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
1,390
Insurances with rates
0
CPT / HCPCS codes
1,381
Most expensive procedures (gross)
J2997
$21,100
ALTEPLASE (ACTIVASE) 100MG/100ML
Gross
$21,100
J1950
$14,000
LUPRON DEPOT 30MG INJ
Gross
$14,000
J9332
$12,150
VYVGART IV SOLN 20MG/1ML
Gross
$12,150
J0717
$11,000
CIMZIA 400MG INJ
Gross
$11,000
J3101
$9,970
TNKASE (TENECTEPLASE) 50MG
Gross
$9,970
36555
$8,937
CENTRAL LINELESS THAN 5 YRS
Gross
$8,937
36556
$8,937
CENTRAL LINE 5RS AND OLDER
Gross
$8,937
27087
$8,930
SOFT TISSUE FB REMOVAL PELVIS/HIP DEEP
Gross
$8,930
J2506
$8,500
NEULASTA 6MG INJ
Gross
$8,500
59409
$8,482
VAGINAL DELIVERY
Gross
$8,482
59414
$8,482
DELIVERY OF PLACENTA
Gross
$8,482
J2356
$8,350
TEZSPIRE (TEZEPELUMAB) SQ 210MG/1.91ML
Gross
$8,350
23333
$7,750
SOFT TISSUE FB REMOVAL SHOULDER DEEP
Gross
$7,750
24201
$7,750
SOFT TISSUE FB REMOVAL UPPER ARM DEEP
Gross
$7,750
27086
$7,750
SOFT TISSUE FB REMOVAL PELVIS OR HIP
Gross
$7,750
J1437
$7,600
MONOFERRIC IV SOLUTION 100MG/1ML
Gross
$7,600
Q5108
$6,944
FULPHILA SUBCUTANEOUS SOLUTION 6MG/0.6ML
Gross
$6,944
J1944
$6,250
ARISTADA IM SUSP ER 882MG/3.2ML
Gross
$6,250
64561
$5,600
IMPLANT STIMULATOR LT & RT W/ FLURO ROOM,BILATERAL PROCEDURE
Gross
$5,600
J9217
$5,546
LUPRON DEPOT 22.5MG INJ
Gross
$5,546
12037
$5,178
INTERM RPR S/A/T/EXT >30CM
Gross
$5,178
12047
$5,178
INTERM RPR N/HF/GENT>30CM
Gross
$5,178
63650
$5,000
PERC. IMPLANT SPINAL STEM 1ST LEAD PROC
Gross
$5,000
J2507
$4,550
KRYSTEXXA 8MG INJ
Gross
$4,550
10121
$4,499
SOFT TISSUE FB REMOVAL SUBCUT COMPLEX
Gross
$4,499
11044
$4,499
DEBRIDEMENT BONE <20CM
Gross
$4,499
23330
$4,499
SOFT TISSUE FB REMOVAL SHOULDER
Gross
$4,499
24200
$4,499
SOFT TISSUE FB REMOVAL UPPER ARM
Gross
$4,499
28192
$4,499
SOFT TISSUE FB REMOVAL FOOT DEEP
Gross
$4,499
28193
$4,499
SOFT TISSUE FB REMOVAL FOOT COMPLICATED
Gross
$4,499
20103
$4,499
EXTREMITY W/ FOREIGN BODY REMOVAL
Gross
$4,499
32551
$4,464
CHEST TUBE/NEEDLE THORACOSTOMY
Gross
$4,464
33016
$4,464
PERICARDIOCENTESIS
Gross
$4,464
73222
$4,445
MRI UPPER LEFT EXTREM WITH CONTRAST,LEFT
Gross
$4,445
J1602
$4,364
SIMPONI ARIA INTRAVENOUS SOLN 50MG/4ML
Gross
$4,364
23505
$4,304
CLOSED FRAC REDUCTION CLAVICULAR
Gross
$4,304
23605
$4,304
CLOSED FRAC REDUCT PROX HUMERAL
Gross
$4,304
24535
$4,304
CLOSED FRAC REDUCT -SUPRACONDYLAR
