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
7,220
Insurances with rates
6
CPT / HCPCS codes
1,288
Most expensive procedures (gross)
3599511
$475,710
NF-Wellbutrin SR 12 Hr Tab ER 150MG
Gross
$634,280
3599510
$475,710
NF-Wellbutrin SR 12 Hr Tab ER 150MG
Gross
$634,280
3601479
$15,716
NF-Avonex Intramuscular Kit 30MCG/0.5ML
Gross
$20,955
3601931
$14,625
NF-Animas Insulin Pump R1000
Gross
$19,500
3600050
$14,625
NF-Animas Insulin Pump R1000
Gross
$19,500
3599970
$14,625
NF-Animas Insulin Pump R1000
Gross
$19,500
3601668
$14,033
NF-Simponi Subcutaneous Solution 100MG/1
Gross
$18,711
J2997
$10,200
ALTEPLASE 100MG
Gross
$13,600
3598235
$6,587
NF-LUPRON DEPOT 3 MONTH PWD FOR SUSP 22.
Gross
$8,783
3598233
$6,587
NF-LUPRON DEPOT 3 MONTH PWD FOR SUSP 22.
Gross
$8,783
3598115
$6,587
NF-LUPRON DEPOT 3 MONTH PWD FOR SUSP 22.
Gross
$8,783
J9217
$5,797
LUPRON 22.5MG INJECTION
Gross
$7,729
3504454
$5,529
SNAKE ANTI-VENOM 2X2ML VIAL
Gross
$7,373
3204454
$5,529
CROFAB SNAKE ANTIVENIN
Gross
$7,373
3600589
$5,126
NF-Humira Subcutaneous Solution 40MG/0.8
Gross
$6,834
3598574
$5,095
NF-COPAXONE SUBQ KIT 20MG/1ML
Gross
$6,793
3602249
$4,814
NF-Invega Sustenna IM Susp ER 156MG
Gross
$6,418
3602236
$4,814
NF-Invega Sustenna IM Susp ER 234MG
Gross
$6,418
3602233
$4,814
NF-Invega Sustenna IM Susp ER 156MG
Gross
$6,418
3602222
$4,814
NF-Invega Sustenna IM Susp ER 234MG
Gross
$6,418
3602221
$4,814
NF-Invega Sustenna IM Susp ER 234MG
Gross
$6,418
3504546
$4,423
TENECTEPLASE 50MG VIAL
Gross
$5,898
75716
$4,050
ANGIOGRAPHY, EXTREMITY, BILATERAL
Gross
$5,400
75710
$4,050
ANGIOGRAPHY, EXTREMITY, UNILATERAL LT
Gross
$5,400
3601722
$3,812
OTEZLA 30MG 28 DAY TITRATION PACK
Gross
$5,082
3598138
$3,329
NF-ELIGARD INJECTION 22.5MG
Gross
$4,439
3504218
$3,267
RETAVASE
Gross
$4,356
3600370
$3,126
NF-Nystatin Powder
Gross
$4,168
3601009
$3,069
NF-FORTEO SUBCUTANEOUS SOLUTION 250MCG/1
Gross
$4,092
J0135
$3,004
ADALIMUMAB 40MG/0.4ML KIT
Gross
$4,005
3598706
$2,900
FLUOROURACIL 0.5% CREAM 30GM
Gross
$3,866
3204546
$2,875
TNKASE 50MG
Gross
$3,833
J3262
$2,536
ACTEMRA 400MG/20ML VIAL
Gross
$3,381
3601171
$2,371
NF-GLYCOPYRROLATE CRYSTAL
Gross
$3,161
3599727
$2,269
NF-XOLAIR SUBQ PWD FOR SOLN 150MG
Gross
$3,025
J1439
$2,250
FERRIC CARBOXYMALTOSE 750MG/15ML VIAL
Gross
$3,000
3600615
$2,188
NF-MIRENA INSERT ER 52MG
Gross
$2,918
3504186
$2,134
ACTIVASE
Gross
$2,845
3204186
$2,134
ACTIVASE
Gross
$2,845
3598781
$2,090
NF-REMICADE IV PWD FOR SOLN 100MG
Gross
$2,786
10121
$2,010
I&R FOREIGN BODY,SUB-Q TISSUES;COMPLICAT
Gross
$2,680
J0875
$1,835
DALBAVANCIN HCL 500 MG VIAL
Gross
$2,446
3601350
$1,788
NF-Revlimid Oral Capsule 25MG
Gross
$2,384
P9036
$1,753
PLATELETS PHERESIS IRRAIATED EAC
Gross
$2,337
3598446
$1,699
DIHYDROERGOTAMINE MESYLATE NASAL SPRAY
Gross
$2,265
J9202
$1,650
ZOLADEX INJ
Gross
$2,200
70548
$1,650
MRA CAROTID (NECK) WITH CONTRAST
Gross
$2,200
70547
$1,650
MRA CAROTID (NECK) WITHOUT CONTRAST
Gross
$2,200
70544
$1,650
MRA HEAD, WITHOUT CONTRAST
Gross
$2,200
3600584
$1,450
NF-REVLIMID ORAL CAPSULE 25MG
Gross
$1,933
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3599511 | NF-Wellbutrin SR 12 Hr Tab ER 150MG | $634,280 | $475,710 | — | — | 3 |
| 3599510 | NF-Wellbutrin SR 12 Hr Tab ER 150MG | $634,280 | $475,710 | — | — | 3 |
| 3601479 | NF-Avonex Intramuscular Kit 30MCG/0.5ML | $20,955 | $15,716 | — | — | 3 |
| 3601931 | NF-Animas Insulin Pump R1000 | $19,500 | $14,625 | — | — | 3 |
