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
3,281
Insurances with rates
12
CPT / HCPCS codes
0
Most expensive procedures (gross)
SUP-149784
$93,600
MEMBRANE 2 AUTOLOGOUS CULTURED CHONDROCYTES
Gross
$156,000
SUP-148836
$56,782
MEMBRANE AUTOLOGOUS CULTURED CHONDROCYTES
Gross
$94,637
RX-40841526
$26,439
ALTEPLASE 1 MG/ML 100 ML PEDIATRIC INFUSION
Gross
$44,065
RX-40842285
$26,411
ALTEPLASE 15 MG STEMI BOLUS
Gross
$44,018
RX-40842286
$26,411
ALTEPLASE STEMI INFUSION
Gross
$44,018
RX-9002
$26,411
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$44,018
RX-202035
$24,901
TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE
Gross
$41,502
RX-408408256
$24,901
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI
Gross
$41,502
RX-408508256
$24,901
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE
Gross
$41,502
SUP-133921
$17,160
GRAFT INTEGRA BILAYER MESHED W
Gross
$28,600
RX-31432
$14,968
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION
Gross
$24,947
RX-9003
$13,210
ALTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$22,017
63600137
$12,828
HC OR TIME 451-480 MIN
Gross
$21,380
63600136
$12,139
HC OR TIME 421-450 MIN
Gross
$20,231
RX-177077
$11,558
IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION
Gross
$19,263
63600135
$11,450
HC OR TIME 391-420 MIN
Gross
$19,084
63600134
$10,762
HC OR TIME 361-390 MIN
Gross
$17,936
63600133
$10,072
HC OR TIME 331-360 MIN
Gross
$16,787
RX-29313
$9,640
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION
Gross
$16,067
63600132
$9,383
HC OR TIME 301-330 MIN
Gross
$15,639
63600131
$8,695
HC OR TIME 271-300 MIN
Gross
$14,491
63600130
$8,005
HC OR TIME 241-270 MIN
Gross
$13,342
RX-178450
$7,691
IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION
Gross
$12,819
63600129
$7,316
HC OR TIME 211-240 MIN
Gross
$12,194
63600128
$6,628
HC OR TIME 181-210 MIN
Gross
$11,046
63600127
$5,939
HC OR TIME 151-180 MIN
Gross
$9,898
RX-105502
$5,636
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE
Gross
$9,393
63600126
$5,249
HC OR TIME 121-150 MIN
Gross
$8,749
RX-22185
$5,233
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION
Gross
$8,721
63600125
$4,561
HC OR TIME 91-120 MIN
Gross
$7,601
74040008
$4,202
HC PET CT TUMOR IMAGING LIMITED
Gross
$7,004
63700020
$4,159
HC ANESTHESIA OR 6:31 TO 7:00HR
Gross
$6,932
SUP-239665
$4,111
SKIN GRAFT SOFT TISS 3X6CM STRAVIX
Gross
$6,851
63700019
$3,983
HC ANESTHESIA OR 6:01 TO 6:30HR
Gross
$6,638
73610113
$3,966
HC INSERT TUNNEL CVC W SUBQ PORT 5YRS AND OLDER
Gross
$6,610
63600124
$3,871
HC OR TIME 61-90 MIN
Gross
$6,452
63700018
$3,806
HC ANESTHESIA OR 5:31 TO 6:00HR
Gross
$6,344
74040009
$3,786
HC PET CT SKULL TO THIGH
Gross
$6,310
74040010
$3,786
HC PET CT TUMOR IMAGING WHOLE BODY
Gross
$6,310
63700017
$3,630
HC ANESTHESIA OR 5:01 TO 5:30HR
Gross
$6,050
73500062
$3,624
HC CT ABD PELVIS WO W CONT
Gross
$6,040
RX-98312
$3,619
FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION
Gross
$6,031
63700016
$3,454
HC ANESTHESIA OR 4:31 TO 5:00HR
Gross
$5,757
63700015
$3,277
HC ANESTHESIA OR 4:01 TO 4:30HR
Gross
$5,462
57610448
$3,202
HC EXC BIOPSY BONE SUPERFICIAL
Gross
$5,336
63600123
$3,182
HC OR TIME 31-60 MIN
Gross
$5,304
SUP-239666
$3,143
SKIN GRAFT SOFT TISS 2X4CM STRAVIX
Gross
$5,238
63700014
$3,100
HC ANESTHESIA OR 3:31 TO 4:00HR
Gross
$5,167
73400039
$3,098
HC NM SPECT MULTI STRESS REST
Gross
$5,164
73400116
$3,054
HC IN111 PENTETRE PENTETREOTIDE DX PSD UP TO 6MCI
Gross
$5,090
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-149784 | MEMBRANE 2 AUTOLOGOUS CULTURED CHONDROCYTES | $156,000 | $93,600 | — | — | 14 |
| SUP-148836 | MEMBRANE AUTOLOGOUS CULTURED CHONDROCYTES | $94,637 | $56,782 | — | — | 14 |
| RX-40841526 | ALTEPLASE 1 MG/ML 100 ML PEDIATRIC INFUSION | $44,065 | $26,439 | — | — | 20 |
| RX-40842285 | ALTEPLASE 15 MG STEMI BOLUS | $44,018 | $26,411 | — | — | 20 |
