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
4,467
Insurances with rates
1
CPT / HCPCS codes
1,463
Most expensive procedures (gross)
50242-0085-27
$23,303
alteplase 100 mg INJ Soln
Gross
$23,779
50242-0120-47
$21,971
tenecteplase 50 mg INJ Soln
Gross
$22,420
50242-0176-01
$21,971
tenecteplase 50 mg INJ Soln
Gross
$22,420
44206-0439-40
$19,943
immune globulin (IVIG) 10%, 40 G/400 mL (Privigen) INJ Soln
Gross
$20,350
00169-7205-01
$19,750
coagulation factor VIIa 5,000 mcg INJ
Gross
$20,153
00002-7678-01
$19,481
ramucirumab 500 mg/50 mL INJ Soln
Gross
$19,878
50242-0120-01
$17,811
tenecteplase 50 mg INJ Soln
Gross
$18,174
78816
$15,217
PET Image-Whole Body
Gross
$15,528
78813
$13,834
PET Tumor Image Whole Body Mod-Q0
Gross
$14,116
78815
$13,373
PET Image-w/CT-Skull to Mid-Thigh
Gross
$13,646
73607-0011-11
$13,187
artesunate 110 mg INJ Soln
Gross
$13,456
50633-0120-11
$13,171
digoxin immune FAB 40 mg INJ Soln
Gross
$13,440
50242-0044-13
$11,652
alteplase 50 mg INJ Soln
Gross
$11,889
63459-0104-50
$11,195
riTUXimab-abbs 500 mg/50 mL INJ Soln
Gross
$11,424
78608
$11,067
PET Brain Imaging Metabolic Evaluation
Gross
$11,293
78609
$11,067
PET Brain Imaging Perfusion Evaluation
Gross
$11,293
78812
$11,067
PET Image-Skull to Mid-Thigh
Gross
$11,293
78814
$11,067
PET Image-w/CT-Limited Area
Gross
$11,293
00002-7623-01
$10,706
PEMEtrexed 500 mg INJ Soln
Gross
$10,924
44206-0438-20
$9,971
immune globulin (IVIG) 10%, 20 G/200 mL (Privigen) INJ Soln
Gross
$10,175
0211U
$9,686
MI Cancer Seek
Gross
$9,883
60505-6066-00
$9,446
PEMEtrexed 500 mg INJ Soln
Gross
$9,639
68001-0544-41
$9,446
PEMEtrexed 500 mg INJ Soln
Gross
$9,639
279
$9,433
Viabahn� 5 x 25cm
Gross
$9,626
50458-0564-01
$9,212
paliperidone 234 mg/1.5 mL IM Susp
Gross
$9,400
13533-0318-05
$8,877
rabies immune glob, human 1,500 Intl_Units/5 mL INJ Soln
Gross
$9,058
00169-7202-01
$8,827
coagulation factor VIIa 2,000 mcg INJ
Gross
$9,007
71225-0120-01
$8,669
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$8,846
60505-6228-00
$8,499
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$8,672
50633-0110-12
$8,468
antivenin (Crotalidae-snake ovine) polyvalent INJ
Gross
$8,641
78811
$8,300
PET Image-Limited Area
Gross
$8,470
63833-0617-02
$8,050
antihemophilic factor VIII (human)-VWF 2,400 units (vwf:RCo) INJ Soln
Gross
$8,214
50242-0037-06
$7,790
tenecteplase 50 mg INJ Soln
Gross
$7,949
59148-0019-71
$7,691
ARIPiprazole (Abilify Maintena depot) 400 mg INJ Susp
Gross
$7,848
59148-0072-80
$7,691
ARIPiprazole (Abilify Maintena depot) 400 mg INJ Susp
Gross
$7,848
00944-2844-10
$7,547
antihemophilic factor VIII (recombinant) ~1500 intl_units INJ Soln
Gross
$7,701
43598-0051-11
$7,047