Gross
$4,304
24605
$4,304
CLOSED ELBOW DISLOCATION WITH ANES TX
Gross
$4,304
24655
$4,304
CLOSED FRACT REDUCT RADIAL HEAD
Gross
$4,304
24675
$4,304
CLOSED FRACT REDUCTION ULNAR
Gross
$4,304
25565
$4,304
CLD FRACT REDUCT RADIAL/ULNAR SHAFT
Gross
$4,304
26410
$4,304
WOUND REPAIR TENDON HAND
Gross
$4,304
26705
$4,304
FINGER DISLOCATION REDUCTION W/ SEDATION
Gross
$4,304
27252
$4,304
DISLOCATED TRAUMATIC HIP REDUCT W/ ANES
Gross
$4,304
27257
$4,304
DISLOCATED SPONTAN. HIP REDUCT W/ ANES
Gross
$4,304
27502
$4,304
CLSD FRACT REDUCTION FEMORAL SHAFT
Gross
$4,304
27503
$4,304
CLSD FRACT REDUCTION SUPRACONDYLAR
Gross
$4,304
27510
$4,304
CLSD FRACT REDUCT FEMORAL DISTAL END
Gross
$4,304
27552
$4,304
DISLOCATED KNEE REDUCTION W/ SEDATION
Gross
$4,304
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE (ACTIVASE) 100MG/100ML | $21,100 | $21,100 | — | — | 0 |
| J1950 | LUPRON DEPOT 30MG INJ | $14,000 | $14,000 | — | — | 0 |
| J9332 | VYVGART IV SOLN 20MG/1ML | $12,150 | $12,150 | — | — | 0 |
| J0717 | CIMZIA 400MG INJ | $11,000 | $11,000 | — | — | 0 |
| J3101 | TNKASE (TENECTEPLASE) 50MG | $9,970 | $9,970 | — | — | 0 |
| 36555 | CENTRAL LINELESS THAN 5 YRS | $8,937 | $8,937 | — | — | 0 |
| 36556 | CENTRAL LINE 5RS AND OLDER | $8,937 | $8,937 | — | — | 0 |
| 27087 | SOFT TISSUE FB REMOVAL PELVIS/HIP DEEP | $8,930 | $8,930 | — | — | 0 |
| J2506 | NEULASTA 6MG INJ | $8,500 | $8,500 | — | — | 0 |
| 59409 | VAGINAL DELIVERY | $8,482 | $8,482 | — | — | 0 |
| 59414 | DELIVERY OF PLACENTA | $8,482 | $8,482 | — | — | 0 |
| J2356 | TEZSPIRE (TEZEPELUMAB) SQ 210MG/1.91ML | $8,350 | $8,350 | — | — | 0 |
| 23333 | SOFT TISSUE FB REMOVAL SHOULDER DEEP | $7,750 | $7,750 | — | — | 0 |
| 24201 | SOFT TISSUE FB REMOVAL UPPER ARM DEEP | $7,750 | $7,750 | — | — | 0 |
| 27086 | SOFT TISSUE FB REMOVAL PELVIS OR HIP | $7,750 | $7,750 | — | — | 0 |
| J1437 | MONOFERRIC IV SOLUTION 100MG/1ML | $7,600 | $7,600 | — | — | 0 |
| Q5108 | FULPHILA SUBCUTANEOUS SOLUTION 6MG/0.6ML | $6,944 | $6,944 | — | — | 0 |
| J1944 | ARISTADA IM SUSP ER 882MG/3.2ML | $6,250 | $6,250 | — | — | 0 |
| 64561 | IMPLANT STIMULATOR LT & RT W/ FLURO ROOM,BILATERAL PROCEDURE | $5,600 | $5,600 | — | — | 0 |
| J9217 | LUPRON DEPOT 22.5MG INJ | $5,546 | $5,546 | — | — | 0 |
| 12037 | INTERM RPR S/A/T/EXT >30CM | $5,178 | $5,178 | — | — | 0 |
