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
2,840
Insurances with rates
13
CPT / HCPCS codes
2,368
Most expensive procedures (gross)
J3380
$29,851
64764-0300-20 - vedolizumab 300 mg Pow Entyvio [PA]
Gross
$29,851
J3380
$29,851
64764-0300-20 - vedolizumab 300 mg Pow Entyvio [PA]
Gross
$29,851
J3101
$25,547
50242-0120-01 - Tenecteplase 50 mg Vial (TNKase GEq) [PA]
Gross
$25,547
J3101
$25,547
50242-0120-01 - Tenecteplase 50 mg Vial (TNKase GEq) [PA]
Gross
$25,547
J1568
$23,277
68982-0850-04 - immune globulin intravenous 10% Sol
Gross
$23,277
J1568
$23,277
68982-0850-04 - immune globulin intravenous 10% Sol
Gross
$23,277
J2353
$21,769
00078-0825-81 - octreotide 30 mg Pow
Gross
$21,769
J2353
$21,769
00078-0825-81 - octreotide 30 mg Pow
Gross
$21,769
J1602
$21,154
57894-0350-01 - golimumab 50 mg/4 mL Sol
Gross
$21,154
J1602
$21,154
57894-0350-01 - golimumab 50 mg/4 mL Sol
Gross
$21,154
90375
$11,920
13533-0318-01 - rabies immune globulin, human 300 intl units/mL Sol [PA]
Gross
$11,920
90375
$11,920
13533-0318-01 - rabies immune globulin, human 300 intl units/mL Sol [PA]
Gross
$11,920
C1783
$5,485
Ocular implant, aqueous drainage assist device
Gross
$7,313
C1783
$5,485
Ocular implant, aqueous drainage assist device
Gross
$7,313
J2003
$6,416
63323-0208-05 - lidocaine 2% preservative-free Sol
Gross
$6,416
J2003
$6,416
63323-0208-05 - lidocaine 2% preservative-free Sol
Gross
$6,416
J0897
$6,133
55513-0710-01 - denosumab 60 mg/mL Sol
Gross
$6,133
J0897
$6,133
55513-0710-01 - denosumab 60 mg/mL Sol
Gross
$6,133
74174
$4,432
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$5,909
74174
$4,432
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$5,909
CATARACT COMPLEX CHARGE
$4,373
CATARACT COMPLEX CHARGE
Gross
$5,830
70553
$4,350
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$5,800
70553
$4,350
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$5,800
74178
$4,268
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$5,691
74178
$4,268
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$5,691
72156
$4,268
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$5,690
72156
$4,268
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$5,690
Cataract Extraction with Intraocular Lens Insert
$4,159
Cataract Extraction with Intraocular Lens Insertion
Gross
$5,545
78452
$4,110
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$5,480
78452
$4,110
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$5,480
73220
$4,096
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast materia
Gross
$5,461
73220
$4,096
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast materia
Gross
$5,461
70549
$4,039
Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s)
Gross
$5,385
72157
$4,039
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$5,385
72158
$4,039
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$5,385
72197
$4,039
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$5,385
70549
$4,039
Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s)
Gross
$5,385
72157
$4,039
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$5,385
72158
$4,039
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$5,385
72197
$4,039
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$5,385
70543
$3,925
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol
Gross
$5,233
70543
$3,925
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol
Gross
$5,233
73720
$3,859
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material
Gross
$5,145
73720
$3,859
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material
Gross
$5,145
75635
$3,789
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$5,052
75635
$3,789
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$5,052
95811
$3,749
Polysomnography; age 6 years or older, sleep staging with 4
Gross
$4,999
95811
$3,749
Polysomnography; age 6 years or older, sleep staging with 4
Gross
$4,999
74177
$3,648
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$4,864
74177
$3,648
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$4,864
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | 64764-0300-20 - vedolizumab 300 mg Pow Entyvio [PA] | $29,851 | $29,851 | — | — | 10 |
| J3380 | 64764-0300-20 - vedolizumab 300 mg Pow Entyvio [PA] | $29,851 | $29,851 | — | — | 12 |
| J3101 | 50242-0120-01 - Tenecteplase 50 mg Vial (TNKase GEq) [PA] | $25,547 | $25,547 | — | — | 10 |
| J3101 | 50242-0120-01 - Tenecteplase 50 mg Vial (TNKase GEq) [PA] | $25,547 | $25,547 | — | — | 12 |
