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
4,558
Insurances with rates
30
CPT / HCPCS codes
1,967
Most expensive procedures (gross)
Q4197
$19,440
PURAPLY XT 1 SQ CM
Gross
$32,400
50242008527
$19,009
Activase
Gross
$31,681
50242-0014-03
$16,926
TNKase
Gross
$28,211
00310-1730-30
$11,928
Fasenra PFS
Gross
$19,880
00310173030
$10,525
Fasenra PFS
Gross
$17,541
50242005306
$10,147
Rituxan
Gross
$16,911
00003-2187-13
$9,486
Orencia
Gross
$15,810
60505618800
$7,326
teriparatide
Gross
$12,209
J2357
$7,222
INJECTION; OMALIZUMAB; 5 MG
Gross
$12,037
Q4133
$6,332
GRAFIX STRAVIX PRIME PL SQCM
Gross
$10,553
00078100060
$6,210
Leqvio
Gross
$10,349
13533031805
$6,124
HyperRAB
Gross
$10,207
50242-0040-62
$5,651
Xolair
Gross
$9,418
13533-0318-01
$5,553
HyperRAB
Gross
$9,255
50242013701
$4,981
Actemra
Gross
$8,301
Q4107
$4,738
GRAFTJACKET
Gross
$7,896
78206-0162-01
$4,611
Renflexis
Gross
$7,685
Q4159
$4,410
AFFINITY1 SQUARE CM
Gross
$7,350
005257
$4,050
AMNIOFILL 1000 MG
Gross
$6,750
J0485
$3,957
INJECTION; BELATACEPT; 1 MG
Gross
$6,595
005084
$3,806
AMNIOFIX 7 X 6 CM
Gross
$6,343
00002758901
$3,780
Bebtelovimab
Gross
$6,300
00173090186
$3,780
Sotrovimab
Gross
$6,300
83257000541
$3,758
Fulphila
Gross
$6,263
13533031803
$3,675
HyperRAB
Gross
$6,125
57894035001
$3,599
Simponi Aria
Gross
$5,998
81201
$3,493
APC GENE FULL SEQUENCE
Gross
$5,821
00003-0371-13
$3,221
Nulojix
Gross
$5,368
44204
$3,187
LAPARO PARTIAL COLECTOMY
Gross
$5,312
J0897
$3,131
INJECTION; DENOSUMAB; 1 MG
Gross
$5,218
55513-0710-21
$3,131
Prolia
Gross
$5,218
47605
$3,016
CHOLECYSTECTOMY W/CHOLANG
Gross
$5,027
27487
$2,982
REVISE/REPLACE KNEE JOINT
Gross
$4,970
44602
$2,937
SUTURE SMALL INTESTINE
Gross
$4,895
73720
$2,854
MRI SCAN OF LEG BEFORE AND AFTER CONTRAST
Gross
$4,757
73723
$2,854
MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST
Gross
$4,757
73220
$2,854
MRI UPPR EXTREMITY W/O&W/DYE
Gross
$4,757
72197
$2,854
MRI PELVIS W/O & W/DYE
Gross
$4,757
71552
$2,854
MRI CHEST W/O & W/DYE
Gross
$4,757
73223
$2,854
MRI SCAN OF ARM JOINT BEFORE AND AFTER CONTRAST
Gross
$4,757
72158
$2,854
MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST
Gross
$4,757
70553
$2,854
MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST
Gross
$4,757
70543
$2,854
MRI ORBT/FAC/NCK W/O &W/DYE
Gross
$4,757
72156
$2,854
MRI NECK SPINE W/O & W/DYE
Gross
$4,757
72157
$2,854
MRI CHEST SPINE W/O & W/DYE
Gross
$4,757
74183
$2,854
MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST
Gross
$4,757
44140
$2,782
PARTIAL REMOVAL OF COLON
Gross
$4,637
44205
$2,768
LAP COLECTOMY PART W/ILEUM
Gross
$4,614
62935-0227-10
$2,764
Eligard
Gross
$4,607
55513071021A
$2,762
Prolia
Gross
$4,604
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q4197 | PURAPLY XT 1 SQ CM | $32,400 | $19,440 | — | — | 0 |
| 50242008527 | Activase | $31,681 | $19,009 | — | — | 0 |
| 50242-0014-03 | TNKase | $28,211 | $16,926 | — | — | 0 |
| 00310-1730-30 | Fasenra PFS | $19,880 | $11,928 | — | — | 0 |
| 00310173030 | Fasenra PFS | $17,541 | $10,525 | — | — | 0 |