calcitonin 400 Intl_Units/2 mL (MDV) INJ Soln
Gross
$7,191
50242-0137-01
$7,033
tocilizumab 400 mg/20 mL INJ Soln
Gross
$7,176
42367-0521-25
$6,885
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$7,025
00597-0197-05
$6,756
idaruCIZUmab 2.5 G/ 50 mL INJ Soln
Gross
$6,893
33947
$6,699
ECMO Per Day Initial
Gross
$6,836
77301
$6,610
IMRT Planning
Gross
$6,745
63459-0348-04
$6,551
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$6,684
00069-0342-01
$6,497
bevacizumab-bvzr 400 mg/16 mL INJ Soln
Gross
$6,630
10019-0079-01
$6,196
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$6,323
50458-0563-01
$6,141
paliperidone 156 mg/mL IM Susp
Gross
$6,267
277
$5,965
ACDF with Cage Level 2 Cap Price with Cage RTI AHC Cap Pricing
Gross
$6,087
77373
$5,864
SBRT
Gross
$5,983
59148-0018-71
$5,768
ARIPiprazole (Abilify Maintena depot) 300 mg INJ Susp
Gross
$5,886
59148-0045-80
$5,768
ARIPiprazole (Abilify Maintena depot) 300 mg INJ Susp
Gross
$5,886
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0085-27 | alteplase 100 mg INJ Soln | $23,779 | $23,303 | — | — | 1 |
| 50242-0120-47 | tenecteplase 50 mg INJ Soln | $22,420 | $21,971 | — | — | 1 |
| 50242-0176-01 | tenecteplase 50 mg INJ Soln | $22,420 | $21,971 | — | — | 1 |
| 44206-0439-40 | immune globulin (IVIG) 10%, 40 G/400 mL (Privigen) INJ Soln | $20,350 | $19,943 | — | — | 1 |
| 00169-7205-01 | coagulation factor VIIa 5,000 mcg INJ | $20,153 | $19,750 | — | — | 1 |
| 00002-7678-01 | ramucirumab 500 mg/50 mL INJ Soln | $19,878 | $19,481 | — | — | 1 |
| 50242-0120-01 | tenecteplase 50 mg INJ Soln | $18,174 | $17,811 | — | — | 1 |
| 78816 | PET Image-Whole Body | $15,528 | $15,217 | — | — | 1 |
| 78813 | PET Tumor Image Whole Body Mod-Q0 | $14,116 | $13,834 | — | — | 1 |
| 78815 | PET Image-w/CT-Skull to Mid-Thigh | $13,646 | $13,373 | — | — | 1 |
| 73607-0011-11 | artesunate 110 mg INJ Soln | $13,456 | $13,187 | — | — | 1 |
| 50633-0120-11 | digoxin immune FAB 40 mg INJ Soln | $13,440 | $13,171 | — | — | 1 |
| 50242-0044-13 | alteplase 50 mg INJ Soln | $11,889 | $11,652 | — | — | 1 |
| 63459-0104-50 | riTUXimab-abbs 500 mg/50 mL INJ Soln | $11,424 | $11,195 | — | — | 1 |
| 78608 | PET Brain Imaging Metabolic Evaluation | $11,293 | $11,067 | — | — | 1 |
| 78609 | PET Brain Imaging Perfusion Evaluation | $11,293 | $11,067 | — | — | 1 |
| 78812 | PET Image-Skull to Mid-Thigh | $11,293 | $11,067 | — | — | 1 |
| 78814 | PET Image-w/CT-Limited Area | $11,293 | $11,067 | — | — | 1 |
| 00002-7623-01 | PEMEtrexed 500 mg INJ Soln | $10,924 | $10,706 | — | — | 1 |
| 44206-0438-20 | immune globulin (IVIG) 10%, 20 G/200 mL (Privigen) INJ Soln | $10,175 | $9,971 | — | — | 1 |
| 0211U | MI Cancer Seek | $9,883 | $9,686 | — | — | 1 |