| RX-40842286 | ALTEPLASE STEMI INFUSION | $44,018 | $26,411 | — | — | 20 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $44,018 | $26,411 | — | — | 20 |
| RX-202035 | TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE | $41,502 | $24,901 | — | — | 20 |
| RX-408408256 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI | $41,502 | $24,901 | — | — | 20 |
| RX-408508256 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE | $41,502 | $24,901 | — | — | 20 |
| SUP-133921 | GRAFT INTEGRA BILAYER MESHED W | $28,600 | $17,160 | — | — | 12 |
| RX-31432 | DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION | $24,947 | $14,968 | — | — | 20 |
| RX-9003 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $22,017 | $13,210 | — | — | 20 |
| 63600137 | HC OR TIME 451-480 MIN | $21,380 | $12,828 | — | — | 12 |
| 63600136 | HC OR TIME 421-450 MIN | $20,231 | $12,139 | — | — | 12 |
| RX-177077 | IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION | $19,263 | $11,558 | — | — | 20 |
| 63600135 | HC OR TIME 391-420 MIN | $19,084 | $11,450 | — | — | 12 |
| 63600134 | HC OR TIME 361-390 MIN | $17,936 | $10,762 | — | — | 12 |
| 63600133 | HC OR TIME 331-360 MIN | $16,787 | $10,072 | — | — | 12 |
| RX-29313 | CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION | $16,067 | $9,640 | — | — | 20 |
| 63600132 | HC OR TIME 301-330 MIN | $15,639 | $9,383 | — | — | 12 |
| 63600131 | HC OR TIME 271-300 MIN | $14,491 | $8,695 | — | — | 12 |
| 63600130 | HC OR TIME 241-270 MIN | $13,342 | $8,005 | — | — | 12 |
| RX-178450 | IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION | $12,819 | $7,691 | — | — | 11 |
| 63600129 | HC OR TIME 211-240 MIN | $12,194 | $7,316 | — | — | 12 |
| 63600128 | HC OR TIME 181-210 MIN | $11,046 | $6,628 | — | — | 12 |
| 63600127 | HC OR TIME 151-180 MIN | $9,898 | $5,939 | — | — | 12 |
| RX-105502 | DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE | $9,393 | $5,636 | — | — | 20 |
| 63600126 | HC OR TIME 121-150 MIN | $8,749 | $5,249 | — | — | 12 |
| RX-22185 | FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION | $8,721 | $5,233 | — | — | 20 |
| 63600125 | HC OR TIME 91-120 MIN | $7,601 | $4,561 | — | — | 12 |
| 74040008 | HC PET CT TUMOR IMAGING LIMITED | $7,004 | $4,202 | — | — | 20 |
| 63700020 | HC ANESTHESIA OR 6:31 TO 7:00HR | $6,932 | $4,159 | — | — | 14 |
| SUP-239665 | SKIN GRAFT SOFT TISS 3X6CM STRAVIX | $6,851 | $4,111 | — | — | 14 |
| 63700019 | HC ANESTHESIA OR 6:01 TO 6:30HR | $6,638 | $3,983 | — | — | 14 |
| 73610113 | HC INSERT TUNNEL CVC W SUBQ PORT 5YRS AND OLDER | $6,610 | $3,966 | — | — | 20 |
| 63600124 | HC OR TIME 61-90 MIN | $6,452 | $3,871 | — | — | 12 |
| 63700018 | HC ANESTHESIA OR 5:31 TO 6:00HR | $6,344 | $3,806 | — | — | 14 |
| 74040009 | HC PET CT SKULL TO THIGH | $6,310 | $3,786 | — | — | 20 |
| 74040010 | HC PET CT TUMOR IMAGING WHOLE BODY | $6,310 | $3,786 | — | — | 20 |
| 63700017 | HC ANESTHESIA OR 5:01 TO 5:30HR | $6,050 | $3,630 | — | — | 14 |
| 73500062 | HC CT ABD PELVIS WO W CONT | $6,040 | $3,624 | — | — | 20 |
| RX-98312 | FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION | $6,031 | $3,619 | — | — | 20 |
| 63700016 | HC ANESTHESIA OR 4:31 TO 5:00HR | $5,757 | $3,454 | — | — | 14 |
| 63700015 | HC ANESTHESIA OR 4:01 TO 4:30HR | $5,462 | $3,277 | — | — | 14 |
| 57610448 | HC EXC BIOPSY BONE SUPERFICIAL | $5,336 | $3,202 | — | — | 20 |
| 63600123 | HC OR TIME 31-60 MIN | $5,304 | $3,182 | — | — | 12 |
| SUP-239666 | SKIN GRAFT SOFT TISS 2X4CM STRAVIX | $5,238 | $3,143 | — | — | 14 |
| 63700014 | HC ANESTHESIA OR 3:31 TO 4:00HR | $5,167 | $3,100 | — | — | 14 |
| 73400039 | HC NM SPECT MULTI STRESS REST | $5,164 | $3,098 | — | — | 20 |
| 73400116 | HC IN111 PENTETRE PENTETREOTIDE DX PSD UP TO 6MCI | $5,090 | $3,054 | — | — | 20 |
Showing top 50 of 3,281 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.