45 CFR § 180 compliance
A · 100
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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
7,600
Insurances with rates
6
CPT / HCPCS codes
0
Most expensive procedures (gross)
6001921
$87,750
D-nystatin Powder
Gross
$109,687
6002906
$79,194
Nf-nystatin Powder
Gross
$98,992
6001475
$55,574
*****Nf-nystatin Powder
Gross
$69,468
6003086
$55,574
Nf-nystatin Powder
Gross
$69,468
3400024
$29,177
Pacemaker Replacement
Gross
$36,471
6003195
$21,965
Nf-uzedy Subq Susp Er 250mg/0.7ml
Gross
$27,456
6001333
$21,011
****Nf-lupron Depot 6 Month Pwd Susp 45m
Gross
$26,264
6009125
$16,417
Tnkase Inj 50mg
Gross
$20,521
6001723
$8,780
Nf-lupron Depot 3 Month 22.5 Mg Syg
Gross
$10,975
6000717
$8,510
Nf-aranesp Injection Solution 0.5mg/1ml
Gross
$10,638
6002560
$7,691
Nf-humira Subcutaneous Solution 40mg/0.8
Gross
$9,614
6009126
$7,358
Tpa Inj 100mg
Gross
$9,197
6002595
$6,386
Digifab Inj : 40mg
Gross
$7,983
6000198
$6,200
Nf-forteo 600mcg/2.4 Sub-q Inj ***
Gross
$7,750
6006146
$5,468
Neulasta Inj (Pegfilgrastim) : 6mg/0.6ml
Gross
$6,835
6000550
$4,832
*****Nf-antivenin Crotalidae Inj :
Gross
$6,040
6000330
$4,529
*****Nf-copaxone 20mg/ml Multiple Kit
Gross
$5,661
6002119
$4,355
Nf-tocilizumab Inj 20mg/ml (20ml Vial)
Gross
$5,444
6003064
$4,270
Nf-dalvance Iv Powder For Solution 500mg
Gross
$5,337
6007623
$3,949
Rabies Immune Globulin 300iu/ml (5 Ml)
Gross
$4,936
6002281
$3,850
Nf-sarilumab Inj 200mg/1.14ml
Gross
$4,812
6002282
$3,850
Nf-sarilumab/ns Iv 400mg/100ml
Gross
$4,812
9200420
$3,466
Control Nasal Hemor Co
Gross
$4,332
6002276
$3,443
Nf-tocilizumab Inj 162mg/0.9ml
Gross
$4,304
6002697
$3,168
Anavip Intravenous Powder For Solution
Gross
$3,960
6002870
$3,133
Nf-actemra Subcutaneoussolution 162mg/0.
Gross
$3,916
6002872
$3,133
Nf-actemra Actpen Subq Soln 162mg/0.9ml
Gross
$3,916
9201900
$3,048
Trigger Point Injection 20553
Gross
$3,810
5703715
$2,932
Ct Abd Pelvis W Wo 74178
Gross
$3,665
3409990
$2,812
Picc Place W/o Subcut Port/pump Under 5
Gross
$3,515
3409991
$2,812
Picc Place W/o Subcut Port/pump Over 5
Gross
$3,515
3409993
$2,812
Picc Pl W/o Subcut Port/pump W Rad > 5 Y
Gross
$3,515
3409995
$2,812
Picc Line Replace With Image All Age
Gross
$3,515
6001833
$2,800
Nf-aranesp 150 Mcg/0.3 Ml Singleject
Gross
$3,500
6000611
$2,778
*****Nf-nystatin Powder
Gross
$3,473
6000792
$2,778
*****Nf-nystatin Powder
Gross
$3,473
6001774
$2,778
.