| 60505-6066-00 | PEMEtrexed 500 mg INJ Soln | $9,639 | $9,446 | — | — | 1 |
| 68001-0544-41 | PEMEtrexed 500 mg INJ Soln | $9,639 | $9,446 | — | — | 1 |
| 279 | Viabahn� 5 x 25cm | $9,626 | $9,433 | — | — | 1 |
| 50458-0564-01 | paliperidone 234 mg/1.5 mL IM Susp | $9,400 | $9,212 | — | — | 1 |
| 13533-0318-05 | rabies immune glob, human 1,500 Intl_Units/5 mL INJ Soln | $9,058 | $8,877 | — | — | 1 |
| 00169-7202-01 | coagulation factor VIIa 2,000 mcg INJ | $9,007 | $8,827 | — | — | 1 |
| 71225-0120-01 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $8,846 | $8,669 | — | — | 1 |
| 60505-6228-00 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $8,672 | $8,499 | — | — | 1 |
| 50633-0110-12 | antivenin (Crotalidae-snake ovine) polyvalent INJ | $8,641 | $8,468 | — | — | 1 |
| 78811 | PET Image-Limited Area | $8,470 | $8,300 | — | — | 1 |
| 63833-0617-02 | antihemophilic factor VIII (human)-VWF 2,400 units (vwf:RCo) INJ Soln | $8,214 | $8,050 | — | — | 1 |
| 50242-0037-06 | tenecteplase 50 mg INJ Soln | $7,949 | $7,790 | — | — | 1 |
| 59148-0019-71 | ARIPiprazole (Abilify Maintena depot) 400 mg INJ Susp | $7,848 | $7,691 | — | — | 1 |
| 59148-0072-80 | ARIPiprazole (Abilify Maintena depot) 400 mg INJ Susp | $7,848 | $7,691 | — | — | 1 |
| 00944-2844-10 | antihemophilic factor VIII (recombinant) ~1500 intl_units INJ Soln | $7,701 | $7,547 | — | — | 1 |
| 43598-0051-11 | calcitonin 400 Intl_Units/2 mL (MDV) INJ Soln | $7,191 | $7,047 | — | — | 1 |
| 50242-0137-01 | tocilizumab 400 mg/20 mL INJ Soln | $7,176 | $7,033 | — | — | 1 |
| 42367-0521-25 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $7,025 | $6,885 | — | — | 1 |
| 00597-0197-05 | idaruCIZUmab 2.5 G/ 50 mL INJ Soln | $6,893 | $6,756 | — | — | 1 |
| 33947 | ECMO Per Day Initial | $6,836 | $6,699 | — | — | 1 |
| 77301 | IMRT Planning | $6,745 | $6,610 | — | — | 1 |
| 63459-0348-04 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $6,684 | $6,551 | — | — | 1 |
| 00069-0342-01 | bevacizumab-bvzr 400 mg/16 mL INJ Soln | $6,630 | $6,497 | — | — | 1 |
| 10019-0079-01 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $6,323 | $6,196 | — | — | 1 |
| 50458-0563-01 | paliperidone 156 mg/mL IM Susp | $6,267 | $6,141 | — | — | 1 |
| 277 | ACDF with Cage Level 2 Cap Price with Cage RTI AHC Cap Pricing | $6,087 | $5,965 | — | — | 1 |
| 77373 | SBRT | $5,983 | $5,864 | — | — | 1 |
| 59148-0018-71 | ARIPiprazole (Abilify Maintena depot) 300 mg INJ Susp | $5,886 | $5,768 | — | — | 1 |
| 59148-0045-80 | ARIPiprazole (Abilify Maintena depot) 300 mg INJ Susp | $5,886 | $5,768 | — | — | 1 |
Showing top 50 of 4,467 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.