| J1568 | 68982-0850-04 - immune globulin intravenous 10% Sol | $23,277 | $23,277 | — | — | 10 |
| J1568 | 68982-0850-04 - immune globulin intravenous 10% Sol | $23,277 | $23,277 | — | — | 12 |
| J2353 | 00078-0825-81 - octreotide 30 mg Pow | $21,769 | $21,769 | — | — | 10 |
| J2353 | 00078-0825-81 - octreotide 30 mg Pow | $21,769 | $21,769 | — | — | 12 |
| J1602 | 57894-0350-01 - golimumab 50 mg/4 mL Sol | $21,154 | $21,154 | — | — | 10 |
| J1602 | 57894-0350-01 - golimumab 50 mg/4 mL Sol | $21,154 | $21,154 | — | — | 12 |
| 90375 | 13533-0318-01 - rabies immune globulin, human 300 intl units/mL Sol [PA] | $11,920 | $11,920 | — | — | 10 |
| 90375 | 13533-0318-01 - rabies immune globulin, human 300 intl units/mL Sol [PA] | $11,920 | $11,920 | — | — | 12 |
| C1783 | Ocular implant, aqueous drainage assist device | $7,313 | $5,485 | — | — | 10 |
| C1783 | Ocular implant, aqueous drainage assist device | $7,313 | $5,485 | — | — | 12 |
| J2003 | 63323-0208-05 - lidocaine 2% preservative-free Sol | $6,416 | $6,416 | — | — | 10 |
| J2003 | 63323-0208-05 - lidocaine 2% preservative-free Sol | $6,416 | $6,416 | — | — | 12 |
| J0897 | 55513-0710-01 - denosumab 60 mg/mL Sol | $6,133 | $6,133 | — | — | 10 |
| J0897 | 55513-0710-01 - denosumab 60 mg/mL Sol | $6,133 | $6,133 | — | — | 12 |
| 74174 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $5,909 | $4,432 | — | — | 10 |
| 74174 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $5,909 | $4,432 | — | — | 12 |
| CATARACT COMPLEX CHARGE | CATARACT COMPLEX CHARGE | $5,830 | $4,373 | — | — | 12 |
| 70553 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $5,800 | $4,350 | — | — | 10 |
| 70553 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $5,800 | $4,350 | — | — | 12 |
| 74178 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $5,691 | $4,268 | — | — | 10 |
| 74178 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $5,691 | $4,268 | — | — | 12 |
| 72156 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $5,690 | $4,268 | — | — | 10 |
| 72156 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $5,690 | $4,268 | — | — | 12 |
| Cataract Extraction with Intraocular Lens Insert | Cataract Extraction with Intraocular Lens Insertion | $5,545 | $4,159 | — | — | 12 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $5,480 | $4,110 | — | — | 10 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $5,480 | $4,110 | — | — | 12 |
| 73220 | Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast materia | $5,461 | $4,096 | — | — | 10 |
| 73220 | Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast materia | $5,461 | $4,096 | — | — | 12 |
| 70549 | Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) | $5,385 | $4,039 | — | — | 10 |
| 72157 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $5,385 | $4,039 | — | — | 10 |
| 72158 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $5,385 | $4,039 | — | — | 10 |
| 72197 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $5,385 | $4,039 | — | — | 10 |
| 70549 | Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) | $5,385 | $4,039 | — | — | 12 |
| 72157 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $5,385 | $4,039 | — | — | 12 |
| 72158 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $5,385 | $4,039 | — | — | 12 |
| 72197 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $5,385 | $4,039 | — | — | 12 |
| 70543 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $5,233 | $3,925 | — | — | 10 |
| 70543 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $5,233 | $3,925 | — | — | 12 |
| 73720 | Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material | $5,145 | $3,859 | — | — | 10 |
| 73720 | Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material | $5,145 | $3,859 | — | — | 12 |
| 75635 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $5,052 | $3,789 | — | — | 10 |
| 75635 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $5,052 | $3,789 | — | — | 12 |
| 95811 | Polysomnography; age 6 years or older, sleep staging with 4 | $4,999 | $3,749 | — | — | 10 |
| 95811 | Polysomnography; age 6 years or older, sleep staging with 4 | $4,999 | $3,749 | — | — | 12 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material(s) | $4,864 | $3,648 | — | — | 10 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material(s) | $4,864 | $3,648 | — | — | 12 |
Showing top 50 of 2,840 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.