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
1,338
Insurances with rates
11
CPT / HCPCS codes
1,312
Most expensive procedures (gross)
J3357
$44,479
STELARA (USTEKINUMAB) INJ: 45MG/0.5ML *1
Gross
$44,479
J1628
$44,324
TREMFYA (GUSELKUMAB) SUBQ:100MG/1ML *1
Gross
$44,324
J2997
$29,523
ACTIVASE(GEN FOR-TPA)INJ:100MG
Gross
$29,523
J2327
$27,479
SKYRIZI SYRING 75MG/0.83ML *2
Gross
$27,479
J3101
$26,164
TENECTEPLASE(TNKASE): 50MG
Gross
$26,164
C1820
$24,720
NEUROSTIMULATOR 97715
Gross
$24,720
J1162
$15,429
DIGOXIN IMMUNE FAB (DIGIFAB) INJ: 40 MG
Gross
$15,429
J0139
$11,812
HUMIRA (ADALIMUMAB) PEN: 40MG/0.4ML *2
Gross
$11,812
J1306
$11,375
LEQVIO 284MG/1.5ML INJ
Gross
$11,375
J0840
$11,193
CROFAB ANTIVENIN INJ : 1 VIAL
Gross
$11,193
J0717
$9,077
CIMZIA (CERTOLIZUMAB) INJ: 200MG/ML *2
Gross
$9,077
J3111
$8,115
EVENITY (ROMOSOZUMAB) 210MG/2.34ML *1
Gross
$8,115
15120
$7,557
SPLIT THICKNESS AUTOGRAFT F/H/FT 1ST100S
Gross
$7,557
15272
$7,557
SKIN SUB APP TR,AR,LEG TOTAL WOUND >100S
Gross
$7,557
84999
$7,520
PATH ONCOTYPE DX IP
Gross
$7,520
J3590
$7,362
PRAXBIND(IDARUCIZUMAB) INJ: 5GM=2 X50ML
Gross
$7,362
J1602
$6,822
SIMPONI ARIA 50MG/4ML
Gross
$6,822
10180
$6,497
I & D POST-OP INFECTION
Gross
$6,497
L8689
$6,438
BS PRECISION CHARGING SYSTEM KIT
Gross
$6,438
J1438
$6,014
ENBREL(ETANERCEPT)INJ: 50MG/ML 1ML *4
Gross
$6,014
J0897
$5,450
PROLIA (DENOSUMAB): 60MG/ML *1
Gross
$5,450
J2315
$5,335
NALTREXONE (VIVITROL) 380MG IM INJ
Gross
$5,335
C1778
$4,635
MEDTRONIC LEAD KIT 75CM 977A275
Gross
$4,635
C1776
$4,249
TRIDENT TRITANIUM CLUSTERHOLD 54MM E
Gross
$4,249
15002
$4,232
SURG PREP TR/AR/LEG 1ST 100SQCM
Gross
$4,232
15100
$4,232
SPLT THICKNESS AUTOGRAFT/TR/ARM/LEG 100S
Gross
$4,232
15110
$4,232
EPIDERMAL AUTOGRAFT, TR/ARM/LEG 1ST100SQ
Gross
$4,232
15115
$4,232
EPIDERMAL AUTOGRAFT F/H/FT 1ST 100SQCM
Gross
$4,232
15271
$4,232
SKIN SUB APP TR,AR,LEG TOTAL WOUND 100 S
Gross
$4,232
15275
$4,232
SKIN SUB APP H,F,H, TOTAL WOUND >100S
Gross
$4,232
15277
$4,232
SKIN SUB APP H,F,H, TOTAL WOUND >100S
Gross
$4,232
15274
$4,232
SKIN SUB APP TR,AR,LEG TOTAL WOUD ADD 10
Gross
$4,232
J3262
$3,779
ACTEMRA (TOCILIZUMAB)SUBQ:162MG/0.9ML *1
Gross
$3,779
10140
$3,758
I & D HEMATOMA
Gross
$3,758
11044
$3,758
DEBRIDMENT SQ TIS BONE 20SQCM
Gross
$3,758
11047
$3,758
DEBRIDMENT SQ TIS BONE ADDL
Gross
$3,758
