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
978
Insurances with rates
3
CPT / HCPCS codes
977
Most expensive procedures (gross)
J3101
$8,059
TENECTEPLASE (TNKASE) 50MG INJ
Gross
$10,745
J1162
$4,544
DIGOXIN IMMUNE FAB (DIGIFAB) 40MG INJ
Gross
$6,059
J2997
$4,416
ACTIVASE (ALTEPLASE) 50MG IV
Gross
$5,888
90375
$3,340
RABIES IMM GLOB (HYPERAB)300U/ML 5ML INJ
Gross
$4,453
J0840
$3,203
CROTALIDAE POLYVALENT (CROFAB) INJ
Gross
$4,271
74178
$2,636
CT ABDOMEN/PELVIS W/WO CONTRAST
Gross
$3,515
74177
$2,282
CT ABDOMEN/PELVIS W/ IV CONTRAST
Gross
$3,042
90675
$2,236
RABIES IMM GLOB (Kedrab)10ML
Gross
$2,981
26080
$2,108
INCISION INTERPHALANGEAL JOINT EACH
Gross
$2,811
72132
$1,983
CT L-SPINE W/ CONTRAST
Gross
$2,644
74176
$1,797
CT ABDOMEN/PELVIS
Gross
$2,396
74170
$1,709
CT ABDOMEN W/WO CONTRAST
Gross
$2,278
73706
$1,699
CTA FEMORAL RUN-OFF
Gross
$2,265
70470
$1,624
CT HEAD W/WO CONTRAST
Gross
$2,165
71270
$1,611
CT CHEST W/ & W/O CONTRAST
Gross
$2,148
71260
$1,603
CT CHEST W/ CONTRAST
Gross
$2,137
72131
$1,574
CT L-SPINE
Gross
$2,098
99291
$1,519
CRITICAL CARE 30-74 MINUTES
Gross
$2,025
74160
$1,519
CT ABDOMEN W/ IV CONTRAST
Gross
$2,025
72125
$1,514
CT C-SPINE
Gross
$2,018
70491
$1,476
CT SOFT TISSUE NECK W/ CONTRAST
Gross
$1,968
74175
$1,446
CTA ABDOMEN
Gross
$1,928
71275
$1,434
CTA CHEST
Gross
$1,912
70498
$1,400
CT C-SPINE W/WO CONTRAST
Gross
$1,867
71250
$1,295
CT CHEST
Gross
$1,726
70490
$1,265
CT SOFT TISSUE NECK
Gross
$1,686
70496
$1,265
CTA HEAD
Gross
$1,686
93306
$1,265
ECHO W/COLOR & DOPPLER 93306
Gross
$1,686
51703
$1,265
FOLEY CATHETER INSERTION COMPLICATED
Gross
$1,686
G0390
$1,265
TRAUMA TEAM ACTIVATION
Gross
$1,686
93975
$1,265
US ABDOMEN DOPPLER
Gross
$1,686
73200
$1,257
CT ELBOW LEFT
Gross
$1,676
99292
$1,240
CRITICAL CARE EA ADD'L 30 MINUTES
Gross
$1,653
70450
$1,228
CT HEAD
Gross
$1,637
73700
$1,219
CT ANKLE LEFT
Gross
$1,625
70486
$1,210
CT FACIAL W/O CONTRAST
Gross
$1,613
74150
$1,177
CT ABDOMEN
Gross
$1,569
72128
$1,159
CT T-SPINE
Gross
$1,545
87633
$1,113
RESPIRATORY VIRAL PANEL
Gross
$1,484
71271
$1,096
CT CHEST LOW DOSE
Gross
$1,461
72192
$1,075
CT PELVIS
Gross
$1,433
70492
$1,063
CT SOFT TISSUE NECK W/ & W/O CONTRAST
Gross
$1,417
73702
$993
CT ANKLE W/WO CONTRAST LEFT
Gross
$1,324
15120
$930
SPLIT GRAFT 100 SQ CM OR LESS
Gross
$1,240
93880
$928
US CAROTID BILATERAL
Gross
$1,237
93970
$928
US LOWER EXTREMITY VENOUS BILATERAL
Gross
$1,237
73701
$923
CT ANKLE W/ IV CONTRAST LEFT
Gross
$1,231
73202
$923
CT ELBOW W/ & W/O CONTRAST LEFT
Gross
$1,231
72133
$923
CT L-SPINE W/ & W/O CONTRAST
Gross
$1,231
72194
$923
CT PELVIS W/ & W/O CONTRAST
Gross
$1,231
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TENECTEPLASE (TNKASE) 50MG INJ | $10,745 | $8,059 | — | — | 3 |
| J1162 | DIGOXIN IMMUNE FAB (DIGIFAB) 40MG INJ | $6,059 | $4,544 | — | — | 3 |
| J2997 | ACTIVASE (ALTEPLASE) 50MG IV | $5,888 | $4,416 | — | — | 3 |
| 90375 | RABIES IMM GLOB (HYPERAB)300U/ML 5ML INJ | $4,453 | $3,340 | — | — | 3 |
| J0840 | CROTALIDAE POLYVALENT (CROFAB) INJ | $4,271 | $3,203 | — | — | 3 |
