45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,723
Insurances with rates
24
CPT / HCPCS codes
396
Most expensive procedures (gross)
25682-0025-01
$183,421
Ultomiris
Gross
$235,155
00003-3734-13
$53,084
Opdivo
Gross
$68,056
00310-4611-50
$43,263
Imfinzi
Gross
$55,466
59572-0775-01
$41,232
Reblozyl
Gross
$52,862
50242-0917-01
$39,106
Tecentriq
Gross
$50,136
57894-0503-01
$34,633
Darzalex Faspro
Gross
$44,402
64764-0300-20
$33,116
Entyvio
Gross
$42,457
50242-0145-01
$22,567
Perjeta
Gross
$28,932
57894-0030-01
$19,129
Remicade
Gross
$24,524
00944-2700-13
$17,161
INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG
Gross
$22,001
00069-0809-01
$15,500
Inflectra
Gross
$19,872
55513-0141-21
$15,277
Kanjinti
Gross
$19,586
55513-0032-01
$14,489
Aranesp Prefilled Syringe
Gross
$18,576
23472
$14,313
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
Gross
$18,350
55513-0132-01
$14,258
Kanjinti
Gross
$18,280
C1776
$13,972
JOINT DEVICE (IMPLANTABLE)
Gross
$17,913
59572-0711-01
$13,744
Reblozyl
Gross
$17,621
69448-0025-63
$13,677
Udenyca Prefilled Syringe
Gross
$17,535
50242-0070-01
$13,406
Gazyva
Gross
$17,188
13533-0318-50
$11,694
HyperRAB
Gross
$14,993
55513-0221-01
$9,957
Nplate
Gross
$12,765
55513-0998-02
$9,843
Evenity Prefilled Syringe
Gross
$12,619
13533-0318-30
$7,796
HyperRAB
Gross
$9,995
61314-0240-63
$6,757
Jubbonti Prefilled Syringe
Gross
$8,662
10120
$6,115
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
Gross
$7,840
61958-2901-02
$5,482
Veklury
Gross
$7,028
50458-0564-01
$5,215
Invega Sustenna
Gross
$6,686
64633
$4,779
DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT
Gross
$6,128
55513-0223-21
$4,627
Nplate
Gross
$5,932
78816
$4,593
NUCLEAR MEDICINE STUDY WHOLE BODY WITH CT SCAN
Gross
$5,889
78815
$4,561
NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN
Gross
$5,847
64635
$3,186
DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT
Gross
$4,085
78452
$2,886
NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT
Gross
$3,700
45380
$2,652
BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
Gross
$3,400
45385
$2,652
REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE
Gross
$3,400
G0378
$2,557
HOSPITAL OBSERVATION SERVICE; PER HOUR
Gross
$3,278
96361
$2,486
INFUSION INTO A VEIN FOR HYDRATION; EACH ADDITIONAL HOUR
Gross
$3,188
96366
$2,418
INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; EACH ADDITIONAL HOUR
Gross
$3,100
74183
$2,416
MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST
Gross
$3,097
55513-0710-21
$2,328
Prolia Prefilled Syringe
Gross
$2,985
64415
$2,289
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE
Gross
$2,935
74178
$2,267
CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST
Gross
$2,907
70553
$2,239
MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST
Gross
$2,871
55111-0685-07
$2,207
Zoledronic Acid
Gross
$2,829
45378
$2,184
DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
Gross
$2,800
G0105
$2,184
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK
Gross
$2,800
99291
$2,145
CRITICAL CARE; FIRST 30-74 MINUTES
Gross
$2,750
70549
$2,083
MRI SCAN OF BLOOD VESSELS OF NECK BEFORE AND AFTER CONTRAST
Gross
$2,671
74174
$2,044
CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST
Gross
$2,621
72196
$2,026
MRI SCAN OF PELVIS WITH CONTRAST
Gross
$2,597
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0025-01 | Ultomiris | $235,155 | $183,421 | — | — | 1 |
| 00003-3734-13 | Opdivo | $68,056 | $53,084 | — | — | 1 |
| 00310-4611-50 | Imfinzi | $55,466 | $43,263 | — | — | 1 |
| 59572-0775-01 | Reblozyl | $52,862 | $41,232 | — | — | 1 |
| 50242-0917-01 | Tecentriq | $50,136 | $39,106 | — | — | 1 |
