
Gross
$5,996
J0401
$5,209
Aripiprazole 300 MG Vial
Gross
$5,208
J0401
$5,209
Aripiprazole 300 MG Vial
Gross
$5,208
74178
$5,194
CT Abd & Pelv WWO Contrast
Gross
$5,194
74178
$5,194
CT Abd & Pelv WWO Contrast
Gross
$5,194
J0897
$5,114
Denosumab 60 MG/ML Syringe
Gross
$5,114
J0897
$5,114
Denosumab 60 MG/ML Syringe
Gross
$5,114
95811
$4,870
Polysomnogram W CPap
Gross
$4,870
95811
$4,870
Polysomnogram W CPap
Gross
$4,870
74183
$4,844
MRI Abdomen WWO Dye
Gross
$4,844
74183
$4,844
MRI Abdomen WWO Dye
Gross
$4,844
64633
$4,788
Destroy Cerv/Thor Facet Jnt BI
Gross
$4,788
72157
$4,757
MRI Chest Spine WWO Dye
Gross
$4,757
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1303 | Ravulizumab-CWVZ 1100 Mg/11 Ml | $58,744 | $58,745 | — | — | 7 |
| J1303 | Ravulizumab-CWVZ 1100 Mg/11 Ml | $58,744 | $58,745 | — | — | 7 |
| J2327 | Risankizumab-Rzaa 600 Mg/10 Ml | $25,424 | $25,424 | — | — | 7 |
| J2327 | Risankizumab-Rzaa 600 Mg/10 Ml | $25,424 | $25,424 | — | — | 9 |
| J1930 | Lanreotide Acet 90MG/0.3ML Syr | $24,474 | $24,474 | — | — | 7 |
| J1930 | Lanreotide Acet 90MG/0.3ML Syr | $24,474 | $24,474 | — | — | 9 |
| J3380 | Vedolizumab 300 MG Vial | $22,305 | $22,305 | — | — | 7 |
| J3380 | Vedolizumab 300 MG Vial | $22,305 | $22,305 | — | — | 7 |
| J2427 | Paliper Palm 819Mg/2.625Ml Syr | $21,857 | $21,857 | — | — | 7 |
| J2427 | Paliper Palm 819Mg/2.625Ml Syr | $21,857 | $21,857 | — | — | 9 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $21,106 | $21,107 | — | — | 7 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $21,106 | $21,107 | — | — | 7 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $20,388 | $20,388 | — | — | 7 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $20,388 | $20,388 | — | — | 9 |
| J2353 | Octreotide (Depot) 30 MG Syr | $18,266 | $18,267 | — | — | 7 |
| J2353 | Octreotide (Depot) 30 MG Syr | $18,266 | $18,267 | — | — | 7 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $16,941 | $16,942 | — | — | 7 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $16,941 | $16,942 | — | — | 7 |
| 78816 | PET CT Whole Body Subsequent | $12,500 | $12,500 | — | — | 7 |
| 78816 | PET CT Whole Body Subsequent | $12,500 | $12,500 | — | — | 5 |
| 78815 | PET CT Skull To Mid Thigh Init | $11,582 | $11,582 | — | — | 7 |
| 78815 | PET CT Skull To Mid Thigh Init | $11,582 | $11,582 | — | — | 9 |
| 58563 | Hysteroscopy Ablation | $9,563 | $9,563 | — | — | 7 |
| 22514 | Kyphoplasty Lumbar | $8,505 | $8,505 | — | — | 7 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $7,583 | $7,584 | — | — | 7 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $7,583 | $7,584 | — | — | 9 |
| 15271 | Skin Substitute Graft 25 Sq CM | $7,157 | $7,157 | — | — | 7 |
| 15271 | Skin Substitute Graft 25 Sq CM | $7,157 | $7,157 | — | — | 5 |
| J1602 | Golimumab 50 MG/4 ML Vial | $6,764 | $6,764 | — | — | 7 |
| J1602 | Golimumab 50 MG/4 ML Vial | $6,764 | $6,764 | — | — | 8 |
| 750 | EGD | $6,620 | $6,620 | — | — | 7 |
| 750 | EGD | $6,620 | $6,620 | — | — | 5 |
| J9217 | Leuprolide Acetate Sq 22.5Mg | $6,597 | $6,598 | — | — | 7 |
| J9217 | Leuprolide Acetate Sq 22.5Mg | $6,597 | $6,598 | — | — | 7 |
| 57460 | Bx Cervix W Scope LEEP | $6,185 | $6,185 | — | — | 7 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $6,000 | $6,000 | — | — | 7 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $6,000 | $6,000 | — | — | 8 |
| 58558 | Hysteroscopy Biopsy | $5,996 | $5,996 | — | — | 7 |
| J0401 | Aripiprazole 300 MG Vial | $5,208 | $5,209 | — | — | 7 |
| J0401 | Aripiprazole 300 MG Vial | $5,208 | $5,209 | — | — | 7 |
| 74178 | CT Abd & Pelv WWO Contrast | $5,194 | $5,194 | — | — | 7 |
| 74178 | CT Abd & Pelv WWO Contrast | $5,194 | $5,194 | — | — | 9 |
| J0897 | Denosumab 60 MG/ML Syringe | $5,114 | $5,114 | — | — | 7 |
| J0897 | Denosumab 60 MG/ML Syringe | $5,114 | $5,114 | — | — | 9 |
| 95811 | Polysomnogram W CPap | $4,870 | $4,870 | — | — | 7 |
| 95811 | Polysomnogram W CPap | $4,870 | $4,870 | — | — | 10 |
| 74183 | MRI Abdomen WWO Dye | $4,844 | $4,844 | — | — | 7 |
| 74183 | MRI Abdomen WWO Dye | $4,844 | $4,844 | — | — | 7 |
| 64633 | Destroy Cerv/Thor Facet Jnt BI | $4,788 | $4,788 | — | — | 7 |
| 72157 | MRI Chest Spine WWO Dye | $4,757 | $4,757 | — | — | 7 |
Showing top 50 of 2,313 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.