| 74178 | CT ABDOMEN/PELVIS W/WO CONTRAST | $3,515 | $2,636 | — | — | 3 |
| 74177 | CT ABDOMEN/PELVIS W/ IV CONTRAST | $3,042 | $2,282 | — | — | 3 |
| 90675 | RABIES IMM GLOB (Kedrab)10ML | $2,981 | $2,236 | — | — | 3 |
| 26080 | INCISION INTERPHALANGEAL JOINT EACH | $2,811 | $2,108 | — | — | 3 |
| 72132 | CT L-SPINE W/ CONTRAST | $2,644 | $1,983 | — | — | 3 |
| 74176 | CT ABDOMEN/PELVIS | $2,396 | $1,797 | — | — | 3 |
| 74170 | CT ABDOMEN W/WO CONTRAST | $2,278 | $1,709 | — | — | 3 |
| 73706 | CTA FEMORAL RUN-OFF | $2,265 | $1,699 | — | — | 3 |
| 70470 | CT HEAD W/WO CONTRAST | $2,165 | $1,624 | — | — | 3 |
| 71270 | CT CHEST W/ & W/O CONTRAST | $2,148 | $1,611 | — | — | 3 |
| 71260 | CT CHEST W/ CONTRAST | $2,137 | $1,603 | — | — | 3 |
| 72131 | CT L-SPINE | $2,098 | $1,574 | — | — | 3 |
| 99291 | CRITICAL CARE 30-74 MINUTES | $2,025 | $1,519 | — | — | 3 |
| 74160 | CT ABDOMEN W/ IV CONTRAST | $2,025 | $1,519 | — | — | 3 |
| 72125 | CT C-SPINE | $2,018 | $1,514 | — | — | 3 |
| 70491 | CT SOFT TISSUE NECK W/ CONTRAST | $1,968 | $1,476 | — | — | 3 |
| 74175 | CTA ABDOMEN | $1,928 | $1,446 | — | — | 3 |
| 71275 | CTA CHEST | $1,912 | $1,434 | — | — | 3 |
| 70498 | CT C-SPINE W/WO CONTRAST | $1,867 | $1,400 | — | — | 3 |
| 71250 | CT CHEST | $1,726 | $1,295 | — | — | 3 |
| 70490 | CT SOFT TISSUE NECK | $1,686 | $1,265 | — | — | 3 |
| 70496 | CTA HEAD | $1,686 | $1,265 | — | — | 3 |
| 93306 | ECHO W/COLOR & DOPPLER 93306 | $1,686 | $1,265 | — | — | 3 |
| 51703 | FOLEY CATHETER INSERTION COMPLICATED | $1,686 | $1,265 | — | — | 3 |
| G0390 | TRAUMA TEAM ACTIVATION | $1,686 | $1,265 | — | — | 3 |
| 93975 | US ABDOMEN DOPPLER | $1,686 | $1,265 | — | — | 3 |
| 73200 | CT ELBOW LEFT | $1,676 | $1,257 | — | — | 3 |
| 99292 | CRITICAL CARE EA ADD'L 30 MINUTES | $1,653 | $1,240 | — | — | 3 |
| 70450 | CT HEAD | $1,637 | $1,228 | — | — | 3 |
| 73700 | CT ANKLE LEFT | $1,625 | $1,219 | — | — | 3 |
| 70486 | CT FACIAL W/O CONTRAST | $1,613 | $1,210 | — | — | 3 |
| 74150 | CT ABDOMEN | $1,569 | $1,177 | — | — | 3 |
| 72128 | CT T-SPINE | $1,545 | $1,159 | — | — | 3 |
| 87633 | RESPIRATORY VIRAL PANEL | $1,484 | $1,113 | — | — | 3 |
| 71271 | CT CHEST LOW DOSE | $1,461 | $1,096 | — | — | 3 |
| 72192 | CT PELVIS | $1,433 | $1,075 | — | — | 3 |
| 70492 | CT SOFT TISSUE NECK W/ & W/O CONTRAST | $1,417 | $1,063 | — | — | 3 |
| 73702 | CT ANKLE W/WO CONTRAST LEFT | $1,324 | $993 | — | — | 3 |
| 15120 | SPLIT GRAFT 100 SQ CM OR LESS | $1,240 | $930 | — | — | 3 |
| 93880 | US CAROTID BILATERAL | $1,237 | $928 | — | — | 3 |
| 93970 | US LOWER EXTREMITY VENOUS BILATERAL | $1,237 | $928 | — | — | 3 |
| 73701 | CT ANKLE W/ IV CONTRAST LEFT | $1,231 | $923 | — | — | 3 |
| 73202 | CT ELBOW W/ & W/O CONTRAST LEFT | $1,231 | $923 | — | — | 3 |
| 72133 | CT L-SPINE W/ & W/O CONTRAST | $1,231 | $923 | — | — | 3 |
| 72194 | CT PELVIS W/ & W/O CONTRAST | $1,231 | $923 | — | — | 3 |
Showing top 50 of 978 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.