45 CFR § 180 compliance
A · 100
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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
2,929
Insurances with rates
4
CPT / HCPCS codes
1,395
Most expensive procedures (gross)
J9310
$34,672
BAMLANIVIMAB 700MG 20ML IVPB
Gross
$34,672
J2505
$30,544
PEGFILGRASTIM (NEULASTA) 6MG SC INJ
Gross
$30,544
J3101
$26,870
TENECTEPLASE (TNKASE) 50MG INJ
Gross
$26,870
J0840
$26,173
CROTALID POLYVA IMMUN FAB(CROFAB)
Gross
$26,173
2698380
$22,006
DARBEPOETIN ALFA 300MCG/0.6ML INJ
Gross
$22,006
MS177
$20,359
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
Gross
$20,359
J9217
$19,093
LEUPROLIDE ACE (ELIGARD) 45MG 6MTH INJ
Gross
$19,093
MS194
$12,940
SIMPLE PNEUMONIA AND PLEURISY
Gross
$15,392
90376
$15,134
RABIES IMM GLOB 150IU/ML 10ML
Gross
$15,134
J3262
$13,702
TOCILIZUMAB (ACTEMRA) 400MG 20ML VIAL
Gross
$13,702
2698105
$11,564
ONABOTULINUMTOXINA 200U VIAL INJECTION
Gross
$11,564
MS641
$11,309
MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES
Gross
$11,386
MS640
$11,309
MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES
Gross
$11,309
J9055
$11,208
CETUXIMAB (ERBITUX) 200MG/100ML IVP
Gross
$11,208
2697229
$10,638
DENOSUMAB (XGEVA) 120MG INJ
Gross
$10,638
2625915
$9,657
ANDEXANET ALFA COAG FCTR Xa RECOM INACT
Gross
$9,657
MS195
$12,940
SIMPLE PNEUMONIA AND PLEURISY
Gross
$8,156
95811
$4,959
POLYSOMNOGRAPHY; SLEEP STUDY W/CPAP TECH
Gross
$5,850
J1745
$5,829
INFLIXIMAB (REMICADE) 100MG INJ
Gross
$5,829
74178
$4,720
CT ABD PELVIS WWO CONT
Gross
$5,569
27310
$4,447
FOREIGN BODY REMOVAL KNEE
Gross
$5,246
2697623
$5,207
ZOLEDRONIC ACID 4MG/100ML IVPB
Gross
$5,207
74177
$4,382
CT ABD PEL W CONT
Gross
$5,170
2621299
$5,024
FERRIC CARBOXYMALTOSE INJ 750MG 15ML
Gross
$5,024
95810
$4,195
POLYSOMNOGRAPHY; SLEEP STAGING W/TECHNOL
Gross
$4,949
2626551
$4,704
FERUMOXYTOL (FERAHEME) 510MG VIAL
Gross
$4,704
26350
$3,951
REPAIR/RECONSTRUCTION TENDON (FLEXOR)
Gross
$4,661
43268
$3,876
E.R.C.P. INSERT STENT
Gross
$4,573
43264
$3,862
E.R.C.P. REM/STONES
Gross
$4,556
73223
$3,848
MRI RT UPPER JOINT W/WO CONTRAST
Gross
$4,540
59409
$3,813
DELIVERY, VAGINAL
Gross
$4,499
43262
$3,766
E.R.C.P. SPINC/PAPILL
Gross
$4,443
73723
$3,826
MR RT LOWER JOINT W/WO
Gross
$4,443
74176
$3,742
CT ABD PELVIS WO CONTRAST
Gross
$4,415
43265
$3,701
E.R.C.P. LITHO. ANY
Gross
$4,366
25260
$3,623
TENDON AND MUSCLE REPAIR
Gross
$4,274
75635
$3,623
CTA ABA AORTA W BIL FEMORAL EXT RUNOFF
Gross
$4,274
73722
$3,642
