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
1,507
Insurances with rates
2
CPT / HCPCS codes
1,482
Most expensive procedures (gross)
J0896
$25,707
REBLOZYL 75 MG VIAL 75 mg, 1 each
Gross
$30,244
J2997
$13,465
ALTEPLASE 1MG
Gross
$15,841
J9217
$12,510
LEUPROLIDE ACETATE DEPOT INJ 7.5MG
Gross
$14,717
J3101
$11,976
TENECTEPLASE(TNKASE)
Gross
$14,090
J2506
$9,820
PEGFILGRASTIM (NEULASTA) 6MG
Gross
$11,552
J0717
$8,750
CIMZIA 2X200 MG/ML SYRINGE KIT 200 mg, 1 each
Gross
$10,295
J0517
$8,685
INJECTION, BENRALIZUMAB, 1 MG (FASENRA)
Gross
$10,218
J2796
$8,023
ROMIPLOSTIM INJ 10MCG
Gross
$9,439
J2182
$7,506
NUCALA 100 MG/ML POWDER VIAL 100 mg, 1 each
Gross
$8,830
28820
$7,235
ER AMPUTATION/TOE
Gross
$8,512
26735
$6,123
ER OPEN TREATMNT PHALANGEAL SHAFT
Gross
$7,204
636
$6,050
THYROGEN 0.9 MG VIAL 0.9 mg, 1 each
Gross
$7,118
J2505
$6,005
NYVEPRIA 6 MG/0.6 ML SYRINGE 6 mg, 0.6 mL
Gross
$7,065
15275
$5,716
APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS,HANDS, FEET
Gross
$6,725
23660
$5,039
ER SHOULDER DISLOCATION TRMT
Gross
$5,928
J0840
$4,893
CROTALIDAE POLY IMMUNE FAB UP TO 1G
Gross
$5,756
J7168
$4,565
KCENTRA 1,000 UNIT VIAL 1000 unit, 1 each
Gross
$5,370
43236
$4,491
OR EGD W/SUBMCOSAL INJ
Gross
$5,283
27562
$4,252
ER CLSD TX PATELLAR DSLC
Gross
$5,002
26742
$4,235
ER CLSD TRMT ART RX W/MANIP EA.
Gross
$4,982
74174
$3,982
COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN AND PELVIS, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRA
Gross
$4,685
J3111
$3,831
INJECTION, ROMOSOZUMAB-AQQG, 1 MG (EVENITY)
Gross
$4,507
12036
$3,711
ER INTMD RPR S/A/T/EXT 20.1-30
Gross
$4,366
28505
$3,631
ER OPEN TX GREAT TOE FX
Gross
$4,272
11047
$3,508
WC DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERF
Gross
$4,127
13160
$3,464
SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED
Gross
$4,075
28190
$3,383
REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS
Gross
$3,980
J0875
$3,329
DALVANCE 500 MG VIAL 500 mg, 1 each
Gross
$3,916
11646
$3,322
OR EXCIS MAL LES FEL OVER 4.0 CM
Gross
$3,908
21315
$3,291
ER CLSD TRMT NASAL FX W/O STABLZTN
Gross
$3,872
27818
$3,225
ER CLSD TX ANKLE TRIMOLL W/MANI
Gross
$3,794
Q5108
$3,194
INJECTION, PEGFILGRASTIM-JMDB, BIOSIMILAR, (FULPHILA)
Gross
$3,758
78452
$3,120
MYOCARDIAL SPECT MULTI STUDIES
Gross
$3,670
12035
$3,103
ER INTMD RPR S/A/T/EXT 12.6-20
Gross
$3,650
11424
$3,060
OR EXCIS BEN LES SHF 3.1 TO 4.0CM
Gross
$3,600
110
$2,975
SKILLED PRIVATE ROOM
Gross
$3,500
120
$2,975
SKILLED SEMI PRIVATE ROOM
Gross
$3,500
J9395
$2,967
FULVESTRANT 25MG
Gross
$3,490
70498
$2,958
CTA COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES,
Gross
$3,480
70496
$2,954
CTA COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES
Gross
$3,475
75635
$2,924
COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LOWER EXTREMITY RUNOFF,
Gross
$3,440
71275
$2,916
CTA CHEST W/WO CONTRAST
Gross
$3,430
74175
$2,775
CTA ABDOMEN W/WO CONTRAST
Gross
$3,265
78815
$2,763
PET SCAN SKULL BASE TO MID THIGH
Gross
$3,250
J0897
$2,733
DENOSUMAB (PROLIA) 60MG=1ML
Gross
$3,215
28475
$2,722
ER CLSD TX METATARSAL FX W MN
Gross
$3,202
28495
$2,722
ER CLSD TX GREAT TOE FX W/MAN
Gross
$3,202
43245
$2,686
OR EGD, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE)
Gross
$3,160
26160
$2,619
TR EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLION), HAND O
Gross
$3,081
12017
$2,589
ER REPAIR SIMP FEL 20.1 TO 30.0CM
Gross
$3,046
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J0896 | REBLOZYL 75 MG VIAL 75 mg, 1 each | $30,244 | $25,707 | — | — | 3 |
| J2997 | ALTEPLASE 1MG | $15,841 | $13,465 | — | — | 3 |
| J9217 | LEUPROLIDE ACETATE DEPOT INJ 7.5MG | $14,717 | $12,510 | — | — | 3 |
| J3101 | TENECTEPLASE(TNKASE) | $14,090 | $11,976 | — | — | 3 |
| J2506 | PEGFILGRASTIM (NEULASTA) 6MG | $11,552 | $9,820 | — | — | 2 |
