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
2,329
Insurances with rates
14
CPT / HCPCS codes
2,292
Most expensive procedures (gross)
C1882
$75,966
Defib Card Quad Asr Mp Thk14MM
Gross
$78,315
C1882
$75,966
Defib Card Quad Asr Mp Thk14MM
Gross
$78,315
C1721
$68,324
Dfbr Card Gallant Dual Chmb
Gross
$70,436
C1721
$68,324
Dfbr Card Gallant Dual Chmb
Gross
$70,436
J3380
$39,019
Vedolizumab 300 MG Vial
Gross
$40,225
J3380
$39,019
Vedolizumab 300 MG Vial
Gross
$40,225
J9299
$32,817
Nivolumab 240 Mg/24 Ml Vial
Gross
$33,832
J9299
$32,817
Nivolumab 240 Mg/24 Ml Vial
Gross
$33,832
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J9306
$28,780
Pertuzumab 420 MG/14 ML Vial
Gross
$29,670
J9306
$28,780
Pertuzumab 420 MG/14 ML Vial
Gross
$29,670
J2353
$26,506
Octreotide (Depot) 30 MG Syr
Gross
$27,325
J2353
$26,506
Octreotide (Depot) 30 MG Syr
Gross
$27,325
J9271
$25,384
Pembrolizumab 100 MG/4 ML Vial
Gross
$26,169
J9271
$25,384
Pembrolizumab 100 MG/4 ML Vial
Gross
$26,169
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
C1785
$23,296
Pacemaker Is-1 47x50x6Mm 20W
Gross
$24,016
C1785
$23,296
Pacemaker Is-1 47x50x6Mm 20W
Gross
$24,016
C1764
$18,834
Monitor Assert IQ 3+ ICM
Gross
$19,416
C1764
$18,834
Monitor Assert IQ 3+ ICM
Gross
$19,416
J9173
$18,115
Durvalumab 500 Mg/10 Ml Vial
Gross
$18,675
J9173
$18,115
Durvalumab 500 Mg/10 Ml Vial
Gross
$18,675
J2182
$13,027
Mepolizumab 100 MG Vial
Gross
$13,430
J2182
$13,027
Mepolizumab 100 MG Vial
Gross
$13,430
C1895
$12,952
Lead Dfbr True BP 7Fr 65x17Cm
Gross
$13,352
C1895
$12,952
Lead Dfbr True BP 7Fr 65x17Cm
Gross
$13,352
J1602
$8,601
Golimumab 50 MG/4 ML Vial
Gross
$8,867
J1602
$8,601
Golimumab 50 MG/4 ML Vial
Gross
$8,867
81352
$7,725
TP53 Somatic Mutation, Prog
Gross
$7,964
81352
$7,725
TP53 Somatic Mutation, Prog
Gross
$7,964
J0897
$7,326
Denosumab 60 MG/ML Syringe
Gross
$7,552
J0897
$7,326
Denosumab 60 MG/ML Syringe
Gross
$7,552
Q5112
$6,750
Trastuzumab-Dttb 420 Mg Vial
Gross
$6,958
Q5112
$6,750
Trastuzumab-Dttb 420 Mg Vial
Gross
$6,958
95811
$6,507
Polysomnogram W CPap
Gross
$6,708
95811
$6,507
Polysomnogram W CPap
Gross
$6,708
C1783
$6,416
Microstent Opth Hydrus Glcm
Gross
$6,614
C1783
$6,416
Microstent Opth Hydrus Glcm
Gross
$6,614
J9217
$6,206
Leuprolide Acetate Sq 22.5Mg
Gross
$6,397
J9217
$6,206
Leuprolide Acetate Sq 22.5Mg
Gross
$6,397
A0434
$5,985
Amb Special Care Hosp/Hosp
Gross
$6,170
A0434
$5,985
Amb Special Care Hosp/Hosp
Gross
$6,170
J2357
$5,733
Omalizumab 150 Mg/Ml Syringe
Gross
$5,910
J2357
$5,733
Omalizumab 150 Mg/Ml Syringe
Gross
$5,910
J3262
$5,724
Tocilizumab 200 MG/10 ML Vial
Gross
$5,901
J3262
$5,724
Tocilizumab 200 MG/10 ML Vial
Gross
$5,901
67904
$5,653
Repair Brow Defect BI
Gross
$5,828
67904
$5,653
Repair Brow Defect BI
Gross
$5,828
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1882 | Defib Card Quad Asr Mp Thk14MM | $78,315 | $75,966 | — | — | 7 |
| C1882 | Defib Card Quad Asr Mp Thk14MM | $78,315 | $75,966 | — | — | 8 |
| C1721 | Dfbr Card Gallant Dual Chmb | $70,436 | $68,324 | — | — | 7 |
| C1721 | Dfbr Card Gallant Dual Chmb | $70,436 | $68,324 | — | — | 7 |
| J3380 | Vedolizumab 300 MG Vial | $40,225 | $39,019 | — | — | 7 |
