NORTHWOOD DEACONESS HEALTH CENTER

45 CFR § 180 compliance

D · 65

This hospital published part of what § 180 requires.

●Machine-readable file published

●Gross / standard charges

●Discounted cash price

○Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

1,886

Insurances with rates

CPT / HCPCS codes

567

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
143134	Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML	$18,968	$15,175	—	—	0
133089	Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML	$8,738	$6,991	—	—	0
4903770	HC ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN	$8,500	$6,800	—	—	0
28530	Tenecteplase For IV Soln Kit 50 MG	$7,748	$6,198	—	—	0
600948	Tenecteplase For IV Soln Kit 50 MG	$7,748	$6,198	—	—	0
111243	Immune Globulin (Human) IV Soln 30 GM/300ML	$6,188	$4,950	—	—	0
4903450	HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN	$6,180	$4,944	—	—	0
4901242	HC ENDOVENOUS RF,1ST VEIN	$6,180	$4,944	—	—	0
600825	Alteplase For Inj 50 MG	$6,170	$4,936	—	—	0
600826	Alteplase For Inj 50 MG	$6,170	$4,936	—	—	0
45388	PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES	$4,728	$3,782	—	—	0
145650	Mepolizumab Subcutaneous Solution Pref Syringe 100 MG/ML	$4,634	$3,707	—	—	0
6100008	HC MRA NECK W/WO DYE	$4,521	$3,617	—	—	0
4903775	HC ENDOVEN ABLITI THER CHEM ADHESIVE SBSQ VEIN	$4,250	$3,400	—	—	0
149123	Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq)	$4,198	$3,358	—	—	0
4900125	HC LAYR CLOS WND TRUNK,ARM,LEG >30CM	$4,164	$3,331	—	—	0
111097	Immune Globulin (Human) IV Soln 20 GM/200ML	$4,137	$3,310	—	—	0
4901307	HC TEMPORAL ARTERY PROCEDURE	$3,569	$2,855	—	—	0
4902144	HC REMOVE ANAL TAG	$3,569	$2,855	—	—	0
6100029	HC MRI LOWER EXT JOINT W/WO DYE	$3,569	$2,855	—	—	0
149939	Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML	$3,445	$2,756	—	—	0
4901319	HC BONE MARROW BIOPSY	$3,331	$2,665	—	—	0
109717	Denosumab Inj 120 MG/1.7ML	$3,278	$2,623	—	—	0
54065	PR DSTRJ LESION PENIS EXTENSIVE	$3,174	$2,539	—	—	0
4900131	HC LAYR CLOS WND REST BODY >30CM	$3,173	$2,538	—	—	0
4903451	HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS	$3,090	$2,472	—	—	0
4901243	HC ENDOVENOUS RF,VEIN ADD-ON	$3,090	$2,472	—	—	0
6100007	HC MRA NECK W/DYE	$3,090	$2,472	—	—	0
6100019	HC MRI-UPPER EXT W/WO DYE	$3,090	$2,472	—	—	0
6100022	HC MRI UPPER EXT JOINT W/WO DYE	$3,090	$2,472	—	—	0
137602	Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion)	$3,021	$2,417	—	—	0
7500004	HC UPPER GI SCOPE DILATE STRICTURE	$2,975	$2,380	—	—	0
7500007	HC UPPER GI BALLOON DILATION	$2,975	$2,380	—	—	0
7500008	HC UPPER GI ENDOSCOPY,TUMOR	$2,975	$2,380	—	—	0
7500010	HC UPPER GI ENDOSCOPY,CTRL BLEED	$2,975	$2,380	—	—	0
4902622	HC EGD LESION ABLATION	$2,975	$2,380	—	—	0
6100003	HC MRA HEAD W/O DYE	$2,975	$2,380	—	—	0
6100006	HC MRA NECK W/O DYE	$2,975	$2,380	—	—	0
6100032	HC MRI ABDOMEN W/DYE	$2,900	$2,320	—	—	0
3520038	HC CTA ABDOMEN/PELVIS W/CONTRAST	$2,884	$2,307	—	—	0
144893	Denosumab Inj Soln Prefilled Syringe 60 MG/ML	$2,417	$1,934	—	—	0
4900462	HC CLOSED RX SHLDR DISLOC,ANESTHESIA	$2,379	$1,903	—	—	0
27752	PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ	$2,379	$1,903	—	—	0
5420005	HC ALS 2	$2,353	$1,882	—	—	0
4900314	HC REMOVAL OF FOREIGN BODY	$2,266	$1,813	—	—	0
76527	Naltrexone For IM Extended Release Susp 380 MG	$2,214	$1,771	—	—	0
142968	Pegfilgrastim-jmdb Soln Prefilled Syringe 6 MG/0.6ML	$2,163	$1,731	—	—	0
1210000	HC ROOM & NURSING SP	$2,160	$1,728	—	—	2
7500032	HC COLONOSCOPY W/FB REMOVAL	$2,141	$1,713	—	—	0
7500033	HC COLONOSCOPY W/BIOPSY(S)	$2,141	$1,713	—	—	0

Showing top 50 of 1,886 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.