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
6,322
Insurances with rates
6
CPT / HCPCS codes
0
Most expensive procedures (gross)
5501417
$100,035
Nf-nystatin Powder
Gross
$111,150
5502093
$76,833
Nf-lanreotide 120mg/0.5ml Inj
Gross
$85,370
90001261
$15,709
Talar Dome Adaptis Sz 3
Gross
$17,454
90001260
$14,805
Tibial Tray Adaptis Std Sz 3
Gross
$16,450
1611024
$12,089
Er Fac Er Phys-artery Ligation
Gross
$13,432
1610990
$11,959
Er Fac Open Tx Phalangeal Shaft
Gross
$13,288
5500027
$11,881
Alteplase 100mg Inj
Gross
$13,201
5501816
$11,526
Tysabri 300mg/15ml Inj
Gross
$12,807
5501553
$10,713
Kesimpta 20mg/0.4ml Pen (Special Order)
Gross
$11,903
90001011
$9,727
Treace Lapiplasty Mini Incision W/plate
Gross
$10,808
1610993
$9,509
Er Fac Opn Tx Dist. Phalan. Frac
Gross
$10,565
1060101
$9,465
Artacent Wound 4x8cm
Gross
$10,517
6001072
$9,465
Artacentwound4x8cm
Gross
$10,517
5500434
$9,011
Pegfilgrastim 6 Mg/0.6ml
Gross
$10,012
5501195
$9,011
Pegfilgrastim Onpro Kit (Special Order)
Gross
$10,012
90000396
$8,501
Amnioheal Plus 4x8
Gross
$9,445
1611036
$8,196
Er Fac Er Phys Hymenotomy W/drng
Gross
$9,107
5500281
$8,143
Immune Globulin 10% 40g/400ml (Spec Ord)
Gross
$9,048
5500313
$7,809
Lupron 22.5mg Kit (Spec Ord)
Gross
$8,677
90001246
$7,776
Magnus Viable Cellular Allograft 10cc
Gross
$8,640
5501958
$7,738
Fasenra 30mg/ml Inj (Spec Order)
Gross
$8,598
1060105
$7,448
Artacent Wound 4x6cm
Gross
$8,276
80000570
$7,199
Osteo Viable Matrix
Gross
$7,999
5501610
$6,445
Nf-enbrel Subcutaneous Solution 25mg/0.5
Gross
$7,161
3059216
$6,411
Brca 1 7 2 Genetics Full Sequence (Rl)
Gross
$7,123
5501831
$6,063
Gammagard 10% 30g/300ml (Spec Ord)
Gross
$6,737
90001262
$5,864
Infinity Everlast Sz3 6mm
Gross
$6,516
5500144
$5,852
Darbepoetin 500mcg/1ml Inj (Special Ord)
Gross
$6,502
99999846
$5,589
Affinity 2.5x2.5 Waste
Gross
$6,210
5651102
$5,531
Aspiration Bladder Ins Suprapubic Cath
Gross
$6,146
5501707
$5,493
Tezspire 210mg/1.91ml Inj (Spec Order)
Gross
$6,103
90001218
$5,461
Plt Medial Column Left 85mm
Gross
$6,068
90001305
$5,429
Magriderm
Gross
$6,032
90001099
$5,340
Plt Sys Tightrope Dual Syndesmosis
Gross
$5,933
5501596
$5,238
**Nf-abatacept125mg/1ml Autoinjector
Gross
$5,820
5501747
$5,223
Octagam 10% 20g/200ml (Spec Ord)
Gross
$5,803
6001083
$5,158
Tactoset Bone Sub 4g
Gross
$5,731
5501138
$5,045
Nf-remicade Powder For Inj 100mg
Gross
$5,605
5501070
$5,001
Nf-nystatin Powder
Gross
$5,557
2351555
$4,991
Ct Abdomen Pelvis Wo W
Gross
$5,546
