45 CFR § 180 compliance
Grade unavailable
A compliance grade and score are not available for this record. Missing assessment metadata does not establish noncompliance.
—Machine-readable file published: unknown
—Gross / standard charges: unknown
—Discounted cash price: unknown
—Payer-specific negotiated rates: unknown
—Min / max negotiated charges: unknown
—Free, public, no login required: unknown
Procedures listed
5,910
Insurances with rates
10
CPT / HCPCS codes
9
Most expensive procedures (gross)
1111590219
$83,300
brachytherapy yttrium 90 1 each Kit 1 Each
Gross
$119,000
78033184
$31,074
Basiliximab 20 MG Solr 1 Each Vial
Gross
$44,391
3008141601
$28,351
HC SEQ ANALYSIS EA COMPARATOR EXOME REF1
Gross
$40,501
3008141602
$28,351
HC SEQ ANALYSIS EA COMPARATOR EXOME REF2
Gross
$40,501
3008141603
$28,351
HC SEQ ANALYSIS EA COMPARATOR EXOME REF3
Gross
$40,501
3008141604
$28,351
HC SEQ ANALYSIS EA COMPARATOR EXOME REF4
Gross
$40,501
3008141605
$28,351
HC INV SEQ ANALYSIS EA COMPAR EXOME REF5
Gross
$40,501
3008141606
$28,351
HC GDX SEQ ANALYSIS EA COMPAR EXOME REF6
Gross
$40,501
3008141607
$28,351
HC GDX SEQ ANALYSIS EA COMPAR EXOME REF7
Gross
$40,501
3008141608
$28,351
HC GDX SEQ ANALYSIS EA COMPAR EXOME REF8
Gross
$40,501
3008141609
$28,351
HC GDX SEQ ANALYSIS EA COMPAR EXOME REF9
Gross
$40,501
3008141610
$28,351
HC GDX SEQ ANALYSIS EA COMP EXOME REF10
Gross
$40,501
3008141611
$28,351
HC GDX SEQ ANALYSIS EA COMP EXOME REF11
Gross
$40,501
74377903
$25,570
leuprolide acetate (3 Month) 11.25 MG Kit 1 Each Box
Gross
$36,529
9722402
$21,543
lymphocyte imm glob (equine) (ATGAM) 50 MG/ML Inj 5 mL Ampule
Gross
$30,776
3600000079
$20,315
HC OR TRAUMA CHARGE
Gross
$29,021
409080101
$18,354
Pentostatin 10 MG Solr 1 Each Vial
Gross
$26,220
3008151901
$17,926
HC ONCOTYPE BREAST CANCER ASSAY REF1
Gross
$25,609
597019705
$16,745
idaruCIZUmab 2.5 GM/50ML Soln 50 mL Vial
Gross
$23,921
9082703
$16,700
Dinoprostone 20 MG Supp 5 Each Box
Gross
$23,857
3008152101
$15,656
HC MAMMAPRINT ONC BREAST MRNA GENES REF1
Gross
$22,365
187520260
$14,723
metroNIDAZOLE (topical) 1 % Crea 60 g Tube
Gross
$21,032
74364203
$13,952
Leuprolide Acetate 7.5 MG Kit 1 Each Box
Gross
$19,931
74368303
$13,952
leuprolide acetate (4 Month) 30 MG Kit 1 Each Box
Gross
$19,931
74334603
$13,952
leuprolide acetate (3 Month) 22.5 MG Kit 1 Each Box
Gross
$19,931
3008152501
$12,257
HC ONCOTYPE DX COLON CANCER REF1
Gross
$17,510
74379902
$12,058
Adalimumab 40 MG/0.8ML Pskt 1 Each Box
Gross
$17,226
196022
$12,005
SPRINT PNS SYSTEM
Gross
$17,150
74366303
$11,708
leuprolide acetate (3 Month) 11.25 MG Kit 1 Each Box
Gross
$16,726
74364103
$11,708
leuprolide Acetate 3.75 MG Kit 1 Each Box
Gross
$16,726
3600000072
$10,981
HC PROSTATE BRACHYTHERAPY PROCED
Gross
$15,687
3008147001
$10,391
HC X LINKED INTELLECT DISABILITY REF1
Gross
$14,844
3008147101
$10,391
HC X LINKED INTELLECT DUP/DEL REF1
Gross
$14,844
MFG00550005
$9,652
cocaine 15 mL
Gross
$13,789
406152055
$8,385
cocaine Powd 25 g Bottle
Gross
$11,979
3008141501
$8,366
HC EXOME SEQUENCE ANALYSIS REF1
Gross
$11,951
3008141502
$8,366
HC EXOME SEQUENCE ANALYSIS REF2
Gross
$11,951
3008141503
$8,366
HC EXOME SEQUENCE ANALYSIS PROBAND REF3
Gross
$11,951
3008141504
$8,366
HC INV EXOME SEQUENC ANALYS PROBAND REF4
Gross
$11,951
3008141505
$8,366
HC GDX EXOME SEQUENC ANALYS PROBAND REF5
Gross
$11,951
3008141506
$8,366
HC GDX EXOME SEQUENC ANALYS PROBAND REF6
Gross
$11,951
3008141507
$8,366
HC GDX EXOME SEQUENC ANALYS PROBAND REF7
Gross
$11,951
3008141508
$8,366
HC GDX EXOME SEQUENC ANALYS PROBAND REF8
Gross
$11,951
3008141509
$8,366
HC GDX EXOME SEQUENC ANALYS PROBAND REF9
Gross
$11,951
4502557501
$8,329
HC OPEN TX RDL ULNAR FX W/FXTN (ED)
Gross
$11,899
4035009
$7,687
