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
3,961
Insurances with rates
7
CPT / HCPCS codes
0
Most expensive procedures (gross)
03060702
$16,423
IVPB CROTALIDAE/NS : 4 GM/250 ML
Gross
$16,423
178
$13,701
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
Gross
$13,701
03065855
$13,138
LUPRON DEPOT 45 MG 6 MONTH KIT
Gross
$13,138
190
$12,925
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
Gross
$12,925
292
$11,946
HEART FAILURE AND SHOCK WITH CC
Gross
$11,946
602
$10,484
CELLULITIS WITH MCC
Gross
$10,484
392
$10,131
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
Gross
$10,131
03066445
$10,027
ENTYVIO 300 MG VIAL
Gross
$10,027
195
$9,243
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
Gross
$9,243
536
$9,013
FRACTURES OF HIP AND PELVIS WITHOUT MCC
Gross
$9,013
372
$8,813
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
Gross
$8,813
690
$8,717
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
Gross
$8,717
194
$8,646
SIMPLE PNEUMONIA AND PLEURISY WITH CC
Gross
$8,646
291
$8,632
HEART FAILURE AND SHOCK WITH MCC
Gross
$8,632
189
$8,367
PULMONARY EDEMA AND RESPIRATORY FAILURE
Gross
$8,367
689
$7,992
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
Gross
$7,992
03061099
$7,974
INJECTION, TENECTEPLASE, 1 MG
Gross
$7,974
293
$7,508
HEART FAILURE AND SHOCK WITHOUT CC/MCC
Gross
$7,508
179
$7,135
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
Gross
$7,135
555
$7,102
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
Gross
$7,102
948
$6,695
SIGNS AND SYMPTOMS WITHOUT MCC
Gross
$6,695
03066132
$6,600
UZEDY ER 200 MG/0.56 ML SYRING
Gross
$6,600
03061439
$5,892
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$5,892
191
$5,239
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
Gross
$5,239
390
$4,948
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
Gross
$4,948
605
$4,743
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
Gross
$4,743
03066342
$4,680
TEZSPIRE 210 MG/1.91 ML SYRING
Gross
$4,680
08095811
$4,326
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$4,326
03065899
$4,218
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
Gross
$4,218
08095805
$4,110
Sleep study, multiple trials
Gross
$4,110
08095810
$4,110
Sleep study in sleep lab (6 years or older)
Gross
$4,110
03060180
$4,102
INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM
Gross
$4,102
03066044
$4,012
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$4,012
03066156
$3,732
ARANESP 300 MCG/0.6 ML SYRINGE
Gross
$3,732
03066197
$3,732
ARANESP 300 MCG/0.6 ML SYRINGE
Gross
$3,732
281
$3,325
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
Gross
$3,325
03065998
$3,110
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (FOR ESRD ON DIALYSIS)
Gross
$3,110
03061600
$2,844
INJECTION, DENOSUMAB, 1 MG
Gross
$2,844
03065864
$2,828
DALVANCE 500 MG VIAL
Gross
$2,828
01008199
$2,704
Amputation of finger or thumb with tissue flap
Gross
$2,704
05350604
$2,704
MRI scan of bone of eye socket, face, and/or neck before and after contrast
Gross
$2,704
05350610
$2,704
MRI scan of blood vessels of neck before and after contrast
Gross
$2,704
05350613
$2,704
MRI scan of brain before and after contrast
Gross
$2,704
05350620
$2,704
MRI scan of upper spinal canal before and after contrast
Gross
$2,704
05350623
$2,704
MRI scan of middle spinal canal before and after contrast
Gross
$2,704
05350626
$2,704
MRI scan of lower spinal canal before and after contrast
Gross
$2,704
05350630
$2,704
MRI scan of pelvis before and after contrast
Gross
$2,704
05350634
$2,704
MRI scan of arm before and after contrast
Gross
$2,704
05350637
$2,704
MRI scan of arm joint before and after contrast
Gross
$2,704
05350641
$2,704
MRI scan of leg before and after contrast
Gross
$2,704
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 03060702 | IVPB CROTALIDAE/NS : 4 GM/250 ML | $16,423 | $16,423 | — | — | 4 |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $13,701 | $13,701 | — | — | 7 |
| 03065855 | LUPRON DEPOT 45 MG 6 MONTH KIT | $13,138 | $13,138 | — | — | 4 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,925 | $12,925 | — | — | 7 |
