45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
983
Insurances with rates
1
CPT / HCPCS codes
952
Most expensive procedures (gross)
J2997
$22,111
ACTIVASE INJ 100MG
Gross
$24,568
59409
$4,985
VAGINAL DELIVERY ONLY,Multiple Procedures
Gross
$5,539
J1745
$4,501
REMICADE 100MG VIAL
Gross
$5,001
36569
$3,060
PICC LINE INSERTION
Gross
$3,400
59414
$2,352
DELIVERY PLACENTA,Multiple Procedures
Gross
$2,614
99291
$2,340
ER VISIT, CRITICAL CARE, UP TO 74 MIN
Gross
$2,600
74174
$2,241
CT ANGIO ABDOMEN/PELVIS
Gross
$2,490
27268
$2,160
HIP REDUCTION CLOSED WITH MINUPULATION
Gross
$2,400
27536
$1,845
TX-PROXIMAL TIBIA,HPSA
Gross
$2,050
28415
$1,751
CALCANEAL FX,HPSA
Gross
$1,946
J3095
$1,717
VIBATIV INJECTION 750MG
Gross
$1,908
99292
$1,620
ER VISIT, CRITICAL CARE, Add 30 MIN
Gross
$1,800
25605
$1,304
CLOSED RADIAL FX (COLLES),HPSA
Gross
$1,449
28114
$1,296
REMOV OF METATARSAL HEADS,HPSA
Gross
$1,440
93882
$1,103
US CAROTID DOPPLER UNILATERAL(LIMITED)
Gross
$1,225
27500
$1,080
CLOSED FEMORAL SHAFT FX,HPSA
Gross
$1,200
93970
$1,065
US VENOUS DOPPLER BILAT
Gross
$1,183
27230
$1,046
TX-CLOSED FEMORAL FRACTUR,HPSA
Gross
$1,162
94660
$1,044
RT BIPAP/CPAP MANAGEMENT
Gross
$1,160
78465
$1,035
MYOCARDIAL PERFUSION TOMOGRAPHIC MULTIP,Technical Component
Gross
$1,150
21450
$1,035
TREATMENT MANDIBLE FRACTU,HPSA
Gross
$1,150
28300
$1,035
CALCANCAL OSTEOTOMY,HPSA
Gross
$1,150
93306
$990
US ECHOCARDIOGRAM 2D M-MODE WITH SPECTRA
Gross
$1,100
93307
$990
US ECHOCARDIOGRAM DO NOT USE
Gross
$1,100
40830
$981
MOUTH/TONGUE <2.5 CM
Gross
$1,090
28005
$950
DEEP OSTEOMYELITIS,HPSA
Gross
$1,055
83013
$927
H. PYLORI CLEARVIEW
Gross
$1,030
25660
$906
CLOSED INTERCARPAL DISLOC,HPSA
Gross
$1,007
124
$900
BEHAVIOR HEALTH PRIVATE
Gross
$1,000
28800
$896
CHOPART PROCEDURE,HPSA
Gross
$995
27756
$868
CLOSED REDUCTION FX ANKLE,HPSA
Gross
$965
361
$854
PREPARATION FOR GRAFT
Gross
$949
28296
$838
HALLUX VALGUS W/METAT OST,HPSA
Gross
$931
93880
$810
US CAROTID DOPPLER BILAT
Gross
$900
J2510
$810
BICILLIN L A INJ 1.2 UNIT/2ML
Gross
$900
J0558
$810
BICILLIN L A INJ 1.2 UNIT/2ML
Gross
$900
87799
$810
EPSTEIN-BARR DNA QUANT PCR
Gross
$900
28298
$809
HALLUX PHALANGEAL OSTEOT,HPSA
Gross
$898
93320
$792
US CV CW/PW DOPPLER
Gross
$880
93931
$768
US GRAFT DOPPLER
Gross
$853
76881
$765
US EXTREMITY NONVASCULAR RIGHT
Gross
$850
13132
$760
COM 2.6-7.5 CM
Gross
$844
27560
$752
TX-CLOSED PATELLA DISLOC,HPSA
Gross
$835
76819
$743
US FETAL BIOPHYSICAL PROFILE
Gross
$825
93925
$743
US EXTREM ART FLOW BILAT LOWER
Gross
$825
93930
$743
US EXTREM ART FLOW BILAT UPPER
Gross
$825
93922
$743
US EXTREMITY ART FLOW BILAT LOWER LIMIT
Gross
$825
93923
$743
US EXTREMITY ART FLOW BILAT LOWER COMPL
Gross
$825
76870
$738
US TESTICULAR
Gross
$820
28140
$723
REMOVAL OF METARSAL,HPSA
Gross
$803
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ACTIVASE INJ 100MG | $24,568 | $22,111 | — | — | 0 |
| 59409 | VAGINAL DELIVERY ONLY,Multiple Procedures | $5,539 | $4,985 | — | — | 0 |
| J1745 | REMICADE 100MG VIAL | $5,001 | $4,501 | — | — | 0 |
| 36569 | PICC LINE INSERTION | $3,400 | $3,060 | — | — | 0 |
| 59414 | DELIVERY PLACENTA,Multiple Procedures | $2,614 | $2,352 | — | — | 0 |
