45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●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
2,086
Insurances with rates
15
CPT / HCPCS codes
1,285
Most expensive procedures (gross)
J1162
$32,509
Digifab 40 mg
Gross
$32,509
J1568
$29,387
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$29,387
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
33208
$23,337
Ins/Rplc Pacemkr; Atr+vnt
Gross
$23,337
37236
$20,100
Open/Perq Place Stent 1st
Gross
$20,100
J3262
$19,618
Tocilizumab 400 mg
Gross
$19,618
33207
$19,373
Insrt Heart Pm Venticular
Gross
$19,373
15830
$16,052
Excision Skin Abdomen
Gross
$16,052
50436
$14,151
Dilation of Existing Cath Perq
Gross
$14,151
37193
$13,985
REM ENDOVAS VENA CAVA FILTER
Gross
$13,985
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
J0875
$13,852
Dalbavancin HCL
Gross
$13,852
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
72156
$11,377
MRI Neck Spine W/O & W/Dye
Gross
$11,377
72157
$11,377
MRI Thoracic Spine W/O & W/Dye
Gross
$11,377
72158
$11,377
MRI Lumbar Spine W/O & W/Dye
Gross
$11,377
74183
$11,199
MRI Angio Abdom W Orw/O Dye
Gross
$11,199
28730
$10,732
Fusion of Foot Bones
Gross
$10,732
74178
$10,693
CT Abd & Pelv 1/> Regns w/wo c
Gross
$10,693
33217
$10,142
Insert 2 Electrode Pm-Defib
Gross
$10,142
33216
$10,142
Insert 1 Electrode Pm-Defib
Gross
$10,142
95811
$9,691
EEG Split Night Study
Gross
$9,691
78803
$9,594
NM Rp Loclzj Tum Spect 1 Area
Gross
$9,594
J0585
$9,448
Botox 100 unit
Gross
$9,448
0636
$9,448
Onabotulinumtoxina
Gross
$9,448
J3489
$9,275
Zoledronic Acid 1 mg
Gross
$9,275
24685
$9,091
Treat Ulnar Fracture
Gross
$9,091
J0887
$9,070
Methoxy Peg-Epoetin Beta
Gross
$9,070
J2407
$8,726
Oritavancin Diphosphate 400 mg
Gross
$8,726
32550
$8,476
Insert Pleural Cath
Gross
$8,476
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
14040
$7,993
TIS TRNFR F/C/C/M/N/A/G/H/F
Gross
$7,993
47532
$7,585
Injection for Cholangiogram
Gross
$7,585
36246
$7,462
Ins Cath Abd/L Ext Art 2n Rt
Gross
$7,462
36247
$7,462
Ins Cath/Abd/L-Ext Art 3r
Gross
$7,462
74181
$7,324
MRI Abdomen W/O Dye
Gross
$7,324
73222
$7,324
MRI Upper Ext Jnt W/ Dye
Gross
$7,324
72146
$7,324
MRI Thoracic Spine W/O Dye
Gross
$7,324
72148
$7,324
MRI Lumbar Spine W/O Dye
Gross
$7,324
72149
$7,324
MRI Lumbar Spine W/Dye
Gross
$7,324
72147
$7,324
MRI Thoracic Spn W/Dye
Gross
$7,324
36245
$7,320
Ins Cath Abd/Lext Art 1st
Gross
$7,320
72127
$7,217
CT C-Spine W/O&W/Dye
Gross
$7,217
75635
$7,217
CT Angio Abdominal Arteries
Gross
$7,217
72194
$7,129
CT Pelvis W/O & W/Dye
Gross
$7,129
74170
$7,129
CT Abdomen W/O & W/Contrast
Gross
$7,129
27613
$7,113
Biopsy Lower Leg Soft Tissue
Gross
$7,113
73202
$7,010
CT Uppr Extrm W/Wo Dye Lt
Gross
$7,010
74177
$6,936
CT Abdomen & Pelvis w/Contrast
Gross
$6,936
49406
$6,898
Image Cath Fluid Peri/Ret
Gross
$6,898
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1162 | Digifab 40 mg | $32,509 | $32,509 | — | — | 16 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $29,387 | $29,387 | — | — | 16 |
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 10 |
| 33208 | Ins/Rplc Pacemkr; Atr+vnt | $23,337 | $23,337 | — | — | 10 |