Gross
$3,473
6001049
$2,727
Nf-forteo Subcutaneous Solution 250mcg/1
Gross
$3,409
6000393
$2,717
Nf-gammagard S/d 10gm Intravenous Powder
Gross
$3,396
6001187
$2,666
Nf-norditropin Flexpro Subq Soln 30mg/3m
Gross
$3,333
5703028
$2,484
Cta Abd/pelvis W 74174
Gross
$3,105
6000100
$2,413
Retavase : 20 Units
Gross
$3,016
6002488
$2,400
Nf-fomepizole Iv Solution 1gm/1ml
Gross
$3,000
6000685
$2,284
*****Nf-prolia Subc Solution 60mg/1ml
Gross
$2,855
5703716
$2,267
CT scan of abdomen and pelvis with contrast
Gross
$2,834
3000601
$2,160
Polysomnography W/cpap
Gross
$2,700
6007635
$2,105
Reclast (Zoledronic Acid) : 5mg/100ml
Gross
$2,631
6002457
$2,018
Nf-omnipaque 350 Injection Sol75.5%
Gross
$2,522
5703706
$1,961
Ct Abd Pelvis Wo 74176
Gross
$2,451
6800067
$1,922
Debride Skin, Into Bone
Gross
$2,403
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6001921 | D-nystatin Powder | $109,687 | $87,750 | $12,246 | $109,687 | 6 |
| 6002906 | Nf-nystatin Powder | $98,992 | $79,194 | $12,246 | $98,992 | 6 |
| 6001475 | *****Nf-nystatin Powder | $69,468 | $55,574 | $12,246 | $69,468 | 6 |
| 6003086 | Nf-nystatin Powder | $69,468 | $55,574 | $12,246 | $69,468 | 6 |
| 3400024 | Pacemaker Replacement | $36,471 | $29,177 | $12,286 | $36,471 | 6 |
| 6003195 | Nf-uzedy Subq Susp Er 250mg/0.7ml | $27,456 | $21,965 | $12,246 | $27,456 | 6 |
| 6001333 | ****Nf-lupron Depot 6 Month Pwd Susp 45m | $26,264 | $21,011 | $14,288 | $26,264 | 5 |
| 6009125 | Tnkase Inj 50mg | $20,521 | $16,417 | $11,163 | $20,521 | 6 |
| 6001723 | Nf-lupron Depot 3 Month 22.5 Mg Syg | $10,975 | $8,780 | $5,970 | $10,975 | 5 |
| 6000717 | Nf-aranesp Injection Solution 0.5mg/1ml | $10,638 | $8,510 | $5,787 | $12,246 | 6 |
| 6002560 | Nf-humira Subcutaneous Solution 40mg/0.8 | $9,614 | $7,691 | $5,230 | $9,614 | 5 |
| 6009126 | Tpa Inj 100mg | $9,197 | $7,358 | $5,003 | $12,246 | 6 |
| 6002595 | Digifab Inj : 40mg | $7,983 | $6,386 | $4,343 | $12,246 | 6 |
| 6000198 | Nf-forteo 600mcg/2.4 Sub-q Inj *** | $7,750 | $6,200 | $658 | $7,750 | 6 |
| 6006146 | Neulasta Inj (Pegfilgrastim) : 6mg/0.6ml | $6,835 | $5,468 | $3,718 | $12,246 | 6 |
| 6000550 | *****Nf-antivenin Crotalidae Inj : | $6,040 | $4,832 | $3,286 | $12,246 | 6 |
| 6000330 | *****Nf-copaxone 20mg/ml Multiple Kit | $5,661 | $4,529 | $3,080 | $12,246 | 6 |
| 6002119 | Nf-tocilizumab Inj 20mg/ml (20ml Vial) | $5,444 | $4,355 | $2,962 | $12,246 | 6 |
| 6003064 | Nf-dalvance Iv Powder For Solution 500mg | $5,337 | $4,270 | $2,903 | $12,246 | 6 |
| 6007623 | Rabies Immune Globulin 300iu/ml (5 Ml) | $4,936 | $3,949 | $2,685 | $12,246 | 6 |
