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
1,688
Insurances with rates
13
CPT / HCPCS codes
1,620
Most expensive procedures (gross)
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3111
$11,178
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$11,524
J3111
$11,178
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$11,524
Q5130
$9,828
Pegfilgrastim-PBBK 6 Mg/0.6 Ml
Gross
$10,131
Q5130
$9,828
Pegfilgrastim-PBBK 6 Mg/0.6 Ml
Gross
$10,131
Q5111
$8,657
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$8,925
Q5111
$8,657
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$8,925
Q5122
$7,797
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$8,038
Q5122
$7,797
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$8,038
Q5108
$7,797
Pegfilgrastim-Jmdb 6 Mg/0.6 Ml
Gross
$8,037
Q5108
$7,797
Pegfilgrastim-Jmdb 6 Mg/0.6 Ml
Gross
$8,037
74178
$7,449
CT Abd & Pelv WWO Contrast
Gross
$7,679
74178
$7,449
CT Abd & Pelv WWO Contrast
Gross
$7,679
J0897
$7,411
Denosumab 60 MG/ML Syringe
Gross
$7,640
J0897
$7,411
Denosumab 60 MG/ML Syringe
Gross
$7,640
95811
$6,791
Polysomnogram W CPap
Gross
$7,001
95811
$6,791
Polysomnogram W CPap
Gross
$7,001
74177
$6,713
CT Abd & Pelv W Contrast
Gross
$6,921
74177
$6,713
CT Abd & Pelv W Contrast
Gross
$6,921
72158
$6,481
MRI Lumbar Spine WWO Dye
Gross
$6,681
72158
$6,481
MRI Lumbar Spine WWO Dye
Gross
$6,681
72157
$6,451
MRI Chest Spine WWO Dye
Gross
$6,650
72157
$6,451
MRI Chest Spine WWO Dye
Gross
$6,650
70553
$6,048
MRI Brain WWO Contrast
Gross
$6,235
70553
$6,048
MRI Brain WWO Contrast
Gross
$6,235
78452
$5,951
Myocard Perf Spect Rest Stress
Gross
$6,135
78452
$5,951
Myocard Perf Spect Rest Stress
Gross
$6,135
95810
$5,917
Polysomnogram
Gross
$6,100
95810
$5,917
Polysomnogram
Gross
$6,100
72156
$5,661
MRI Neck Spine WWO Dye
Gross
$5,836
72156
$5,661
MRI Neck Spine WWO Dye
Gross
$5,836
72141
$5,019
MRI Neck Spine WO Dye
Gross
$5,174
72141
$5,019
MRI Neck Spine WO Dye
Gross
$5,174
74176
$4,961
CT Abd & Pelvis WO Contrast
Gross
$5,114
74176
$4,961
CT Abd & Pelvis WO Contrast
Gross
$5,114
74183
$4,932
MRI Abdomen WWO Dye
Gross
$5,085
74183
$4,932
MRI Abdomen WWO Dye
Gross
$5,085
72148
$4,749
MRI Lumbar Spine WO Dye
Gross
$4,896
72148
$4,749
MRI Lumbar Spine WO Dye
Gross
$4,896
71275
$4,711
CTA Chest WWO Contrast
Gross
$4,857
71275
$4,711
CTA Chest WWO Contrast
Gross
$4,857
74182
$4,313
MRI Abdomen W Dye
Gross
$4,446
74182
$4,313
MRI Abdomen W Dye
Gross
$4,446
70551
$4,259
MRI Brain WO Contrast
Gross
$4,391
70551
$4,259
MRI Brain WO Contrast
Gross
$4,391
71270
$4,253
CT Thorax WWO Contrast
Gross
$4,385
71270
$4,253
CT Thorax WWO Contrast
Gross
$4,385
70470
$4,245
CT Head/Brain WWO Contrast
Gross
$4,376
70470
$4,245
CT Head/Brain WWO Contrast
Gross
$4,376
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $11,524 | $11,178 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $11,524 | $11,178 | — | — | 6 |
| Q5130 | Pegfilgrastim-PBBK 6 Mg/0.6 Ml | $10,131 | $9,828 | — | — | 6 |