| 292 | HEART FAILURE AND SHOCK WITH CC | $11,946 | $11,946 | — | — | 7 |
| 602 | CELLULITIS WITH MCC | $10,484 | $10,484 | — | — | 7 |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $10,131 | $10,131 | — | — | 7 |
| 03066445 | ENTYVIO 300 MG VIAL | $10,027 | $10,027 | — | — | 4 |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $9,243 | $9,243 | — | — | 7 |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,013 | $9,013 | — | — | 7 |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,813 | $8,813 | — | — | 7 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,717 | $8,717 | — | — | 7 |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,646 | $8,646 | — | — | 7 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,632 | $8,632 | — | — | 7 |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,367 | $8,367 | — | — | 7 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,992 | $7,992 | — | — | 7 |
| 03061099 | INJECTION, TENECTEPLASE, 1 MG | $7,974 | $7,974 | — | — | 7 |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,508 | $7,508 | — | — | 7 |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,135 | $7,135 | — | — | 7 |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,102 | $7,102 | — | — | 7 |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,695 | $6,695 | — | — | 7 |
| 03066132 | UZEDY ER 200 MG/0.56 ML SYRING | $6,600 | $6,600 | — | — | 4 |
| 03061439 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $5,892 | $5,892 | — | — | 7 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,239 | $5,239 | — | — | 7 |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,948 | $4,948 | — | — | 7 |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,743 | $4,743 | — | — | 7 |
| 03066342 | TEZSPIRE 210 MG/1.91 ML SYRING | $4,680 | $4,680 | — | — | 4 |
| 08095811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $4,326 | $4,326 | — | — | 7 |
| 03065899 | INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG | $4,218 | $4,218 | — | — | 5 |
| 08095805 | Sleep study, multiple trials | $4,110 | $4,110 | — | — | 7 |
| 08095810 | Sleep study in sleep lab (6 years or older) | $4,110 | $4,110 | — | — | 7 |
| 03060180 | INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM | $4,102 | $4,102 | — | — | 7 |
| 03066044 | INJECTION, MEPOLIZUMAB, 1 MG | $4,012 | $4,012 | — | — | 7 |
| 03066156 | ARANESP 300 MCG/0.6 ML SYRINGE | $3,732 | $3,732 | — | — | 4 |
| 03066197 | ARANESP 300 MCG/0.6 ML SYRINGE | $3,732 | $3,732 | — | — | 4 |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,325 | $3,325 | — | — | 7 |
| 03065998 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (FOR ESRD ON DIALYSIS) | $3,110 | $3,110 | — | — | 7 |
| 03061600 | INJECTION, DENOSUMAB, 1 MG | $2,844 | $2,844 | — | — | 7 |
| 03065864 | DALVANCE 500 MG VIAL | $2,828 | $2,828 | — | — | 4 |
| 01008199 | Amputation of finger or thumb with tissue flap | $2,704 | $2,704 | — | — | 7 |
| 05350604 | MRI scan of bone of eye socket, face, and/or neck before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350610 | MRI scan of blood vessels of neck before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350613 | MRI scan of brain before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350620 | MRI scan of upper spinal canal before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350623 | MRI scan of middle spinal canal before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350626 | MRI scan of lower spinal canal before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350630 | MRI scan of pelvis before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350634 | MRI scan of arm before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350637 | MRI scan of arm joint before and after contrast | $2,704 | $2,704 | — | — | 7 |
| 05350641 | MRI scan of leg before and after contrast | $2,704 | $2,704 | — | — | 7 |
Showing top 50 of 3,961 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.