MR RT LOWER EXTREMITY JOINT W CONTRAST
Gross
$4,227
J2469
$4,200
PALONOSETRON (ALOXI) 0.25MG/5ML IV
Gross
$4,200
2624220
$4,000
DUROLANE (HYALURONIC ACID) INJ
Gross
$4,000
73221
$3,366
MR RT UPPER JOINT W/O
Gross
$3,971
73721
$3,366
MR RT LOWER JOINTW/O
Gross
$3,971
43269
$3,352
E.R.C.P. REM/CHA STENT
Gross
$3,955
43271
$3,333
E.R.C.P. BALLON DILATION
Gross
$3,933
72156
$3,297
MR CERVICAL WWO CONTRAST
Gross
$3,890
J1442
$3,878
FILGRASTIM 480MCG INJ (NEUPOGEN) 0.8ML
Gross
$3,878
70496
$3,278
CTA HEAD
Gross
$3,868
70498
$3,278
CTA NECK
Gross
$3,868
71275
$3,278
CTA CHEST
Gross
$3,868
73706
$3,278
CTA LOWER EXT RT
Gross
$3,868
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9310 | BAMLANIVIMAB 700MG 20ML IVPB | $34,672 | $34,672 | $10,055 | $25,657 | 4 |
| J2505 | PEGFILGRASTIM (NEULASTA) 6MG SC INJ | $30,544 | $30,544 | $8,858 | $22,603 | 4 |
| J3101 | TENECTEPLASE (TNKASE) 50MG INJ | $26,870 | $26,870 | $7,792 | $19,884 | 4 |
| J0840 | CROTALID POLYVA IMMUN FAB(CROFAB) | $26,173 | $26,173 | $7,590 | $19,368 | 4 |
| 2698380 | DARBEPOETIN ALFA 300MCG/0.6ML INJ | $22,006 | $22,006 | $6,382 | $16,284 | 4 |
| MS177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $20,359 | $20,359 | $5,904 | $7,260 | 5 |
| J9217 | LEUPROLIDE ACE (ELIGARD) 45MG 6MTH INJ | $19,093 | $19,093 | $5,537 | $14,129 | 4 |
| MS194 | SIMPLE PNEUMONIA AND PLEURISY | $15,392 | $12,940 | $3,793 | $5,263 | 5 |
| 90376 | RABIES IMM GLOB 150IU/ML 10ML | $15,134 | $15,134 | $4,389 | $11,199 | 4 |
| J3262 | TOCILIZUMAB (ACTEMRA) 400MG 20ML VIAL | $13,702 | $13,702 | $3,974 | $10,139 | 4 |
| 2698105 | ONABOTULINUMTOXINA 200U VIAL INJECTION | $11,564 | $11,564 | $3,354 | $8,557 | 4 |
| MS641 | MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES | $11,386 | $11,309 | $3,302 | $6,716 | 5 |
| MS640 | MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES | $11,309 | $11,309 | $3,280 | $6,716 | 5 |
| J9055 | CETUXIMAB (ERBITUX) 200MG/100ML IVP | $11,208 | $11,208 | $3,250 | $8,294 | 4 |
| 2697229 | DENOSUMAB (XGEVA) 120MG INJ | $10,638 | $10,638 | $3,085 | $7,872 | 4 |
| 2625915 | ANDEXANET ALFA COAG FCTR Xa RECOM INACT | $9,657 | $9,657 | $2,801 | $7,146 | 4 |
| MS195 | SIMPLE PNEUMONIA AND PLEURISY | $8,156 | $12,940 | $2,365 | $5,263 | 5 |
| 95811 | POLYSOMNOGRAPHY; SLEEP STUDY W/CPAP TECH | $5,850 | $4,959 | $1,697 | $4,352 | 5 |
| J1745 | INFLIXIMAB (REMICADE) 100MG INJ | $5,829 | $5,829 | $1,690 | $4,313 | 4 |