| 37236 | Open/Perq Place Stent 1st | $20,100 | $20,100 | — | — | 10 |
| J3262 | Tocilizumab 400 mg | $19,618 | $19,618 | — | — | 16 |
| 33207 | Insrt Heart Pm Venticular | $19,373 | $19,373 | — | — | 10 |
| 15830 | Excision Skin Abdomen | $16,052 | $16,052 | — | — | 10 |
| 50436 | Dilation of Existing Cath Perq | $14,151 | $14,151 | — | — | 10 |
| 37193 | REM ENDOVAS VENA CAVA FILTER | $13,985 | $13,985 | — | — | 10 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 10 |
| J0875 | Dalbavancin HCL | $13,852 | $13,852 | — | — | 16 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 10 |
| 72156 | MRI Neck Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 10 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 10 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 10 |
| 74183 | MRI Angio Abdom W Orw/O Dye | $11,199 | $11,199 | — | — | 10 |
| 28730 | Fusion of Foot Bones | $10,732 | $10,732 | — | — | 10 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $10,693 | $10,693 | — | — | 10 |
| 33217 | Insert 2 Electrode Pm-Defib | $10,142 | $10,142 | — | — | 10 |
| 33216 | Insert 1 Electrode Pm-Defib | $10,142 | $10,142 | — | — | 10 |
| 95811 | EEG Split Night Study | $9,691 | $9,691 | — | — | 10 |
| 78803 | NM Rp Loclzj Tum Spect 1 Area | $9,594 | $9,594 | — | — | 10 |
| J0585 | Botox 100 unit | $9,448 | $9,448 | — | — | 16 |
| 0636 | Onabotulinumtoxina | $9,448 | $9,448 | — | — | 48 |
| J3489 | Zoledronic Acid 1 mg | $9,275 | $9,275 | — | — | 16 |
| 24685 | Treat Ulnar Fracture | $9,091 | $9,091 | — | — | 10 |
| J0887 | Methoxy Peg-Epoetin Beta | $9,070 | $9,070 | — | — | 16 |
| J2407 | Oritavancin Diphosphate 400 mg | $8,726 | $8,726 | — | — | 10 |
| 32550 | Insert Pleural Cath | $8,476 | $8,476 | — | — | 10 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 10 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 10 |
| 47532 | Injection for Cholangiogram | $7,585 | $7,585 | — | — | 10 |
| 36246 | Ins Cath Abd/L Ext Art 2n Rt | $7,462 | $7,462 | — | — | 10 |
| 36247 | Ins Cath/Abd/L-Ext Art 3r | $7,462 | $7,462 | — | — | 10 |
| 74181 | MRI Abdomen W/O Dye | $7,324 | $7,324 | — | — | 10 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $7,324 | $7,324 | — | — | 10 |
| 72146 | MRI Thoracic Spine W/O Dye | $7,324 | $7,324 | — | — | 10 |
| 72148 | MRI Lumbar Spine W/O Dye | $7,324 | $7,324 | — | — | 10 |
| 72149 | MRI Lumbar Spine W/Dye | $7,324 | $7,324 | — | — | 10 |
| 72147 | MRI Thoracic Spn W/Dye | $7,324 | $7,324 | — | — | 10 |
| 36245 | Ins Cath Abd/Lext Art 1st | $7,320 | $7,320 | — | — | 10 |
| 72127 | CT C-Spine W/O&W/Dye | $7,217 | $7,217 | — | — | 10 |
| 75635 | CT Angio Abdominal Arteries | $7,217 | $7,217 | — | — | 10 |
| 72194 | CT Pelvis W/O & W/Dye | $7,129 | $7,129 | — | — | 10 |
| 74170 | CT Abdomen W/O & W/Contrast | $7,129 | $7,129 | — | — | 10 |
| 27613 | Biopsy Lower Leg Soft Tissue | $7,113 | $7,113 | — | — | 10 |
| 73202 | CT Uppr Extrm W/Wo Dye Lt | $7,010 | $7,010 | — | — | 20 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $6,936 | $6,936 | — | — | 10 |
| 49406 | Image Cath Fluid Peri/Ret | $6,898 | $6,898 | — | — | 10 |
Showing top 50 of 2,086 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.