45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
4,945
Insurances with rates
34
CPT / HCPCS codes
4,557
Most expensive procedures (gross)
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
J9029
$69,210
INSTILL ADSTILADRIN, TX DOSE
Gross
$138,420
50242-0176-01
$11,432
TNKase
Gross
$22,863
00944-2700-13
$9,811
INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG
Gross
$19,622
50242-0037-06
$9,147
INJECTION; TENECTEPLASE; 1 MG
Gross
$18,294
33270
$9,020
INS/REP SUBQ DEFIBRILLATOR
Gross
$18,039
67386-0130-51
$8,225
Vyepti
Gross
$16,450
33202
$8,158
INSERT EPICARD ELTRD OPEN
Gross
$16,316
J2787
$6,840
RIBOFLAVIN PHOTREXA/VISCOUS
Gross
$13,680
00944-2700-06
$6,737
Gammagard Liquid
Gross
$13,474
00944-2700-12
$6,737
Gammagard Liquid
Gross
$13,474
J0480
$6,732
BASILIXIMAB
Gross
$13,463
39503
$6,600
REPAIR OF DIAPHRAGM HERNIA
Gross
$13,199
00944-2700-07
$6,480
Gammagard Liquid
Gross
$12,960
64628
$6,332
TRML DSTRJ IOS BVN 1ST 2 L/S
Gross
$12,664
49605
$5,524
REPAIR UMBILICAL LESION
Gross
$11,047
67457-0759-20
$5,495
Octreotide Acetate
Gross
$10,990
13533-0318-01
$5,284
HyperRAB
Gross
$10,567
62330
$4,834
DCMPRN PRQ RMV LIG FLV 1LMBR
Gross
$9,668
24341
$4,834
RPR TDN/MUSC UPR A/E EACH
Gross
$9,668
13533-0318-50
$4,799
HyperRAB
Gross
$9,598
28111
$4,636
REMOVAL OF FOOT BONE AT GREAT TOE JOINT
Gross
$9,272
C9807
$4,619
NERVE STIM NON-OPIOID DEV
Gross
$9,238
33224
$4,363
INSERT PACING LEAD & CONNECT
Gross
$8,726
33213
$4,363
INSERT PULSE GEN DUAL LEADS
Gross
$8,725
33214
$4,363
UPGRADE OF PACEMAKER SYSTEM
Gross
$8,725
52332
$4,270
INSERTION OF STENT IN URETER USING AN ENDOSCOPE
Gross
$8,540
26554
$4,159
DOUBLE TRANSFER TOE-HAND
Gross
$8,318
55513-0998-01
$3,943
Evenity PFS
Gross
$7,886
13533-0318-05
$3,732
HyperRAB
Gross
$7,465
54600
$3,428
REDUCE TESTIS TORSION
Gross
$6,856
68750
$3,311
CREATE TEAR DUCT DRAIN
Gross
$6,622
28043
$3,294
REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE
Gross
$6,588
31613
$3,176
TRACHEOSTOMA REVJ SIMPLE
Gross
$6,351
28113
$3,166
PART REMOVAL OF METATARSAL
Gross
$6,332
59612
$3,160
VBAC DELIVERY ONLY
Gross
$6,320
57415
$3,160
REMOVE VAGINAL FOREIGN BODY
Gross
$6,320
J3240
$3,034
THYROTROPIN INJECTION
Gross
$6,067
59510
$3,024
CESAREAN DELIVERY
Gross
$6,048
52001
$2,881
CYSTO W/IRRG&EVAC MLT CLOTS
Gross
$5,762
35092
$2,847
REPAIR ARTERY RUPTURE AORTA
Gross
$5,693
27047
$2,783
EXC HIP/PELVIS LES SC < 3 CM
Gross
$5,565
27337
$2,783
EXC THIGH/KNEE LES SC 3 CM/>
Gross
$5,565
21932
$2,782
EXC BACK TUM DEEP < 5 CM
Gross
$5,564
35540
$2,753
ART BYP GRFT AORTBIFEMORAL
Gross
$5,505
90378
$2,731
RSV MAB IM 50MG
Gross
$5,462
55513-0710-01
$2,715
Prolia PFS
Gross
$5,429
55513-0710-21
$2,714
Prolia PFS
Gross
$5,429
59400
$2,703
OBSTETRICAL CARE
Gross
$5,406
35538
$2,631
ART BYP GRFT AORTOBI-ILIAC
Gross
$5,261
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 1 |
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $138,420 | $69,210 | — | — | 1 |
| 50242-0176-01 | TNKase | $22,863 | $11,432 | — | — | 1 |
| 00944-2700-13 | INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG | $19,622 | $9,811 | — | — | 0 |
| 50242-0037-06 | INJECTION; TENECTEPLASE; 1 MG | $18,294 | $9,147 | — | — | 1 |