| Q5130 | Pegfilgrastim-PBBK 6 Mg/0.6 Ml | $10,131 | $9,828 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $8,038 | $7,797 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $8,038 | $7,797 | — | — | 6 |
| Q5108 | Pegfilgrastim-Jmdb 6 Mg/0.6 Ml | $8,037 | $7,797 | — | — | 6 |
| Q5108 | Pegfilgrastim-Jmdb 6 Mg/0.6 Ml | $8,037 | $7,797 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,679 | $7,449 | — | — | 8 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,679 | $7,449 | — | — | 8 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,640 | $7,411 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,640 | $7,411 | — | — | 6 |
| 95811 | Polysomnogram W CPap | $7,001 | $6,791 | — | — | 8 |
| 95811 | Polysomnogram W CPap | $7,001 | $6,791 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $6,921 | $6,713 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $6,921 | $6,713 | — | — | 11 |
| 72158 | MRI Lumbar Spine WWO Dye | $6,681 | $6,481 | — | — | 6 |
| 72158 | MRI Lumbar Spine WWO Dye | $6,681 | $6,481 | — | — | 6 |
| 72157 | MRI Chest Spine WWO Dye | $6,650 | $6,451 | — | — | 6 |
| 72157 | MRI Chest Spine WWO Dye | $6,650 | $6,451 | — | — | 6 |
| 70553 | MRI Brain WWO Contrast | $6,235 | $6,048 | — | — | 8 |
| 70553 | MRI Brain WWO Contrast | $6,235 | $6,048 | — | — | 9 |
| 78452 | Myocard Perf Spect Rest Stress | $6,135 | $5,951 | — | — | 8 |
| 78452 | Myocard Perf Spect Rest Stress | $6,135 | $5,951 | — | — | 9 |
| 95810 | Polysomnogram | $6,100 | $5,917 | — | — | 6 |
| 95810 | Polysomnogram | $6,100 | $5,917 | — | — | 8 |
| 72156 | MRI Neck Spine WWO Dye | $5,836 | $5,661 | — | — | 6 |
| 72156 | MRI Neck Spine WWO Dye | $5,836 | $5,661 | — | — | 6 |
| 72141 | MRI Neck Spine WO Dye | $5,174 | $5,019 | — | — | 8 |
| 72141 | MRI Neck Spine WO Dye | $5,174 | $5,019 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $5,114 | $4,961 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $5,114 | $4,961 | — | — | 9 |
| 74183 | MRI Abdomen WWO Dye | $5,085 | $4,932 | — | — | 8 |
| 74183 | MRI Abdomen WWO Dye | $5,085 | $4,932 | — | — | 6 |
| 72148 | MRI Lumbar Spine WO Dye | $4,896 | $4,749 | — | — | 8 |
| 72148 | MRI Lumbar Spine WO Dye | $4,896 | $4,749 | — | — | 9 |
| 71275 | CTA Chest WWO Contrast | $4,857 | $4,711 | — | — | 8 |
| 71275 | CTA Chest WWO Contrast | $4,857 | $4,711 | — | — | 6 |
| 74182 | MRI Abdomen W Dye | $4,446 | $4,313 | — | — | 6 |
| 74182 | MRI Abdomen W Dye | $4,446 | $4,313 | — | — | 6 |
| 70551 | MRI Brain WO Contrast | $4,391 | $4,259 | — | — | 6 |
| 70551 | MRI Brain WO Contrast | $4,391 | $4,259 | — | — | 8 |
| 71270 | CT Thorax WWO Contrast | $4,385 | $4,253 | — | — | 6 |
| 71270 | CT Thorax WWO Contrast | $4,385 | $4,253 | — | — | 6 |
| 70470 | CT Head/Brain WWO Contrast | $4,376 | $4,245 | — | — | 6 |
| 70470 | CT Head/Brain WWO Contrast | $4,376 | $4,245 | — | — | 8 |
Showing top 50 of 1,688 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.