5501756
$4,914
Inclisiran 284mg/1.5ml Inj (Spec Order)
Gross
$5,460
90000970
$4,854
Anatomical St Implant 7mm
Gross
$5,393
5500135
$4,836
Crotilidae Polyvalent Inj
Gross
$5,373
5501643
$4,826
Invega Sustenna 234mg Im Inj (Spec Ord)
Gross
$5,362
5501226
$4,779
Nf-xolair Subq Pwd For Soln 150mg
Gross
$5,310
5501657
$4,734
Calcitonin 400u/2ml Inj (Special Order)
Gross
$5,260
2351579
$4,703
Cta Abdomen Pelvis Wo W
Gross
$5,226
1521490
$4,622
Reduction Of Tmj
Gross
$5,135
80000560
$4,605
Fusion Bone Graft Strips 50x25x8
Gross
$5,117
90001024
$4,585
Cylindrical St Implant 8mm
Gross
$5,094
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5501417 | Nf-nystatin Powder | $111,150 | $100,035 | $62,244 | $111,150 | 7 |
| 5502093 | Nf-lanreotide 120mg/0.5ml Inj | $85,370 | $76,833 | $47,807 | $85,370 | 7 |
| 90001261 | Talar Dome Adaptis Sz 3 | $17,454 | $15,709 | $9,774 | $17,454 | 7 |
| 90001260 | Tibial Tray Adaptis Std Sz 3 | $16,450 | $14,805 | $9,212 | $16,450 | 7 |
| 1611024 | Er Fac Er Phys-artery Ligation | $13,432 | $12,089 | $7,522 | $13,432 | 7 |
| 1610990 | Er Fac Open Tx Phalangeal Shaft | $13,288 | $11,959 | $7,441 | $13,288 | 7 |
| 5500027 | Alteplase 100mg Inj | $13,201 | $11,881 | $7,393 | $13,201 | 7 |
| 5501816 | Tysabri 300mg/15ml Inj | $12,807 | $11,526 | $7,172 | $12,807 | 7 |
| 5501553 | Kesimpta 20mg/0.4ml Pen (Special Order) | $11,903 | $10,713 | $6,666 | $11,903 | 7 |
| 90001011 | Treace Lapiplasty Mini Incision W/plate | $10,808 | $9,727 | $6,052 | $10,808 | 7 |
| 1610993 | Er Fac Opn Tx Dist. Phalan. Frac | $10,565 | $9,509 | $5,916 | $10,565 | 7 |
| 1060101 | Artacent Wound 4x8cm | $10,517 | $9,465 | $5,890 | $10,517 | 7 |
| 6001072 | Artacentwound4x8cm | $10,517 | $9,465 | $5,890 | $10,517 | 7 |
| 5500434 | Pegfilgrastim 6 Mg/0.6ml | $10,012 | $9,011 | $5,607 | $10,012 | 7 |
| 5501195 | Pegfilgrastim Onpro Kit (Special Order) | $10,012 | $9,011 | $5,607 | $10,012 | 7 |
| 90000396 | Amnioheal Plus 4x8 | $9,445 | $8,501 | $5,289 | $9,445 | 7 |
| 1611036 | Er Fac Er Phys Hymenotomy W/drng | $9,107 | $8,196 | $5,100 | $9,107 | 7 |
| 5500281 | Immune Globulin 10% 40g/400ml (Spec Ord) | $9,048 | $8,143 | $5,067 | $9,048 | 7 |
| 5500313 | Lupron 22.5mg Kit (Spec Ord) | $8,677 | $7,809 | $4,859 | $8,677 | 7 |
| 90001246 | Magnus Viable Cellular Allograft 10cc | $8,640 | $7,776 | $4,838 | $8,640 | 7 |
| 5501958 | Fasenra 30mg/ml Inj (Spec Order) | $8,598 | $7,738 | $4,815 | $8,598 | 7 |
| 1060105 | Artacent Wound 4x6cm | $8,276 | $7,448 | $4,635 | $8,276 | 7 |