20220
$3,758
BIOPSY OF BONE SUP NEEDLE
Gross
$3,758
20225
$3,758
BIOPSY OF BONE DEEP NEEDLE
Gross
$3,758
28001
$3,758
LEVEL 3 I/D DRAIN BURSA FOOT
Gross
$3,758
81408
$3,711
ZZ MARFAN REFLEX PANEL
Gross
$3,711
J2407
$3,694
ORBACTIV (ORITAVANCIN) INJ: 400MG
Gross
$3,694
A9569
$3,620
NM R/P TC99M TAGGED (CERETEC)
Gross
$3,620
74174
$3,614
CTA ABD & PELVIS W CONTRAST
Gross
$3,614
28010
$3,588
TENOTOMY TOE SINGLE
Gross
$3,588
J0129
$3,569
ORENCIA (ABATACEPT) INJ: 125MG/1ML *4
Gross
$3,569
49000
$2,945
LIGASURE IMPACT OPEN SEAL/DIV
Gross
$2,945
72157
$2,873
MRI THORACIC W/WO CONTRAST
Gross
$2,873
73720
$2,873
MRI LOWER EXTREMITY LT W/WO CONTRAST
Gross
$2,873
72197
$2,873
MRI PELVIS W/WO CONTRAST
Gross
$2,873
72156
$2,873
MRI CERVICAL W / WO CONTRAST
Gross
$2,873
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3357 | STELARA (USTEKINUMAB) INJ: 45MG/0.5ML *1 | $44,479 | $44,479 | — | — | 9 |
| J1628 | TREMFYA (GUSELKUMAB) SUBQ:100MG/1ML *1 | $44,324 | $44,324 | — | — | 9 |
| J2997 | ACTIVASE(GEN FOR-TPA)INJ:100MG | $29,523 | $29,523 | — | — | 9 |
| J2327 | SKYRIZI SYRING 75MG/0.83ML *2 | $27,479 | $27,479 | — | — | 9 |
| J3101 | TENECTEPLASE(TNKASE): 50MG | $26,164 | $26,164 | — | — | 9 |
| C1820 | NEUROSTIMULATOR 97715 | $24,720 | $24,720 | — | — | 9 |
| J1162 | DIGOXIN IMMUNE FAB (DIGIFAB) INJ: 40 MG | $15,429 | $15,429 | — | — | 9 |
| J0139 | HUMIRA (ADALIMUMAB) PEN: 40MG/0.4ML *2 | $11,812 | $11,812 | — | — | 9 |
| J1306 | LEQVIO 284MG/1.5ML INJ | $11,375 | $11,375 | — | — | 9 |
| J0840 | CROFAB ANTIVENIN INJ : 1 VIAL | $11,193 | $11,193 | — | — | 9 |
| J0717 | CIMZIA (CERTOLIZUMAB) INJ: 200MG/ML *2 | $9,077 | $9,077 | — | — | 9 |
| J3111 | EVENITY (ROMOSOZUMAB) 210MG/2.34ML *1 | $8,115 | $8,115 | — | — | 9 |
| 15120 | SPLIT THICKNESS AUTOGRAFT F/H/FT 1ST100S | $7,557 | $7,557 | — | — | 9 |
| 15272 | SKIN SUB APP TR,AR,LEG TOTAL WOUND >100S | $7,557 | $7,557 | — | — | 9 |
| 84999 | PATH ONCOTYPE DX IP | $7,520 | $7,520 | — | — | 7 |
| J3590 | PRAXBIND(IDARUCIZUMAB) INJ: 5GM=2 X50ML | $7,362 | $7,362 | — | — | 9 |
| J1602 | SIMPONI ARIA 50MG/4ML | $6,822 | $6,822 | — | — | 9 |
| 10180 | I & D POST-OP INFECTION | $6,497 | $6,497 | — | — | 9 |
| L8689 | BS PRECISION CHARGING SYSTEM KIT | $6,438 | $6,438 | — | — | 9 |
| J1438 | ENBREL(ETANERCEPT)INJ: 50MG/ML 1ML *4 | $6,014 | $6,014 | — | — | 9 |
