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
1,136
Insurances with rates
64
CPT / HCPCS codes
0
Most expensive procedures (gross)
Pneumonia with complications
$17,219
Pneumonia with complications
Gross
$17,752
Respiratory infections and inflammations with ma
$16,046
Respiratory infections and inflammations with major complications
Gross
$16,543
Craniotomy for trauma [Moderate Severity]
$14,729
Craniotomy for trauma [Moderate Severity]
Gross
$15,185
2531008
$13,619
VEDOLIZUMAB 300 MG VIAL
Gross
$14,040
Pneumonia with major complications
$13,191
Pneumonia with major complications
Gross
$13,599
Disorders of the biliary tract with complication
$12,998
Disorders of the biliary tract with complications
Gross
$13,400
2500530
$12,805
ALTEPLASE 100 MG/100 ML VIAL
Gross
$13,201
2522701
$12,073
TENECTEPLASE 50 MG/10 ML VIAL
Gross
$12,446
Major gastrointestinal disorders & peritoneal in
$9,745
Major gastrointestinal disorders & peritoneal infections without complications
Gross
$10,046
Respiratory infections & inflammations with comp
$9,291
Respiratory infections & inflammations with complications
Gross
$9,579
2531036
$9,007
EFGARTIGIMOD ALFA-FCAB 400 MG/20 ML VIAL
Gross
$9,286
2512557
$8,328
LEUPROLIDE ACETATE 30 MG/SYR SYR
Gross
$8,585
Kidney & urinary Infection with major complicati
$6,754
Kidney & urinary Infection with major complications
Gross
$6,963
2512558
$6,246
LEUPROLIDE ACETATE 22.5 MG/SYR SYR
Gross
$6,439
2517212
$6,225
PEGFILGRASTIM 6 MG/0.6 ML INJ
Gross
$6,418
2520389
$6,151
RITUXIMAB-ABBS 10 MG/ML ML
Gross
$6,342
General symptoms of illness such as fever, pain,
$6,039
General symptoms of illness such as fever, pain, shortness of breath
Gross
$6,226
Full term newborn with major problems
$5,953
Full term newborn with major problems
Gross
$6,137
Nutritional or Metabolic Disorders without major
$5,253
Nutritional or Metabolic Disorders without major complications
Gross
$5,416
2505958
$5,020
DENOSUMAB 120 MG/1.7 ML VIAL
Gross
$5,175
2521026
$4,569
HUMAN PROTHROMBIN COMPLX(PCC) 1,000 UNIT KIT
Gross
$4,710
2511189
$4,365
IMMUNE GLOBULIN,GAMMA (IGG) 200 ML BTL
Gross
$4,500
Abnormal or Irregular Heartbeat without complica
$4,342
Abnormal or Irregular Heartbeat without complications
Gross
$4,477
Newborn with significant problems
$4,184
Newborn with significant problems
Gross
$4,314
Other factors influencing health status
$3,789
Other factors influencing health status
Gross
$3,906
2505919
$3,379
DARBEPOETIN ALFA IN POLYSORBAT 300 MCG/0.6 ML DISP
Gross
$3,483
Blood infection without major complications
$3,218
Blood infection without major complications
Gross
$3,317
2524399
$3,174
ZOLEDRONIC ACID/MANNITOL/WATER 5 MG/100 ML INFUS..