| 3600050 | NF-Animas Insulin Pump R1000 | $19,500 | $14,625 | — | — | 3 |
| 3599970 | NF-Animas Insulin Pump R1000 | $19,500 | $14,625 | — | — | 3 |
| 3601668 | NF-Simponi Subcutaneous Solution 100MG/1 | $18,711 | $14,033 | — | — | 3 |
| J2997 | ALTEPLASE 100MG | $13,600 | $10,200 | — | — | 5 |
| 3598235 | NF-LUPRON DEPOT 3 MONTH PWD FOR SUSP 22. | $8,783 | $6,587 | — | — | 3 |
| 3598233 | NF-LUPRON DEPOT 3 MONTH PWD FOR SUSP 22. | $8,783 | $6,587 | — | — | 3 |
| 3598115 | NF-LUPRON DEPOT 3 MONTH PWD FOR SUSP 22. | $8,783 | $6,587 | — | — | 3 |
| J9217 | LUPRON 22.5MG INJECTION | $7,729 | $5,797 | — | — | 5 |
| 3504454 | SNAKE ANTI-VENOM 2X2ML VIAL | $7,373 | $5,529 | — | — | 3 |
| 3204454 | CROFAB SNAKE ANTIVENIN | $7,373 | $5,529 | — | — | 3 |
| 3600589 | NF-Humira Subcutaneous Solution 40MG/0.8 | $6,834 | $5,126 | — | — | 3 |
| 3598574 | NF-COPAXONE SUBQ KIT 20MG/1ML | $6,793 | $5,095 | — | — | 3 |
| 3602249 | NF-Invega Sustenna IM Susp ER 156MG | $6,418 | $4,814 | — | — | 3 |
| 3602236 | NF-Invega Sustenna IM Susp ER 234MG | $6,418 | $4,814 | — | — | 3 |
| 3602233 | NF-Invega Sustenna IM Susp ER 156MG | $6,418 | $4,814 | — | — | 3 |
| 3602222 | NF-Invega Sustenna IM Susp ER 234MG | $6,418 | $4,814 | — | — | 3 |
| 3602221 | NF-Invega Sustenna IM Susp ER 234MG | $6,418 | $4,814 | — | — | 3 |
| 3504546 | TENECTEPLASE 50MG VIAL | $5,898 | $4,423 | — | — | 3 |
| 75716 | ANGIOGRAPHY, EXTREMITY, BILATERAL | $5,400 | $4,050 | — | — | 5 |
| 75710 | ANGIOGRAPHY, EXTREMITY, UNILATERAL LT | $5,400 | $4,050 | — | — | 5 |
| 3601722 | OTEZLA 30MG 28 DAY TITRATION PACK | $5,082 | $3,812 | — | — | 3 |
| 3598138 | NF-ELIGARD INJECTION 22.5MG | $4,439 | $3,329 | — | — | 3 |
| 3504218 | RETAVASE | $4,356 | $3,267 | — | — | 3 |
| 3600370 | NF-Nystatin Powder | $4,168 | $3,126 | — | — | 3 |
| 3601009 | NF-FORTEO SUBCUTANEOUS SOLUTION 250MCG/1 | $4,092 | $3,069 | — | — | 3 |
| J0135 | ADALIMUMAB 40MG/0.4ML KIT | $4,005 | $3,004 | — | — | 5 |
| 3598706 | FLUOROURACIL 0.5% CREAM 30GM | $3,866 | $2,900 | — | — | 3 |
| 3204546 | TNKASE 50MG | $3,833 | $2,875 | — | — | 3 |
| J3262 | ACTEMRA 400MG/20ML VIAL | $3,381 | $2,536 | — | — | 5 |
| 3601171 | NF-GLYCOPYRROLATE CRYSTAL | $3,161 | $2,371 | — | — | 3 |
| 3599727 | NF-XOLAIR SUBQ PWD FOR SOLN 150MG | $3,025 | $2,269 | — | — | 3 |
| J1439 | FERRIC CARBOXYMALTOSE 750MG/15ML VIAL | $3,000 | $2,250 | — | — | 5 |
| 3600615 | NF-MIRENA INSERT ER 52MG | $2,918 | $2,188 | — | — | 3 |
| 3504186 | ACTIVASE | $2,845 | $2,134 | — | — | 3 |
| 3204186 | ACTIVASE | $2,845 | $2,134 | — | — | 3 |
| 3598781 | NF-REMICADE IV PWD FOR SOLN 100MG | $2,786 | $2,090 | — | — | 3 |
| 10121 | I&R FOREIGN BODY,SUB-Q TISSUES;COMPLICAT | $2,680 | $2,010 | — | — | 5 |
| J0875 | DALBAVANCIN HCL 500 MG VIAL | $2,446 | $1,835 | — | — | 5 |
| 3601350 | NF-Revlimid Oral Capsule 25MG | $2,384 | $1,788 | — | — | 3 |
| P9036 | PLATELETS PHERESIS IRRAIATED EAC | $2,337 | $1,753 | — | — | 5 |
| 3598446 | DIHYDROERGOTAMINE MESYLATE NASAL SPRAY | $2,265 | $1,699 | — | — | 3 |
| J9202 | ZOLADEX INJ | $2,200 | $1,650 | — | — | 3 |
| 70548 | MRA CAROTID (NECK) WITH CONTRAST | $2,200 | $1,650 | — | — | 5 |
| 70547 | MRA CAROTID (NECK) WITHOUT CONTRAST | $2,200 | $1,650 | — | — | 5 |
| 70544 | MRA HEAD, WITHOUT CONTRAST | $2,200 | $1,650 | — | — | 5 |
| 3600584 | NF-REVLIMID ORAL CAPSULE 25MG | $1,933 | $1,450 | — | — | 3 |
Showing top 50 of 7,220 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.