| J0897 | PROLIA (DENOSUMAB): 60MG/ML *1 | $5,450 | $5,450 | — | — | 9 |
| J2315 | NALTREXONE (VIVITROL) 380MG IM INJ | $5,335 | $5,335 | — | — | 9 |
| C1778 | MEDTRONIC LEAD KIT 75CM 977A275 | $4,635 | $4,635 | — | — | 9 |
| C1776 | TRIDENT TRITANIUM CLUSTERHOLD 54MM E | $4,249 | $4,249 | — | — | 9 |
| 15002 | SURG PREP TR/AR/LEG 1ST 100SQCM | $4,232 | $4,232 | — | — | 9 |
| 15100 | SPLT THICKNESS AUTOGRAFT/TR/ARM/LEG 100S | $4,232 | $4,232 | — | — | 9 |
| 15110 | EPIDERMAL AUTOGRAFT, TR/ARM/LEG 1ST100SQ | $4,232 | $4,232 | — | — | 9 |
| 15115 | EPIDERMAL AUTOGRAFT F/H/FT 1ST 100SQCM | $4,232 | $4,232 | — | — | 9 |
| 15271 | SKIN SUB APP TR,AR,LEG TOTAL WOUND 100 S | $4,232 | $4,232 | — | — | 9 |
| 15275 | SKIN SUB APP H,F,H, TOTAL WOUND >100S | $4,232 | $4,232 | — | — | 9 |
| 15277 | SKIN SUB APP H,F,H, TOTAL WOUND >100S | $4,232 | $4,232 | — | — | 9 |
| 15274 | SKIN SUB APP TR,AR,LEG TOTAL WOUD ADD 10 | $4,232 | $4,232 | — | — | 9 |
| J3262 | ACTEMRA (TOCILIZUMAB)SUBQ:162MG/0.9ML *1 | $3,779 | $3,779 | — | — | 9 |
| 10140 | I & D HEMATOMA | $3,758 | $3,758 | — | — | 9 |
| 11044 | DEBRIDMENT SQ TIS BONE 20SQCM | $3,758 | $3,758 | — | — | 9 |
| 11047 | DEBRIDMENT SQ TIS BONE ADDL | $3,758 | $3,758 | — | — | 9 |
| 20220 | BIOPSY OF BONE SUP NEEDLE | $3,758 | $3,758 | — | — | 9 |
| 20225 | BIOPSY OF BONE DEEP NEEDLE | $3,758 | $3,758 | — | — | 9 |
| 28001 | LEVEL 3 I/D DRAIN BURSA FOOT | $3,758 | $3,758 | — | — | 9 |
| 81408 | ZZ MARFAN REFLEX PANEL | $3,711 | $3,711 | — | — | 7 |
| J2407 | ORBACTIV (ORITAVANCIN) INJ: 400MG | $3,694 | $3,694 | — | — | 9 |
| A9569 | NM R/P TC99M TAGGED (CERETEC) | $3,620 | $3,620 | — | — | 9 |
| 74174 | CTA ABD & PELVIS W CONTRAST | $3,614 | $3,614 | — | — | 9 |
| 28010 | TENOTOMY TOE SINGLE | $3,588 | $3,588 | — | — | 9 |
| J0129 | ORENCIA (ABATACEPT) INJ: 125MG/1ML *4 | $3,569 | $3,569 | — | — | 9 |
| 49000 | LIGASURE IMPACT OPEN SEAL/DIV | $2,945 | $2,945 | — | — | 9 |
| 72157 | MRI THORACIC W/WO CONTRAST | $2,873 | $2,873 | — | — | 9 |
| 73720 | MRI LOWER EXTREMITY LT W/WO CONTRAST | $2,873 | $2,873 | — | — | 9 |
| 72197 | MRI PELVIS W/WO CONTRAST | $2,873 | $2,873 | — | — | 9 |
| 72156 | MRI CERVICAL W / WO CONTRAST | $2,873 | $2,873 | — | — | 9 |
Showing top 50 of 1,338 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.