Gross
$3,273
1200015
$2,607
M/S PRIVATE TELEMETRY/ISO
Gross
$2,688
2521025
$2,284
HUMAN PROTHROMBIN COMPLX(PCC) 500 UNIT KIT
Gross
$2,355
2505922
$2,252
DARBEPOETIN ALFA IN ALBUMN SOL 200 MCG/0.4 ML DISP
Gross
$2,322
2511188
$2,183
IMMUNE GLOBULIN,GAMMA (IGG) 100 ML BTL
Gross
$2,250
2512559
$2,082
LEUPROLIDE ACETATE 7.5 MG/SYR SYR
Gross
$2,146
2500114
$1,868
DINOPROSTONE 10 MG INSERT.ER
Gross
$1,926
1200002
$1,839
M/S PRIVATE ROOM
Gross
$1,896
1200010
$1,839
NYS RATE
Gross
$1,896
2524397
$1,717
ZOLEDRONIC ACID 4 MG/5 ML VIAL
Gross
$1,770
2520341
$1,699
inFLIXimab 100 MG/10 ML VIAL
Gross
$1,752
2500001
$1,602
PHENYLEPHRINE/KETOROLAC 4 ML VIAL
Gross
$1,652
2189901
$1,540
REMDESIVIR 100 MG/20 ML VIAL
Gross
$1,587
2501015
$1,452
HYDROXOCOBALAMIN 5 GM VIAL
Gross
$1,497
2509209
$1,435
FOMEPIZOLE 1.5 GM/1.5 ML VIAL
Gross
$1,479
2509032
$1,274
FLUTICASONE PROPIONATE 220 MCG INH
Gross
$1,313
2501016
$1,237
ARGATROBAN 100 MG/ML ML
Gross
$1,275
2511834
$1,222
IPRATROPIUM/ALBUTEROL SULFATE 4 GM AER.W.ADAP
Gross
$1,260
2505925
$1,126
DARBEPOETIN ALFA IN ALBUMN SOL 100 MCG/0.5 ML SYR
Gross
$1,161
2520346
$1,096
INFLIXIMAB-ABDA 100 MG/10 ML VIAL
Gross
$1,130
2511187
$1,091
IMMUNE GLOBULIN,GAMMA (IGG) 50 ML BTL
Gross
$1,125
2505222
$1,078
COLLAGENASE CLOSTRIDIUM HIST. 30 GM OINT...G.
Gross
$1,111
2507902
$1,037
EPOETIN ALFA 40,000 UNITS/ML VIAL
Gross
$1,069
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Pneumonia with complications | Pneumonia with complications | $17,752 | $17,219 | — | — | 1 |
| Respiratory infections and inflammations with ma | Respiratory infections and inflammations with major complications | $16,543 | $16,046 | — | — | 236 |
| Craniotomy for trauma [Moderate Severity] | Craniotomy for trauma [Moderate Severity] | $15,185 | $14,729 | — | — | 1 |
| 2531008 | VEDOLIZUMAB 300 MG VIAL | $14,040 | $13,619 | — | — | 1 |
| Pneumonia with major complications | Pneumonia with major complications | $13,599 | $13,191 | — | — | 1 |
| Disorders of the biliary tract with complication | Disorders of the biliary tract with complications | $13,400 | $12,998 | — | — | 236 |
| 2500530 | ALTEPLASE 100 MG/100 ML VIAL | $13,201 | $12,805 | — | — | 1 |
| 2522701 | TENECTEPLASE 50 MG/10 ML VIAL | $12,446 | $12,073 | — | — | 3 |
| Major gastrointestinal disorders & peritoneal in | Major gastrointestinal disorders & peritoneal infections without complications | $10,046 | $9,745 | — | — | 236 |
| Respiratory infections & inflammations with comp | Respiratory infections & inflammations with complications | $9,579 | $9,291 | — | — | 1 |
| 2531036 | EFGARTIGIMOD ALFA-FCAB 400 MG/20 ML VIAL | $9,286 | $9,007 | — | — | 1 |
| 2512557 | LEUPROLIDE ACETATE 30 MG/SYR SYR | $8,585 | $8,328 | — | — | 3 |
| Kidney & urinary Infection with major complicati | Kidney & urinary Infection with major complications | $6,963 | $6,754 | — | — | 236 |
| 2512558 | LEUPROLIDE ACETATE 22.5 MG/SYR SYR | $6,439 | $6,246 | — | — | 3 |
| 2517212 | PEGFILGRASTIM 6 MG/0.6 ML INJ | $6,418 | $6,225 | — | — | 1 |
| 2520389 | RITUXIMAB-ABBS 10 MG/ML ML | $6,342 | $6,151 | — | — | 2 |