| 57894-0503-01 | Darzalex Faspro | $44,402 | $34,633 | — | — | 1 |
| 64764-0300-20 | Entyvio | $42,457 | $33,116 | — | — | 3 |
| 50242-0145-01 | Perjeta | $28,932 | $22,567 | — | — | 3 |
| 57894-0030-01 | Remicade | $24,524 | $19,129 | — | — | 1 |
| 00944-2700-13 | INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG | $22,001 | $17,161 | — | — | 1 |
| 00069-0809-01 | Inflectra | $19,872 | $15,500 | — | — | 3 |
| 55513-0141-21 | Kanjinti | $19,586 | $15,277 | — | — | 3 |
| 55513-0032-01 | Aranesp Prefilled Syringe | $18,576 | $14,489 | — | — | 1 |
| 23472 | PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $18,350 | $14,313 | — | — | 1 |
| 55513-0132-01 | Kanjinti | $18,280 | $14,258 | — | — | 3 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $17,913 | $13,972 | — | — | 0 |
| 59572-0711-01 | Reblozyl | $17,621 | $13,744 | — | — | 1 |
| 69448-0025-63 | Udenyca Prefilled Syringe | $17,535 | $13,677 | — | — | 1 |
| 50242-0070-01 | Gazyva | $17,188 | $13,406 | — | — | 1 |
| 13533-0318-50 | HyperRAB | $14,993 | $11,694 | — | — | 3 |
| 55513-0221-01 | Nplate | $12,765 | $9,957 | — | — | 3 |
| 55513-0998-02 | Evenity Prefilled Syringe | $12,619 | $9,843 | — | — | 1 |
| 13533-0318-30 | HyperRAB | $9,995 | $7,796 | — | — | 1 |
| 61314-0240-63 | Jubbonti Prefilled Syringe | $8,662 | $6,757 | — | — | 1 |
| 10120 | REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $7,840 | $6,115 | — | — | 1 |
| 61958-2901-02 | Veklury | $7,028 | $5,482 | — | — | 1 |
| 50458-0564-01 | Invega Sustenna | $6,686 | $5,215 | — | — | 1 |
| 64633 | DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $6,128 | $4,779 | — | — | 1 |
| 55513-0223-21 | Nplate | $5,932 | $4,627 | — | — | 1 |
| 78816 | NUCLEAR MEDICINE STUDY WHOLE BODY WITH CT SCAN | $5,889 | $4,593 | — | — | 0 |
| 78815 | NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN | $5,847 | $4,561 | — | — | 1 |
| 64635 | DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $4,085 | $3,186 | — | — | 2 |
| 78452 | NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,700 | $2,886 | — | — | 3 |
| 45380 | BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,400 | $2,652 | — | — | 4 |
| 45385 | REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,400 | $2,652 | — | — | 2 |
| G0378 | HOSPITAL OBSERVATION SERVICE; PER HOUR | $3,278 | $2,557 | — | — | 2 |
| 96361 | INFUSION INTO A VEIN FOR HYDRATION; EACH ADDITIONAL HOUR | $3,188 | $2,486 | — | — | 7 |
| 96366 | INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; EACH ADDITIONAL HOUR | $3,100 | $2,418 | — | — | 1 |
| 74183 | MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $3,097 | $2,416 | — | — | 3 |
| 55513-0710-21 | Prolia Prefilled Syringe | $2,985 | $2,328 | — | — | 1 |
| 64415 | INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE | $2,935 | $2,289 | — | — | 1 |
| 74178 | CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $2,907 | $2,267 | — | — | 4 |
| 70553 | MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $2,871 | $2,239 | — | — | 4 |
| 55111-0685-07 | Zoledronic Acid | $2,829 | $2,207 | — | — | 3 |
| 45378 | DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,800 | $2,184 | — | — | 3 |
| G0105 | COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $2,800 | $2,184 | — | — | 5 |
| 99291 | CRITICAL CARE; FIRST 30-74 MINUTES | $2,750 | $2,145 | — | — | 2 |
| 70549 | MRI SCAN OF BLOOD VESSELS OF NECK BEFORE AND AFTER CONTRAST | $2,671 | $2,083 | — | — | 3 |
| 74174 | CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST | $2,621 | $2,044 | — | — | 3 |
| 72196 | MRI SCAN OF PELVIS WITH CONTRAST | $2,597 | $2,026 | — | — | 3 |
Showing top 50 of 2,723 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.