| 12047 | INTERM RPR N/HF/GENT>30CM | $5,178 | $5,178 | — | — | 0 |
| 63650 | PERC. IMPLANT SPINAL STEM 1ST LEAD PROC | $5,000 | $5,000 | — | — | 0 |
| J2507 | KRYSTEXXA 8MG INJ | $4,550 | $4,550 | — | — | 0 |
| 10121 | SOFT TISSUE FB REMOVAL SUBCUT COMPLEX | $4,499 | $4,499 | — | — | 0 |
| 11044 | DEBRIDEMENT BONE <20CM | $4,499 | $4,499 | — | — | 0 |
| 23330 | SOFT TISSUE FB REMOVAL SHOULDER | $4,499 | $4,499 | — | — | 0 |
| 24200 | SOFT TISSUE FB REMOVAL UPPER ARM | $4,499 | $4,499 | — | — | 0 |
| 28192 | SOFT TISSUE FB REMOVAL FOOT DEEP | $4,499 | $4,499 | — | — | 0 |
| 28193 | SOFT TISSUE FB REMOVAL FOOT COMPLICATED | $4,499 | $4,499 | — | — | 0 |
| 20103 | EXTREMITY W/ FOREIGN BODY REMOVAL | $4,499 | $4,499 | — | — | 0 |
| 32551 | CHEST TUBE/NEEDLE THORACOSTOMY | $4,464 | $4,464 | — | — | 0 |
| 33016 | PERICARDIOCENTESIS | $4,464 | $4,464 | — | — | 0 |
| 73222 | MRI UPPER LEFT EXTREM WITH CONTRAST,LEFT | $4,445 | $4,445 | — | — | 0 |
| J1602 | SIMPONI ARIA INTRAVENOUS SOLN 50MG/4ML | $4,364 | $4,364 | — | — | 0 |
| 23505 | CLOSED FRAC REDUCTION CLAVICULAR | $4,304 | $4,304 | — | — | 0 |
| 23605 | CLOSED FRAC REDUCT PROX HUMERAL | $4,304 | $4,304 | — | — | 0 |
| 24535 | CLOSED FRAC REDUCT -SUPRACONDYLAR | $4,304 | $4,304 | — | — | 0 |
| 24605 | CLOSED ELBOW DISLOCATION WITH ANES TX | $4,304 | $4,304 | — | — | 0 |
| 24655 | CLOSED FRACT REDUCT RADIAL HEAD | $4,304 | $4,304 | — | — | 0 |
| 24675 | CLOSED FRACT REDUCTION ULNAR | $4,304 | $4,304 | — | — | 0 |
| 25565 | CLD FRACT REDUCT RADIAL/ULNAR SHAFT | $4,304 | $4,304 | — | — | 0 |
| 26410 | WOUND REPAIR TENDON HAND | $4,304 | $4,304 | — | — | 0 |
| 26705 | FINGER DISLOCATION REDUCTION W/ SEDATION | $4,304 | $4,304 | — | — | 0 |
| 27252 | DISLOCATED TRAUMATIC HIP REDUCT W/ ANES | $4,304 | $4,304 | — | — | 0 |
| 27257 | DISLOCATED SPONTAN. HIP REDUCT W/ ANES | $4,304 | $4,304 | — | — | 0 |
| 27502 | CLSD FRACT REDUCTION FEMORAL SHAFT | $4,304 | $4,304 | — | — | 0 |
| 27503 | CLSD FRACT REDUCTION SUPRACONDYLAR | $4,304 | $4,304 | — | — | 0 |
| 27510 | CLSD FRACT REDUCT FEMORAL DISTAL END | $4,304 | $4,304 | — | — | 0 |
| 27552 | DISLOCATED KNEE REDUCTION W/ SEDATION | $4,304 | $4,304 | — | — | 0 |
Showing top 50 of 1,390 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.