| 80000570 | Osteo Viable Matrix | $7,999 | $7,199 | $4,479 | $7,999 | 7 |
| 5501610 | Nf-enbrel Subcutaneous Solution 25mg/0.5 | $7,161 | $6,445 | $4,010 | $7,161 | 7 |
| 3059216 | Brca 1 7 2 Genetics Full Sequence (Rl) | $7,123 | $6,411 | $3,989 | $7,123 | 7 |
| 5501831 | Gammagard 10% 30g/300ml (Spec Ord) | $6,737 | $6,063 | $3,773 | $6,737 | 7 |
| 90001262 | Infinity Everlast Sz3 6mm | $6,516 | $5,864 | $3,649 | $6,516 | 7 |
| 5500144 | Darbepoetin 500mcg/1ml Inj (Special Ord) | $6,502 | $5,852 | $3,641 | $6,502 | 7 |
| 99999846 | Affinity 2.5x2.5 Waste | $6,210 | $5,589 | $3,478 | $6,210 | 7 |
| 5651102 | Aspiration Bladder Ins Suprapubic Cath | $6,146 | $5,531 | $3,442 | $6,146 | 7 |
| 5501707 | Tezspire 210mg/1.91ml Inj (Spec Order) | $6,103 | $5,493 | $3,418 | $6,103 | 7 |
| 90001218 | Plt Medial Column Left 85mm | $6,068 | $5,461 | $3,398 | $6,068 | 7 |
| 90001305 | Magriderm | $6,032 | $5,429 | $3,378 | $6,032 | 7 |
| 90001099 | Plt Sys Tightrope Dual Syndesmosis | $5,933 | $5,340 | $3,322 | $5,933 | 7 |
| 5501596 | **Nf-abatacept125mg/1ml Autoinjector | $5,820 | $5,238 | $3,259 | $5,820 | 7 |
| 5501747 | Octagam 10% 20g/200ml (Spec Ord) | $5,803 | $5,223 | $3,250 | $5,803 | 7 |
| 6001083 | Tactoset Bone Sub 4g | $5,731 | $5,158 | $3,209 | $5,731 | 7 |
| 5501138 | Nf-remicade Powder For Inj 100mg | $5,605 | $5,045 | $3,139 | $5,605 | 7 |
| 5501070 | Nf-nystatin Powder | $5,557 | $5,001 | $3,112 | $5,557 | 7 |
| 2351555 | Ct Abdomen Pelvis Wo W | $5,546 | $4,991 | $3,106 | $5,546 | 7 |
| 5501756 | Inclisiran 284mg/1.5ml Inj (Spec Order) | $5,460 | $4,914 | $3,058 | $5,460 | 7 |
| 90000970 | Anatomical St Implant 7mm | $5,393 | $4,854 | $3,020 | $5,393 | 7 |
| 5500135 | Crotilidae Polyvalent Inj | $5,373 | $4,836 | $3,009 | $5,373 | 7 |
| 5501643 | Invega Sustenna 234mg Im Inj (Spec Ord) | $5,362 | $4,826 | $3,003 | $5,362 | 7 |
| 5501226 | Nf-xolair Subq Pwd For Soln 150mg | $5,310 | $4,779 | $2,974 | $5,310 | 7 |
| 5501657 | Calcitonin 400u/2ml Inj (Special Order) | $5,260 | $4,734 | $2,946 | $5,260 | 7 |
| 2351579 | Cta Abdomen Pelvis Wo W | $5,226 | $4,703 | $2,927 | $5,226 | 7 |
| 1521490 | Reduction Of Tmj | $5,135 | $4,622 | $2,876 | $5,135 | 7 |
| 80000560 | Fusion Bone Graft Strips 50x25x8 | $5,117 | $4,605 | $2,866 | $5,117 | 7 |
| 90001024 | Cylindrical St Implant 8mm | $5,094 | $4,585 | $2,853 | $5,094 | 7 |
Showing top 50 of 6,322 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.