45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
8,875
Insurances with rates
4
CPT / HCPCS codes
8,847
Most expensive procedures (gross)
J2350
$17,758
Ocrelizumab Soln For IV Infusion 300 MG/10ML
Gross
$20,891
74174
$6,221
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$7,319
J2353
$6,060
Octreotide Acetate For IM Inj Kit 30 MG
Gross
$7,130
74178
$5,875
CT ABD PELVIS WO THEN W CONT
Gross
$6,912
74177
$5,821
CT ABD PELVIS W CONTRAST
Gross
$6,848
J0517
$5,317
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$6,255
74176
$5,270
CT ABD PELVIS WO CONTRAST
Gross
$6,200
J2506
$5,245
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$6,171
95811
$4,824
SLEEP STUDY SPLT NGHT 95811
Gross
$5,675
70543
$4,620
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,435
78452
$4,609
NM MYOCARDIAL SPECT MULT STDY
Gross
$5,422
95810
$4,560
PSG 4+ PARAMETERS
Gross
$5,365
72158
$4,475
MRI L SPINE WO THEN W CONT
Gross
$5,265
72157
$4,471
MRI T SPINE WO THEN W CONT
Gross
$5,260
72149
$4,465
MRI L SPINE W CONTRAST
Gross
$5,253
70549
$4,396
MRA NECK WO THEN W CONT
Gross
$5,172
70553
$4,344
MRI BRAIN WO THEN W CONT
Gross
$5,110
72156
$4,288
MRI C SPINE WO THEN W CONT
Gross
$5,045
36475
$4,263
SURG 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN
Gross
$5,015
72148
$4,250
MRI L SPINE WO CONTRAST
Gross
$5,000
73220
$4,148
MRI UPPER EXT WO THEN W CONT
Gross
$4,880
73723
$4,148
MRI LOWER EXT JT WO THEN W CONT
Gross
$4,880
70544
$4,148
MRA HEAD WO CONTRAST
Gross
$4,880
73221
$4,137
MRI UPPER EXT JT WO CONTRAST
Gross
$4,867
72146
$4,131
MRI T SPINE WO CONTRAST
Gross
$4,860
72141
$3,948
MRI C SPINE WO CONTRAST
Gross
$4,645
J1306
$3,926
Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML
Gross
$4,619
71552
$3,893
MRI CHEST WO THEN W CONT
Gross
$4,580
70546
$3,885
MRA HEAD WO THEN W CONT
Gross
$4,570
37766
$3,790
SURG 37766 STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS
Gross
$4,459
73720
$3,788
MRI LOWER EXT WO THEN W CONT
Gross
$4,457
73718
$3,783
MRI LOWER EXT WO CONTRAST
Gross
$4,450
73706
$3,781
CTA EXT LOWER W CONT +WO IF PERF
Gross
$4,448
J0897
$3,657
Denosumab Inj 120 MG/1.7ML
Gross
$4,302
73721
$3,634
MRI LOWER EXT JT WO CONTRAST
Gross
$4,275
73218
$3,607
MRI UP EXT WO CONT
Gross
$4,244
72195
$3,607
MRI PELVIS WO CONTRAST
Gross
$4,244
78451
$3,560
NM MYOCARDIAL SPECT SNGL STDY
Gross
$4,188
71275
$3,508
CTA CHEST WCONT +WO IF PERF
Gross
$4,127
70547
$3,494
MRA NECK WO CONTRAST
Gross
$4,111
72132
$3,448
CT LUMBAR SPINE W CONT
Gross
$4,056
J2182
$3,332
Mepolizumab For Inj 100 MG
Gross
$3,920
0750
$3,330
COLONOSCOPY
Gross
$3,918
70498
$3,328
CT ANGIO NECK W CON+WO IF PERF
Gross
$3,915
70496
$3,328
CTA HEAD W CONT WO IF PERF
Gross
$3,915
70551
$3,270
MRI BRAIN WO CONTRAST
Gross
$3,847
73701
$3,217
CT EXT LOWER W CONT
Gross
$3,785
72131
$3,185
CT LUMBAR SPINE WO CONT
Gross
$3,747
74170
$3,177
CT ABDOMEN WO THEN W CONT
Gross
$3,738
71260
$3,139
CT THORAX DIAGNOSTIC WITH CONTRAST
Gross
$3,693
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab Soln For IV Infusion 300 MG/10ML | $20,891 | $17,758 | — | — | 9 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $7,319 | $6,221 | — | — | 9 |
| J2353 | Octreotide Acetate For IM Inj Kit 30 MG | $7,130 | $6,060 | — | — | 9 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $6,912 | $5,875 | — | — | 9 |