| 6002281 | Nf-sarilumab Inj 200mg/1.14ml | $4,812 | $3,850 | $2,618 | $4,812 | 5 |
| 6002282 | Nf-sarilumab/ns Iv 400mg/100ml | $4,812 | $3,850 | $2,618 | $12,246 | 6 |
| 9200420 | Control Nasal Hemor Co | $4,332 | $3,466 | $164 | $4,332 | 6 |
| 6002276 | Nf-tocilizumab Inj 162mg/0.9ml | $4,304 | $3,443 | $2,341 | $12,246 | 6 |
| 6002697 | Anavip Intravenous Powder For Solution | $3,960 | $3,168 | $2,154 | $12,246 | 6 |
| 6002870 | Nf-actemra Subcutaneoussolution 162mg/0. | $3,916 | $3,133 | $2,130 | $12,246 | 6 |
| 6002872 | Nf-actemra Actpen Subq Soln 162mg/0.9ml | $3,916 | $3,133 | $2,130 | $12,246 | 6 |
| 9201900 | Trigger Point Injection 20553 | $3,810 | $3,048 | $356 | $3,810 | 6 |
| 5703715 | Ct Abd Pelvis W Wo 74178 | $3,665 | $2,932 | $468 | $3,665 | 6 |
| 3409990 | Picc Place W/o Subcut Port/pump Under 5 | $3,515 | $2,812 | $1,665 | $3,515 | 6 |
| 3409991 | Picc Place W/o Subcut Port/pump Over 5 | $3,515 | $2,812 | $1,665 | $3,515 | 6 |
| 3409993 | Picc Pl W/o Subcut Port/pump W Rad > 5 Y | $3,515 | $2,812 | $1,665 | $3,515 | 6 |
| 3409995 | Picc Line Replace With Image All Age | $3,515 | $2,812 | $1,665 | $3,515 | 6 |
| 6001833 | Nf-aranesp 150 Mcg/0.3 Ml Singleject | $3,500 | $2,800 | $1,904 | $12,246 | 6 |
| 6000611 | *****Nf-nystatin Powder | $3,473 | $2,778 | $1,889 | $12,246 | 6 |
| 6000792 | *****Nf-nystatin Powder | $3,473 | $2,778 | $1,889 | $12,246 | 6 |
| 6001774 | . | $3,473 | $2,778 | $1,889 | $12,246 | 6 |
| 6001049 | Nf-forteo Subcutaneous Solution 250mcg/1 | $3,409 | $2,727 | $658 | $3,409 | 6 |
| 6000393 | Nf-gammagard S/d 10gm Intravenous Powder | $3,396 | $2,717 | $1,847 | $3,898 | 6 |
| 6001187 | Nf-norditropin Flexpro Subq Soln 30mg/3m | $3,333 | $2,666 | $1,813 | $3,333 | 5 |
| 5703028 | Cta Abd/pelvis W 74174 | $3,105 | $2,484 | $573 | $3,105 | 6 |
| 6000100 | Retavase : 20 Units | $3,016 | $2,413 | $1,641 | $12,246 | 6 |
| 6002488 | Nf-fomepizole Iv Solution 1gm/1ml | $3,000 | $2,400 | $1,632 | $3,000 | 5 |
| 6000685 | *****Nf-prolia Subc Solution 60mg/1ml | $2,855 | $2,284 | $1,553 | $12,246 | 6 |
| 5703716 | CT scan of abdomen and pelvis with contrast | $2,834 | $2,267 | $468 | $2,834 | 6 |
| 3000601 | Polysomnography W/cpap | $2,700 | $2,160 | $1,128 | $2,700 | 6 |
| 6007635 | Reclast (Zoledronic Acid) : 5mg/100ml | $2,631 | $2,105 | $1,431 | $2,631 | 5 |
| 6002457 | Nf-omnipaque 350 Injection Sol75.5% | $2,522 | $2,018 | $1,372 | $2,522 | 5 |
| 5703706 | Ct Abd Pelvis Wo 74176 | $2,451 | $1,961 | $468 | $2,451 | 6 |
| 6800067 | Debride Skin, Into Bone | $2,403 | $1,922 | $1,307 | $2,403 | 6 |
Showing top 50 of 7,600 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.