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
1,921
Insurances with rates
13
CPT / HCPCS codes
27
Most expensive procedures (gross)
ERX9002
$27,880
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$34,849
ERX901923
$27,880
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$34,849
ERX901924
$27,880
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$34,849
ERX904117
$27,880
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$34,849
ERX28530
$26,286
INJECTION, TENECTEPLASE, 1 MG
Gross
$32,857
ERX158423
$19,079
INJECTION, BENRALIZUMAB, 1 MG
Gross
$23,849
ERX903632
$16,595
INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
Gross
$20,743
ERX31432
$15,758
INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL
Gross
$19,697
ERX9003
$13,940
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$17,425
ERX902387
$13,940
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$17,425
ERX904116
$13,940
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$17,425
ERX163616
$13,226
INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG
Gross
$16,533
ERX903503
$12,643
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$15,804
ERX903633
$12,521
INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
Gross
$15,651
ERX29313
$10,131
INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM
Gross
$12,664
ERX177768
$7,920
INJECTION, PEGFILGRASTIM-PBBK (FYLNETRA), BIOSIMILAR, 0.5 MG
Gross
$9,900
ERX164547
$6,120
INJECTION, DENOSUMAB, 1 MG
Gross
$7,650
ERX903952
$5,358
INJECTION, FERRIC CARBOXYMALTOSE, 1 MG
Gross
$6,697
ERX165123
$4,372
INJECTION, ROMOSOZUMAB-AQQG, 1 MG
Gross
$5,466
ERX113859
$3,781
INJECTION, FERUMOXYTOL, FOR TREATMENT OF IRON DEFICIENCY ANEMIA, 1 MG (NON-ESRD USE)
Gross
$4,727
814791
$3,185
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals,
Gross
$3,982
816804
$3,185
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a
Gross
$3,982
816805
$3,185
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq
Gross
$3,982
813326
$2,530
Complex drainage of wound infection after surgery
Gross
$3,162
8102163
$2,472
Outer layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands
Gross
$3,090
803948
$2,188
CT scan of blood vessels of abdomen and pelvis with contrast
Gross
$2,735
813894
$2,005
Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants a
Gross
$2,507
814790
$1,885
Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and chi
Gross
$2,356
811302
$1,836
Sleep study in sleep lab (6 years or older)
Gross
$2,295
801402
$1,834
CT scan of blood vessels of chest with contrast
Gross
$2,293
800794
$1,832
CT scan of abdomen and pelvis before and after contrast
Gross
$2,290
800279
$1,779
CT scan of lower spine before and after contrast
Gross
$2,224
811303
$1,775
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$2,219
ERX23123
$1,724
INJECTION, EPTIFIBATIDE, 5 MG
Gross
$2,155
800268
$1,720
CT scan of chest before and after contrast
Gross
$2,151
8104946
$1,690
AUTOLOGOUS PLATELET RICH PLASMA (PRP) OR OTHER BLOOD-DERIVED PRODUCT FOR DIABETIC CHRONIC WOUNDS/ULC
Gross
$2,112
814975
$1,690
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and
Gross
$2,112
816802
$1,690
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1
Gross
$2,112
816803
$1,690
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of
Gross
$2,112
816806
$1,690
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$2,112
816807
$1,690
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye
Gross
$2,112
816808
$1,690
Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun
Gross
$2,112
816809
$1,690
Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun
Gross
$2,112
800304
$1,678
CT scan of abdomen before and after contrast
Gross
$2,097
ERX148564
$1,671
SPIRIVA RESPIMAT 2.5 MCG INH
Gross
$2,088
ERX169692
$1,647
INJECTION, REMDESIVIR, 1 MG
Gross
$2,059
ERX133412
$1,645
COMBIVENT RESPIMAT 20-100 MCG
Gross
$2,056
800261
$1,590
CT scan of soft tissue of neck before and after contrast
Gross
$1,988
ERX124658
$1,588
INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM
Gross
$1,985
800283
$1,576
CT scan of pelvis before and after contrast
Gross
$1,970
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| ERX9002 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $34,849 | $27,880 | — | — | 15 |
| ERX901923 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $34,849 | $27,880 | — | — | 15 |
| ERX901924 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $34,849 | $27,880 | — | — | 15 |
| ERX904117 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $34,849 | $27,880 | — | — | 15 |