| 50242005306 | Rituxan | $16,911 | $10,147 | — | — | 0 |
| 00003-2187-13 | Orencia | $15,810 | $9,486 | — | — | 0 |
| 60505618800 | teriparatide | $12,209 | $7,326 | — | — | 0 |
| J2357 | INJECTION; OMALIZUMAB; 5 MG | $12,037 | $7,222 | — | — | 0 |
| Q4133 | GRAFIX STRAVIX PRIME PL SQCM | $10,553 | $6,332 | — | — | 0 |
| 00078100060 | Leqvio | $10,349 | $6,210 | — | — | 0 |
| 13533031805 | HyperRAB | $10,207 | $6,124 | — | — | 0 |
| 50242-0040-62 | Xolair | $9,418 | $5,651 | — | — | 0 |
| 13533-0318-01 | HyperRAB | $9,255 | $5,553 | — | — | 0 |
| 50242013701 | Actemra | $8,301 | $4,981 | — | — | 0 |
| Q4107 | GRAFTJACKET | $7,896 | $4,738 | — | — | 0 |
| 78206-0162-01 | Renflexis | $7,685 | $4,611 | — | — | 0 |
| Q4159 | AFFINITY1 SQUARE CM | $7,350 | $4,410 | — | — | 0 |
| 005257 | AMNIOFILL 1000 MG | $6,750 | $4,050 | — | — | 0 |
| J0485 | INJECTION; BELATACEPT; 1 MG | $6,595 | $3,957 | — | — | 1 |
| 005084 | AMNIOFIX 7 X 6 CM | $6,343 | $3,806 | — | — | 0 |
| 00002758901 | Bebtelovimab | $6,300 | $3,780 | — | — | 0 |
| 00173090186 | Sotrovimab | $6,300 | $3,780 | — | — | 0 |
| 83257000541 | Fulphila | $6,263 | $3,758 | — | — | 0 |
| 13533031803 | HyperRAB | $6,125 | $3,675 | — | — | 0 |
| 57894035001 | Simponi Aria | $5,998 | $3,599 | — | — | 0 |
| 81201 | APC GENE FULL SEQUENCE | $5,821 | $3,493 | — | — | 3 |
| 00003-0371-13 | Nulojix | $5,368 | $3,221 | — | — | 0 |
| 44204 | LAPARO PARTIAL COLECTOMY | $5,312 | $3,187 | — | — | 0 |
| J0897 | INJECTION; DENOSUMAB; 1 MG | $5,218 | $3,131 | — | — | 0 |
| 55513-0710-21 | Prolia | $5,218 | $3,131 | — | — | 0 |
| 47605 | CHOLECYSTECTOMY W/CHOLANG | $5,027 | $3,016 | — | — | 0 |
| 27487 | REVISE/REPLACE KNEE JOINT | $4,970 | $2,982 | — | — | 0 |
| 44602 | SUTURE SMALL INTESTINE | $4,895 | $2,937 | — | — | 0 |
| 73720 | MRI SCAN OF LEG BEFORE AND AFTER CONTRAST | $4,757 | $2,854 | — | — | 2 |
| 73723 | MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $4,757 | $2,854 | — | — | 1 |
| 73220 | MRI UPPR EXTREMITY W/O&W/DYE | $4,757 | $2,854 | — | — | 0 |
| 72197 | MRI PELVIS W/O & W/DYE | $4,757 | $2,854 | — | — | 3 |
| 71552 | MRI CHEST W/O & W/DYE | $4,757 | $2,854 | — | — | 3 |
| 73223 | MRI SCAN OF ARM JOINT BEFORE AND AFTER CONTRAST | $4,757 | $2,854 | — | — | 2 |
| 72158 | MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $4,757 | $2,854 | — | — | 5 |
| 70553 | MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $4,757 | $2,854 | — | — | 8 |
| 70543 | MRI ORBT/FAC/NCK W/O &W/DYE | $4,757 | $2,854 | — | — | 3 |
| 72156 | MRI NECK SPINE W/O & W/DYE | $4,757 | $2,854 | — | — | 3 |
| 72157 | MRI CHEST SPINE W/O & W/DYE | $4,757 | $2,854 | — | — | 3 |
| 74183 | MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $4,757 | $2,854 | — | — | 4 |
| 44140 | PARTIAL REMOVAL OF COLON | $4,637 | $2,782 | — | — | 0 |
| 44205 | LAP COLECTOMY PART W/ILEUM | $4,614 | $2,768 | — | — | 0 |
| 62935-0227-10 | Eligard | $4,607 | $2,764 | — | — | 0 |
| 55513071021A | Prolia | $4,604 | $2,762 | — | — | 0 |
Showing top 50 of 4,558 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.