| 99291 | ER VISIT, CRITICAL CARE, UP TO 74 MIN | $2,600 | $2,340 | — | — | 0 |
| 74174 | CT ANGIO ABDOMEN/PELVIS | $2,490 | $2,241 | — | — | 0 |
| 27268 | HIP REDUCTION CLOSED WITH MINUPULATION | $2,400 | $2,160 | — | — | 0 |
| 27536 | TX-PROXIMAL TIBIA,HPSA | $2,050 | $1,845 | — | — | 0 |
| 28415 | CALCANEAL FX,HPSA | $1,946 | $1,751 | — | — | 0 |
| J3095 | VIBATIV INJECTION 750MG | $1,908 | $1,717 | — | — | 0 |
| 99292 | ER VISIT, CRITICAL CARE, Add 30 MIN | $1,800 | $1,620 | — | — | 0 |
| 25605 | CLOSED RADIAL FX (COLLES),HPSA | $1,449 | $1,304 | — | — | 0 |
| 28114 | REMOV OF METATARSAL HEADS,HPSA | $1,440 | $1,296 | — | — | 0 |
| 93882 | US CAROTID DOPPLER UNILATERAL(LIMITED) | $1,225 | $1,103 | — | — | 0 |
| 27500 | CLOSED FEMORAL SHAFT FX,HPSA | $1,200 | $1,080 | — | — | 0 |
| 93970 | US VENOUS DOPPLER BILAT | $1,183 | $1,065 | — | — | 0 |
| 27230 | TX-CLOSED FEMORAL FRACTUR,HPSA | $1,162 | $1,046 | — | — | 0 |
| 94660 | RT BIPAP/CPAP MANAGEMENT | $1,160 | $1,044 | — | — | 0 |
| 78465 | MYOCARDIAL PERFUSION TOMOGRAPHIC MULTIP,Technical Component | $1,150 | $1,035 | — | — | 0 |
| 21450 | TREATMENT MANDIBLE FRACTU,HPSA | $1,150 | $1,035 | — | — | 0 |
| 28300 | CALCANCAL OSTEOTOMY,HPSA | $1,150 | $1,035 | — | — | 0 |
| 93306 | US ECHOCARDIOGRAM 2D M-MODE WITH SPECTRA | $1,100 | $990 | — | — | 0 |
| 93307 | US ECHOCARDIOGRAM DO NOT USE | $1,100 | $990 | — | — | 0 |
| 40830 | MOUTH/TONGUE <2.5 CM | $1,090 | $981 | — | — | 0 |
| 28005 | DEEP OSTEOMYELITIS,HPSA | $1,055 | $950 | — | — | 0 |
| 83013 | H. PYLORI CLEARVIEW | $1,030 | $927 | — | — | 0 |
| 25660 | CLOSED INTERCARPAL DISLOC,HPSA | $1,007 | $906 | — | — | 0 |
| 124 | BEHAVIOR HEALTH PRIVATE | $1,000 | $900 | — | — | 1 |
| 28800 | CHOPART PROCEDURE,HPSA | $995 | $896 | — | — | 0 |
| 27756 | CLOSED REDUCTION FX ANKLE,HPSA | $965 | $868 | — | — | 0 |
| 361 | PREPARATION FOR GRAFT | $949 | $854 | — | — | 0 |
| 28296 | HALLUX VALGUS W/METAT OST,HPSA | $931 | $838 | — | — | 0 |
| 93880 | US CAROTID DOPPLER BILAT | $900 | $810 | — | — | 0 |
| J2510 | BICILLIN L A INJ 1.2 UNIT/2ML | $900 | $810 | — | — | 0 |
| J0558 | BICILLIN L A INJ 1.2 UNIT/2ML | $900 | $810 | — | — | 0 |
| 87799 | EPSTEIN-BARR DNA QUANT PCR | $900 | $810 | — | — | 0 |
| 28298 | HALLUX PHALANGEAL OSTEOT,HPSA | $898 | $809 | — | — | 0 |
| 93320 | US CV CW/PW DOPPLER | $880 | $792 | — | — | 0 |
| 93931 | US GRAFT DOPPLER | $853 | $768 | — | — | 0 |
| 76881 | US EXTREMITY NONVASCULAR RIGHT | $850 | $765 | — | — | 0 |
| 13132 | COM 2.6-7.5 CM | $844 | $760 | — | — | 0 |
| 27560 | TX-CLOSED PATELLA DISLOC,HPSA | $835 | $752 | — | — | 0 |
| 76819 | US FETAL BIOPHYSICAL PROFILE | $825 | $743 | — | — | 0 |
| 93925 | US EXTREM ART FLOW BILAT LOWER | $825 | $743 | — | — | 0 |
| 93930 | US EXTREM ART FLOW BILAT UPPER | $825 | $743 | — | — | 0 |
| 93922 | US EXTREMITY ART FLOW BILAT LOWER LIMIT | $825 | $743 | — | — | 0 |
| 93923 | US EXTREMITY ART FLOW BILAT LOWER COMPL | $825 | $743 | — | — | 0 |
| 76870 | US TESTICULAR | $820 | $738 | — | — | 0 |
| 28140 | REMOVAL OF METARSAL,HPSA | $803 | $723 | — | — | 0 |
Showing top 50 of 983 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.