| ERX28530 | INJECTION, TENECTEPLASE, 1 MG | $32,857 | $26,286 | — | — | 15 |
| ERX158423 | INJECTION, BENRALIZUMAB, 1 MG | $23,849 | $19,079 | — | — | 15 |
| ERX903632 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG | $20,743 | $16,595 | — | — | 15 |
| ERX31432 | INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL | $19,697 | $15,758 | — | — | 15 |
| ERX9003 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $17,425 | $13,940 | — | — | 15 |
| ERX902387 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $17,425 | $13,940 | — | — | 15 |
| ERX904116 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $17,425 | $13,940 | — | — | 15 |
| ERX163616 | INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG | $16,533 | $13,226 | — | — | 15 |
| ERX903503 | INJECTION, MEPOLIZUMAB, 1 MG | $15,804 | $12,643 | — | — | 15 |
| ERX903633 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | $15,651 | $12,521 | — | — | 15 |
| ERX29313 | INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM | $12,664 | $10,131 | — | — | 15 |
| ERX177768 | INJECTION, PEGFILGRASTIM-PBBK (FYLNETRA), BIOSIMILAR, 0.5 MG | $9,900 | $7,920 | — | — | 11 |
| ERX164547 | INJECTION, DENOSUMAB, 1 MG | $7,650 | $6,120 | — | — | 15 |
| ERX903952 | INJECTION, FERRIC CARBOXYMALTOSE, 1 MG | $6,697 | $5,358 | — | — | 15 |
| ERX165123 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG | $5,466 | $4,372 | — | — | 15 |
| ERX113859 | INJECTION, FERUMOXYTOL, FOR TREATMENT OF IRON DEFICIENCY ANEMIA, 1 MG (NON-ESRD USE) | $4,727 | $3,781 | — | — | 15 |
| 814791 | Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, | $3,982 | $3,185 | — | — | 15 |
| 816804 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a | $3,982 | $3,185 | — | — | 15 |
| 816805 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq | $3,982 | $3,185 | — | — | 15 |
| 813326 | Complex drainage of wound infection after surgery | $3,162 | $2,530 | — | — | 15 |
| 8102163 | Outer layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands | $3,090 | $2,472 | — | — | 15 |
| 803948 | CT scan of blood vessels of abdomen and pelvis with contrast | $2,735 | $2,188 | — | — | 15 |
| 813894 | Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants a | $2,507 | $2,005 | — | — | 15 |
| 814790 | Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and chi | $2,356 | $1,885 | — | — | 15 |
| 811302 | Sleep study in sleep lab (6 years or older) | $2,295 | $1,836 | — | — | 15 |
| 801402 | CT scan of blood vessels of chest with contrast | $2,293 | $1,834 | — | — | 15 |
| 800794 | CT scan of abdomen and pelvis before and after contrast | $2,290 | $1,832 | — | — | 15 |
| 800279 | CT scan of lower spine before and after contrast | $2,224 | $1,779 | — | — | 15 |
| 811303 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $2,219 | $1,775 | — | — | 15 |
| ERX23123 | INJECTION, EPTIFIBATIDE, 5 MG | $2,155 | $1,724 | — | — | 15 |
| 800268 | CT scan of chest before and after contrast | $2,151 | $1,720 | — | — | 15 |
| 8104946 | AUTOLOGOUS PLATELET RICH PLASMA (PRP) OR OTHER BLOOD-DERIVED PRODUCT FOR DIABETIC CHRONIC WOUNDS/ULC | $2,112 | $1,690 | — | — | 11 |
| 814975 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and | $2,112 | $1,690 | — | — | 15 |
| 816802 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1 | $2,112 | $1,690 | — | — | 15 |
| 816803 | Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of | $2,112 | $1,690 | — | — | 15 |
| 816806 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $2,112 | $1,690 | — | — | 15 |
| 816807 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye | $2,112 | $1,690 | — | — | 15 |
| 816808 | Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun | $2,112 | $1,690 | — | — | 15 |
| 816809 | Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, aroun | $2,112 | $1,690 | — | — | 15 |
| 800304 | CT scan of abdomen before and after contrast | $2,097 | $1,678 | — | — | 15 |
| ERX148564 | SPIRIVA RESPIMAT 2.5 MCG INH | $2,088 | $1,671 | — | — | 10 |
| ERX169692 | INJECTION, REMDESIVIR, 1 MG | $2,059 | $1,647 | — | — | 11 |
| ERX133412 | COMBIVENT RESPIMAT 20-100 MCG | $2,056 | $1,645 | — | — | 10 |
| 800261 | CT scan of soft tissue of neck before and after contrast | $1,988 | $1,590 | — | — | 15 |
| ERX124658 | INJECTION, FILGRASTIM (G-CSF), EXCLUDES BIOSIMILARS, 1 MICROGRAM | $1,985 | $1,588 | — | — | 15 |
| 800283 | CT scan of pelvis before and after contrast | $1,970 | $1,576 | — | — | 15 |
Showing top 50 of 1,921 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.