| 74178 | CT ABD PELVIS WWO CONT | $5,569 | $4,720 | $715 | $4,143 | 5 |
| 27310 | FOREIGN BODY REMOVAL KNEE | $5,246 | $4,447 | $1,521 | $3,903 | 5 |
| 2697623 | ZOLEDRONIC ACID 4MG/100ML IVPB | $5,207 | $5,207 | $1,510 | $3,853 | 4 |
| 74177 | CT ABD PEL W CONT | $5,170 | $4,382 | $715 | $3,846 | 5 |
| 2621299 | FERRIC CARBOXYMALTOSE INJ 750MG 15ML | $5,024 | $5,024 | $1,457 | $3,718 | 4 |
| 95810 | POLYSOMNOGRAPHY; SLEEP STAGING W/TECHNOL | $4,949 | $4,195 | $1,435 | $3,682 | 5 |
| 2626551 | FERUMOXYTOL (FERAHEME) 510MG VIAL | $4,704 | $4,704 | $1,364 | $3,481 | 4 |
| 26350 | REPAIR/RECONSTRUCTION TENDON (FLEXOR) | $4,661 | $3,951 | $1,352 | $3,468 | 5 |
| 43268 | E.R.C.P. INSERT STENT | $4,573 | $3,876 | $1,326 | $5,114 | 5 |
| 43264 | E.R.C.P. REM/STONES | $4,556 | $3,862 | $1,321 | $5,114 | 5 |
| 73223 | MRI RT UPPER JOINT W/WO CONTRAST | $4,540 | $3,848 | $715 | $3,378 | 5 |
| 59409 | DELIVERY, VAGINAL | $4,499 | $3,813 | $1,305 | $3,347 | 5 |
| 43262 | E.R.C.P. SPINC/PAPILL | $4,443 | $3,766 | $1,288 | $5,114 | 5 |
| 73723 | MR RT LOWER JOINT W/WO | $4,443 | $3,826 | $715 | $3,306 | 5 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,415 | $3,742 | $447 | $3,285 | 5 |
| 43265 | E.R.C.P. LITHO. ANY | $4,366 | $3,701 | $1,266 | $5,114 | 5 |
| 25260 | TENDON AND MUSCLE REPAIR | $4,274 | $3,623 | $1,239 | $3,180 | 5 |
| 75635 | CTA ABA AORTA W BIL FEMORAL EXT RUNOFF | $4,274 | $3,623 | $347 | $3,180 | 5 |
| 73722 | MR RT LOWER EXTREMITY JOINT W CONTRAST | $4,227 | $3,642 | $1,226 | $3,145 | 5 |
| J2469 | PALONOSETRON (ALOXI) 0.25MG/5ML IV | $4,200 | $4,200 | $1,218 | $3,108 | 4 |
| 2624220 | DUROLANE (HYALURONIC ACID) INJ | $4,000 | $4,000 | $1,160 | $2,960 | 4 |
| 73221 | MR RT UPPER JOINT W/O | $3,971 | $3,366 | $447 | $2,954 | 5 |
| 73721 | MR RT LOWER JOINTW/O | $3,971 | $3,366 | $447 | $2,954 | 5 |
| 43269 | E.R.C.P. REM/CHA STENT | $3,955 | $3,352 | $1,147 | $5,114 | 5 |
| 43271 | E.R.C.P. BALLON DILATION | $3,933 | $3,333 | $1,141 | $5,114 | 5 |
| 72156 | MR CERVICAL WWO CONTRAST | $3,890 | $3,297 | $715 | $2,894 | 5 |
| J1442 | FILGRASTIM 480MCG INJ (NEUPOGEN) 0.8ML | $3,878 | $3,878 | $1,125 | $2,870 | 4 |
| 70496 | CTA HEAD | $3,868 | $3,278 | $347 | $2,878 | 5 |
| 70498 | CTA NECK | $3,868 | $3,278 | $347 | $2,878 | 5 |
| 71275 | CTA CHEST | $3,868 | $3,278 | $347 | $2,878 | 5 |
| 73706 | CTA LOWER EXT RT | $3,868 | $3,278 | $347 | $2,878 | 5 |
Showing top 50 of 2,929 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.