| 74177 | CT ABD PELVIS W CONTRAST | $6,848 | $5,821 | — | — | 9 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $6,255 | $5,317 | — | — | 9 |
| 74176 | CT ABD PELVIS WO CONTRAST | $6,200 | $5,270 | — | — | 9 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $6,171 | $5,245 | — | — | 9 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,675 | $4,824 | — | — | 9 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,435 | $4,620 | — | — | 9 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,422 | $4,609 | — | — | 9 |
| 95810 | PSG 4+ PARAMETERS | $5,365 | $4,560 | — | — | 9 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,265 | $4,475 | — | — | 9 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,260 | $4,471 | — | — | 9 |
| 72149 | MRI L SPINE W CONTRAST | $5,253 | $4,465 | — | — | 9 |
| 70549 | MRA NECK WO THEN W CONT | $5,172 | $4,396 | — | — | 9 |
| 70553 | MRI BRAIN WO THEN W CONT | $5,110 | $4,344 | — | — | 9 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,045 | $4,288 | — | — | 9 |
| 36475 | SURG 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $5,015 | $4,263 | — | — | 9 |
| 72148 | MRI L SPINE WO CONTRAST | $5,000 | $4,250 | — | — | 9 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $4,880 | $4,148 | — | — | 9 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $4,880 | $4,148 | — | — | 9 |
| 70544 | MRA HEAD WO CONTRAST | $4,880 | $4,148 | — | — | 9 |
| 73221 | MRI UPPER EXT JT WO CONTRAST | $4,867 | $4,137 | — | — | 9 |
| 72146 | MRI T SPINE WO CONTRAST | $4,860 | $4,131 | — | — | 9 |
| 72141 | MRI C SPINE WO CONTRAST | $4,645 | $3,948 | — | — | 9 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $4,619 | $3,926 | — | — | 9 |
| 71552 | MRI CHEST WO THEN W CONT | $4,580 | $3,893 | — | — | 9 |
| 70546 | MRA HEAD WO THEN W CONT | $4,570 | $3,885 | — | — | 9 |
| 37766 | SURG 37766 STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS | $4,459 | $3,790 | — | — | 9 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,457 | $3,788 | — | — | 9 |
| 73718 | MRI LOWER EXT WO CONTRAST | $4,450 | $3,783 | — | — | 9 |
| 73706 | CTA EXT LOWER W CONT +WO IF PERF | $4,448 | $3,781 | — | — | 9 |
| J0897 | Denosumab Inj 120 MG/1.7ML | $4,302 | $3,657 | — | — | 9 |
| 73721 | MRI LOWER EXT JT WO CONTRAST | $4,275 | $3,634 | — | — | 9 |
| 73218 | MRI UP EXT WO CONT | $4,244 | $3,607 | — | — | 9 |
| 72195 | MRI PELVIS WO CONTRAST | $4,244 | $3,607 | — | — | 9 |
| 78451 | NM MYOCARDIAL SPECT SNGL STDY | $4,188 | $3,560 | — | — | 9 |
| 71275 | CTA CHEST WCONT +WO IF PERF | $4,127 | $3,508 | — | — | 9 |
| 70547 | MRA NECK WO CONTRAST | $4,111 | $3,494 | — | — | 9 |
| 72132 | CT LUMBAR SPINE W CONT | $4,056 | $3,448 | — | — | 9 |
| J2182 | Mepolizumab For Inj 100 MG | $3,920 | $3,332 | — | — | 9 |
| 0750 | COLONOSCOPY | $3,918 | $3,330 | — | — | 9 |
| 70498 | CT ANGIO NECK W CON+WO IF PERF | $3,915 | $3,328 | — | — | 9 |
| 70496 | CTA HEAD W CONT WO IF PERF | $3,915 | $3,328 | — | — | 9 |
| 70551 | MRI BRAIN WO CONTRAST | $3,847 | $3,270 | — | — | 9 |
| 73701 | CT EXT LOWER W CONT | $3,785 | $3,217 | — | — | 9 |
| 72131 | CT LUMBAR SPINE WO CONT | $3,747 | $3,185 | — | — | 9 |
| 74170 | CT ABDOMEN WO THEN W CONT | $3,738 | $3,177 | — | — | 9 |
| 71260 | CT THORAX DIAGNOSTIC WITH CONTRAST | $3,693 | $3,139 | — | — | 9 |
Showing top 50 of 8,875 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.