| J0717 | CIMZIA 2X200 MG/ML SYRINGE KIT 200 mg, 1 each | $10,295 | $8,750 | — | — | 3 |
| J0517 | INJECTION, BENRALIZUMAB, 1 MG (FASENRA) | $10,218 | $8,685 | — | — | 3 |
| J2796 | ROMIPLOSTIM INJ 10MCG | $9,439 | $8,023 | — | — | 3 |
| J2182 | NUCALA 100 MG/ML POWDER VIAL 100 mg, 1 each | $8,830 | $7,506 | — | — | 3 |
| 28820 | ER AMPUTATION/TOE | $8,512 | $7,235 | — | — | 3 |
| 26735 | ER OPEN TREATMNT PHALANGEAL SHAFT | $7,204 | $6,123 | — | — | 3 |
| 636 | THYROGEN 0.9 MG VIAL 0.9 mg, 1 each | $7,118 | $6,050 | — | — | 2 |
| J2505 | NYVEPRIA 6 MG/0.6 ML SYRINGE 6 mg, 0.6 mL | $7,065 | $6,005 | — | — | 2 |
| 15275 | APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS,HANDS, FEET | $6,725 | $5,716 | — | — | 6 |
| 23660 | ER SHOULDER DISLOCATION TRMT | $5,928 | $5,039 | — | — | 3 |
| J0840 | CROTALIDAE POLY IMMUNE FAB UP TO 1G | $5,756 | $4,893 | — | — | 3 |
| J7168 | KCENTRA 1,000 UNIT VIAL 1000 unit, 1 each | $5,370 | $4,565 | — | — | 2 |
| 43236 | OR EGD W/SUBMCOSAL INJ | $5,283 | $4,491 | — | — | 3 |
| 27562 | ER CLSD TX PATELLAR DSLC | $5,002 | $4,252 | — | — | 3 |
| 26742 | ER CLSD TRMT ART RX W/MANIP EA. | $4,982 | $4,235 | — | — | 3 |
| 74174 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN AND PELVIS, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRA | $4,685 | $3,982 | — | — | 3 |
| J3111 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG (EVENITY) | $4,507 | $3,831 | — | — | 3 |
| 12036 | ER INTMD RPR S/A/T/EXT 20.1-30 | $4,366 | $3,711 | — | — | 3 |
| 28505 | ER OPEN TX GREAT TOE FX | $4,272 | $3,631 | — | — | 3 |
| 11047 | WC DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERF | $4,127 | $3,508 | — | — | 3 |
| 13160 | SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED | $4,075 | $3,464 | — | — | 9 |
| 28190 | REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS | $3,980 | $3,383 | — | — | 9 |
| J0875 | DALVANCE 500 MG VIAL 500 mg, 1 each | $3,916 | $3,329 | — | — | 3 |
| 11646 | OR EXCIS MAL LES FEL OVER 4.0 CM | $3,908 | $3,322 | — | — | 3 |
| 21315 | ER CLSD TRMT NASAL FX W/O STABLZTN | $3,872 | $3,291 | — | — | 3 |
| 27818 | ER CLSD TX ANKLE TRIMOLL W/MANI | $3,794 | $3,225 | — | — | 3 |
| Q5108 | INJECTION, PEGFILGRASTIM-JMDB, BIOSIMILAR, (FULPHILA) | $3,758 | $3,194 | — | — | 3 |
| 78452 | MYOCARDIAL SPECT MULTI STUDIES | $3,670 | $3,120 | — | — | 3 |
| 12035 | ER INTMD RPR S/A/T/EXT 12.6-20 | $3,650 | $3,103 | — | — | 3 |
| 11424 | OR EXCIS BEN LES SHF 3.1 TO 4.0CM | $3,600 | $3,060 | — | — | 3 |
| 110 | SKILLED PRIVATE ROOM | $3,500 | $2,975 | — | — | 1 |
| 120 | SKILLED SEMI PRIVATE ROOM | $3,500 | $2,975 | — | — | 1 |
| J9395 | FULVESTRANT 25MG | $3,490 | $2,967 | — | — | 3 |
| 70498 | CTA COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, | $3,480 | $2,958 | — | — | 3 |
| 70496 | CTA COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES | $3,475 | $2,954 | — | — | 3 |
| 75635 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LOWER EXTREMITY RUNOFF, | $3,440 | $2,924 | — | — | 3 |
| 71275 | CTA CHEST W/WO CONTRAST | $3,430 | $2,916 | — | — | 3 |
| 74175 | CTA ABDOMEN W/WO CONTRAST | $3,265 | $2,775 | — | — | 3 |
| 78815 | PET SCAN SKULL BASE TO MID THIGH | $3,250 | $2,763 | — | — | 3 |
| J0897 | DENOSUMAB (PROLIA) 60MG=1ML | $3,215 | $2,733 | — | — | 3 |
| 28475 | ER CLSD TX METATARSAL FX W MN | $3,202 | $2,722 | — | — | 3 |
| 28495 | ER CLSD TX GREAT TOE FX W/MAN | $3,202 | $2,722 | — | — | 3 |
| 43245 | OR EGD, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE) | $3,160 | $2,686 | — | — | 3 |
| 26160 | TR EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLION), HAND O | $3,081 | $2,619 | — | — | 3 |
| 12017 | ER REPAIR SIMP FEL 20.1 TO 30.0CM | $3,046 | $2,589 | — | — | 3 |
Showing top 50 of 1,507 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.