| 33270 | INS/REP SUBQ DEFIBRILLATOR | $18,039 | $9,020 | — | — | 0 |
| 67386-0130-51 | Vyepti | $16,450 | $8,225 | — | — | 0 |
| 33202 | INSERT EPICARD ELTRD OPEN | $16,316 | $8,158 | — | — | 0 |
| J2787 | RIBOFLAVIN PHOTREXA/VISCOUS | $13,680 | $6,840 | — | — | 1 |
| 00944-2700-06 | Gammagard Liquid | $13,474 | $6,737 | — | — | 0 |
| 00944-2700-12 | Gammagard Liquid | $13,474 | $6,737 | — | — | 0 |
| J0480 | BASILIXIMAB | $13,463 | $6,732 | — | — | 1 |
| 39503 | REPAIR OF DIAPHRAGM HERNIA | $13,199 | $6,600 | — | — | 0 |
| 00944-2700-07 | Gammagard Liquid | $12,960 | $6,480 | — | — | 0 |
| 64628 | TRML DSTRJ IOS BVN 1ST 2 L/S | $12,664 | $6,332 | — | — | 0 |
| 49605 | REPAIR UMBILICAL LESION | $11,047 | $5,524 | — | — | 0 |
| 67457-0759-20 | Octreotide Acetate | $10,990 | $5,495 | — | — | 0 |
| 13533-0318-01 | HyperRAB | $10,567 | $5,284 | — | — | 1 |
| 62330 | DCMPRN PRQ RMV LIG FLV 1LMBR | $9,668 | $4,834 | — | — | 0 |
| 24341 | RPR TDN/MUSC UPR A/E EACH | $9,668 | $4,834 | — | — | 0 |
| 13533-0318-50 | HyperRAB | $9,598 | $4,799 | — | — | 1 |
| 28111 | REMOVAL OF FOOT BONE AT GREAT TOE JOINT | $9,272 | $4,636 | — | — | 0 |
| C9807 | NERVE STIM NON-OPIOID DEV | $9,238 | $4,619 | — | — | 0 |
| 33224 | INSERT PACING LEAD & CONNECT | $8,726 | $4,363 | — | — | 0 |
| 33213 | INSERT PULSE GEN DUAL LEADS | $8,725 | $4,363 | — | — | 0 |
| 33214 | UPGRADE OF PACEMAKER SYSTEM | $8,725 | $4,363 | — | — | 0 |
| 52332 | INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $8,540 | $4,270 | — | — | 0 |
| 26554 | DOUBLE TRANSFER TOE-HAND | $8,318 | $4,159 | — | — | 0 |
| 55513-0998-01 | Evenity PFS | $7,886 | $3,943 | — | — | 0 |
| 13533-0318-05 | HyperRAB | $7,465 | $3,732 | — | — | 1 |
| 54600 | REDUCE TESTIS TORSION | $6,856 | $3,428 | — | — | 0 |
| 68750 | CREATE TEAR DUCT DRAIN | $6,622 | $3,311 | — | — | 0 |
| 28043 | REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE | $6,588 | $3,294 | — | — | 0 |
| 31613 | TRACHEOSTOMA REVJ SIMPLE | $6,351 | $3,176 | — | — | 0 |
| 28113 | PART REMOVAL OF METATARSAL | $6,332 | $3,166 | — | — | 0 |
| 59612 | VBAC DELIVERY ONLY | $6,320 | $3,160 | — | — | 0 |
| 57415 | REMOVE VAGINAL FOREIGN BODY | $6,320 | $3,160 | — | — | 0 |
| J3240 | THYROTROPIN INJECTION | $6,067 | $3,034 | — | — | 1 |
| 59510 | CESAREAN DELIVERY | $6,048 | $3,024 | — | — | 0 |
| 52001 | CYSTO W/IRRG&EVAC MLT CLOTS | $5,762 | $2,881 | — | — | 0 |
| 35092 | REPAIR ARTERY RUPTURE AORTA | $5,693 | $2,847 | — | — | 0 |
| 27047 | EXC HIP/PELVIS LES SC < 3 CM | $5,565 | $2,783 | — | — | 0 |
| 27337 | EXC THIGH/KNEE LES SC 3 CM/> | $5,565 | $2,783 | — | — | 0 |
| 21932 | EXC BACK TUM DEEP < 5 CM | $5,564 | $2,782 | — | — | 0 |
| 35540 | ART BYP GRFT AORTBIFEMORAL | $5,505 | $2,753 | — | — | 0 |
| 90378 | RSV MAB IM 50MG | $5,462 | $2,731 | — | — | 1 |
| 55513-0710-01 | Prolia PFS | $5,429 | $2,715 | — | — | 0 |
| 55513-0710-21 | Prolia PFS | $5,429 | $2,714 | — | — | 0 |
| 59400 | OBSTETRICAL CARE | $5,406 | $2,703 | — | — | 0 |
| 35538 | ART BYP GRFT AORTOBI-ILIAC | $5,261 | $2,631 | — | — | 0 |
Showing top 50 of 4,945 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.