| J3380 | Vedolizumab 300 MG Vial | $40,225 | $39,019 | — | — | 8 |
| J9299 | Nivolumab 240 Mg/24 Ml Vial | $33,832 | $32,817 | — | — | 7 |
| J9299 | Nivolumab 240 Mg/24 Ml Vial | $33,832 | $32,817 | — | — | 7 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 7 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 10 |
| J9306 | Pertuzumab 420 MG/14 ML Vial | $29,670 | $28,780 | — | — | 7 |
| J9306 | Pertuzumab 420 MG/14 ML Vial | $29,670 | $28,780 | — | — | 7 |
| J2353 | Octreotide (Depot) 30 MG Syr | $27,325 | $26,506 | — | — | 7 |
| J2353 | Octreotide (Depot) 30 MG Syr | $27,325 | $26,506 | — | — | 7 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $26,169 | $25,384 | — | — | 7 |
| J9271 | Pembrolizumab 100 MG/4 ML Vial | $26,169 | $25,384 | — | — | 7 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 7 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 7 |
| C1785 | Pacemaker Is-1 47x50x6Mm 20W | $24,016 | $23,296 | — | — | 7 |
| C1785 | Pacemaker Is-1 47x50x6Mm 20W | $24,016 | $23,296 | — | — | 8 |
| C1764 | Monitor Assert IQ 3+ ICM | $19,416 | $18,834 | — | — | 7 |
| C1764 | Monitor Assert IQ 3+ ICM | $19,416 | $18,834 | — | — | 9 |
| J9173 | Durvalumab 500 Mg/10 Ml Vial | $18,675 | $18,115 | — | — | 7 |
| J9173 | Durvalumab 500 Mg/10 Ml Vial | $18,675 | $18,115 | — | — | 7 |
| J2182 | Mepolizumab 100 MG Vial | $13,430 | $13,027 | — | — | 7 |
| J2182 | Mepolizumab 100 MG Vial | $13,430 | $13,027 | — | — | 7 |
| C1895 | Lead Dfbr True BP 7Fr 65x17Cm | $13,352 | $12,952 | — | — | 7 |
| C1895 | Lead Dfbr True BP 7Fr 65x17Cm | $13,352 | $12,952 | — | — | 7 |
| J1602 | Golimumab 50 MG/4 ML Vial | $8,867 | $8,601 | — | — | 7 |
| J1602 | Golimumab 50 MG/4 ML Vial | $8,867 | $8,601 | — | — | 7 |
| 81352 | TP53 Somatic Mutation, Prog | $7,964 | $7,725 | — | — | 7 |
| 81352 | TP53 Somatic Mutation, Prog | $7,964 | $7,725 | — | — | 8 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,552 | $7,326 | — | — | 7 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,552 | $7,326 | — | — | 8 |
| Q5112 | Trastuzumab-Dttb 420 Mg Vial | $6,958 | $6,750 | — | — | 7 |
| Q5112 | Trastuzumab-Dttb 420 Mg Vial | $6,958 | $6,750 | — | — | 7 |
| 95811 | Polysomnogram W CPap | $6,708 | $6,507 | — | — | 7 |
| 95811 | Polysomnogram W CPap | $6,708 | $6,507 | — | — | 10 |
| C1783 | Microstent Opth Hydrus Glcm | $6,614 | $6,416 | — | — | 7 |
| C1783 | Microstent Opth Hydrus Glcm | $6,614 | $6,416 | — | — | 8 |
| J9217 | Leuprolide Acetate Sq 22.5Mg | $6,397 | $6,206 | — | — | 7 |
| J9217 | Leuprolide Acetate Sq 22.5Mg | $6,397 | $6,206 | — | — | 7 |
| A0434 | Amb Special Care Hosp/Hosp | $6,170 | $5,985 | — | — | 7 |
| A0434 | Amb Special Care Hosp/Hosp | $6,170 | $5,985 | — | — | 7 |
| J2357 | Omalizumab 150 Mg/Ml Syringe | $5,910 | $5,733 | — | — | 7 |
| J2357 | Omalizumab 150 Mg/Ml Syringe | $5,910 | $5,733 | — | — | 8 |
| J3262 | Tocilizumab 200 MG/10 ML Vial | $5,901 | $5,724 | — | — | 7 |
| J3262 | Tocilizumab 200 MG/10 ML Vial | $5,901 | $5,724 | — | — | 7 |
| 67904 | Repair Brow Defect BI | $5,828 | $5,653 | — | — | 7 |
| 67904 | Repair Brow Defect BI | $5,828 | $5,653 | — | — | 7 |
Showing top 50 of 2,329 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.