| General symptoms of illness such as fever, pain, | General symptoms of illness such as fever, pain, shortness of breath | $6,226 | $6,039 | — | — | 236 |
| Full term newborn with major problems | Full term newborn with major problems | $6,137 | $5,953 | — | — | 1 |
| Nutritional or Metabolic Disorders without major | Nutritional or Metabolic Disorders without major complications | $5,416 | $5,253 | — | — | 1 |
| 2505958 | DENOSUMAB 120 MG/1.7 ML VIAL | $5,175 | $5,020 | — | — | 26 |
| 2521026 | HUMAN PROTHROMBIN COMPLX(PCC) 1,000 UNIT KIT | $4,710 | $4,569 | — | — | 1 |
| 2511189 | IMMUNE GLOBULIN,GAMMA (IGG) 200 ML BTL | $4,500 | $4,365 | — | — | 3 |
| Abnormal or Irregular Heartbeat without complica | Abnormal or Irregular Heartbeat without complications | $4,477 | $4,342 | — | — | 1 |
| Newborn with significant problems | Newborn with significant problems | $4,314 | $4,184 | — | — | 1 |
| Other factors influencing health status | Other factors influencing health status | $3,906 | $3,789 | — | — | 236 |
| 2505919 | DARBEPOETIN ALFA IN POLYSORBAT 300 MCG/0.6 ML DISP | $3,483 | $3,379 | — | — | 1 |
| Blood infection without major complications | Blood infection without major complications | $3,317 | $3,218 | — | — | 1 |
| 2524399 | ZOLEDRONIC ACID/MANNITOL/WATER 5 MG/100 ML INFUS.. | $3,273 | $3,174 | — | — | 5 |
| 1200015 | M/S PRIVATE TELEMETRY/ISO | $2,688 | $2,607 | — | — | 2 |
| 2521025 | HUMAN PROTHROMBIN COMPLX(PCC) 500 UNIT KIT | $2,355 | $2,284 | — | — | 1 |
| 2505922 | DARBEPOETIN ALFA IN ALBUMN SOL 200 MCG/0.4 ML DISP | $2,322 | $2,252 | — | — | 1 |
| 2511188 | IMMUNE GLOBULIN,GAMMA (IGG) 100 ML BTL | $2,250 | $2,183 | — | — | 3 |
| 2512559 | LEUPROLIDE ACETATE 7.5 MG/SYR SYR | $2,146 | $2,082 | — | — | 3 |
| 2500114 | DINOPROSTONE 10 MG INSERT.ER | $1,926 | $1,868 | — | — | 49 |
| 1200002 | M/S PRIVATE ROOM | $1,896 | $1,839 | — | — | 2 |
| 1200010 | NYS RATE | $1,896 | $1,839 | — | — | 2 |
| 2524397 | ZOLEDRONIC ACID 4 MG/5 ML VIAL | $1,770 | $1,717 | — | — | 5 |
| 2520341 | inFLIXimab 100 MG/10 ML VIAL | $1,752 | $1,699 | — | — | 3 |
| 2500001 | PHENYLEPHRINE/KETOROLAC 4 ML VIAL | $1,652 | $1,602 | — | — | 10 |
| 2189901 | REMDESIVIR 100 MG/20 ML VIAL | $1,587 | $1,540 | — | — | 4 |
| 2501015 | HYDROXOCOBALAMIN 5 GM VIAL | $1,497 | $1,452 | — | — | 49 |
| 2509209 | FOMEPIZOLE 1.5 GM/1.5 ML VIAL | $1,479 | $1,435 | — | — | 1 |
| 2509032 | FLUTICASONE PROPIONATE 220 MCG INH | $1,313 | $1,274 | — | — | 49 |
| 2501016 | ARGATROBAN 100 MG/ML ML | $1,275 | $1,237 | — | — | 49 |
| 2511834 | IPRATROPIUM/ALBUTEROL SULFATE 4 GM AER.W.ADAP | $1,260 | $1,222 | — | — | 49 |
| 2505925 | DARBEPOETIN ALFA IN ALBUMN SOL 100 MCG/0.5 ML SYR | $1,161 | $1,126 | — | — | 1 |
| 2520346 | INFLIXIMAB-ABDA 100 MG/10 ML VIAL | $1,130 | $1,096 | — | — | 10 |
| 2511187 | IMMUNE GLOBULIN,GAMMA (IGG) 50 ML BTL | $1,125 | $1,091 | — | — | 3 |
| 2505222 | COLLAGENASE CLOSTRIDIUM HIST. 30 GM OINT...G. | $1,111 | $1,078 | — | — | 49 |
| 2507902 | EPOETIN ALFA 40,000 UNITS/ML VIAL | $1,069 | $1,037 | — | — | 1 |
Showing top 50 of 1,136 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.