Peginterferon alfa-2a 180 MCG/ML Soln 1 mL Vial
Gross
$10,981
2780176402
$7,340
HC REVEAL EVENT RECORDER
Gross
$10,485
3008144801
$6,983
HC HEREDITARY PERIPH NEUROPATHY PNL REF1
Gross
$9,975
3008144802
$6,983
HC HEREDITRY SPASTIC PARAPLEGIA PNL REF2
Gross
$9,975
3000047001
$6,779
HC ONC PROSTATE MRNA 17 GENE REF1
Gross
$9,684
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1111590219 | brachytherapy yttrium 90 1 each Kit 1 Each | $119,000 | $83,300 | $5,950 | $81,813 | 30 |
| 78033184 | Basiliximab 20 MG Solr 1 Each Vial | $44,391 | $31,074 | $2,220 | $30,519 | 30 |
| 3008141601 | HC SEQ ANALYSIS EA COMPARATOR EXOME REF1 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141602 | HC SEQ ANALYSIS EA COMPARATOR EXOME REF2 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141603 | HC SEQ ANALYSIS EA COMPARATOR EXOME REF3 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141604 | HC SEQ ANALYSIS EA COMPARATOR EXOME REF4 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141605 | HC INV SEQ ANALYSIS EA COMPAR EXOME REF5 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141606 | HC GDX SEQ ANALYSIS EA COMPAR EXOME REF6 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141607 | HC GDX SEQ ANALYSIS EA COMPAR EXOME REF7 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141608 | HC GDX SEQ ANALYSIS EA COMPAR EXOME REF8 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141609 | HC GDX SEQ ANALYSIS EA COMPAR EXOME REF9 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141610 | HC GDX SEQ ANALYSIS EA COMP EXOME REF10 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 3008141611 | HC GDX SEQ ANALYSIS EA COMP EXOME REF11 | $40,501 | $28,351 | $2,025 | $27,844 | 30 |
| 74377903 | leuprolide acetate (3 Month) 11.25 MG Kit 1 Each Box | $36,529 | $25,570 | $1,826 | $25,114 | 30 |
| 9722402 | lymphocyte imm glob (equine) (ATGAM) 50 MG/ML Inj 5 mL Ampule | $30,776 | $21,543 | $1,539 | $21,159 | 30 |
| 3600000079 | HC OR TRAUMA CHARGE | $29,021 | $20,315 | $1,451 | $19,952 | 30 |
| 409080101 | Pentostatin 10 MG Solr 1 Each Vial | $26,220 | $18,354 | $1,311 | $18,026 | 30 |
| 3008151901 | HC ONCOTYPE BREAST CANCER ASSAY REF1 | $25,609 | $17,926 | $1,280 | $17,606 | 30 |
| 597019705 | idaruCIZUmab 2.5 GM/50ML Soln 50 mL Vial | $23,921 | $16,745 | $1,196 | $16,446 | 30 |
| 9082703 | Dinoprostone 20 MG Supp 5 Each Box | $23,857 | $16,700 | $1,193 | $16,401 | 30 |
| 3008152101 | HC MAMMAPRINT ONC BREAST MRNA GENES REF1 | $22,365 | $15,656 | $1,118 | $15,376 | 30 |
| 187520260 | metroNIDAZOLE (topical) 1 % Crea 60 g Tube | $21,032 | $14,723 | $1,052 | $14,460 | 30 |
| 74364203 | Leuprolide Acetate 7.5 MG Kit 1 Each Box | $19,931 | $13,952 | $997 | $13,703 | 30 |
| 74368303 | leuprolide acetate (4 Month) 30 MG Kit 1 Each Box | $19,931 | $13,952 | $997 | $13,703 | 30 |
| 74334603 | leuprolide acetate (3 Month) 22.5 MG Kit 1 Each Box | $19,931 | $13,952 | $997 | $13,703 | 30 |
| 3008152501 | HC ONCOTYPE DX COLON CANCER REF1 | $17,510 | $12,257 | $876 | $12,038 | 30 |
| 74379902 | Adalimumab 40 MG/0.8ML Pskt 1 Each Box | $17,226 | $12,058 | $861 | $11,843 | 30 |
| 196022 | SPRINT PNS SYSTEM | $17,150 | $12,005 | $858 | $11,791 | 30 |
| 74366303 | leuprolide acetate (3 Month) 11.25 MG Kit 1 Each Box | $16,726 | $11,708 | $836 | $11,499 | 30 |
| 74364103 | leuprolide Acetate 3.75 MG Kit 1 Each Box | $16,726 | $11,708 | $836 | $11,499 | 30 |
| 3600000072 | HC PROSTATE BRACHYTHERAPY PROCED | $15,687 | $10,981 | $784 | $10,785 | 30 |
| 3008147001 | HC X LINKED INTELLECT DISABILITY REF1 | $14,844 | $10,391 | $742 | $10,205 | 30 |
| 3008147101 | HC X LINKED INTELLECT DUP/DEL REF1 | $14,844 | $10,391 | $742 | $10,205 | 30 |
| MFG00550005 | cocaine 15 mL | $13,789 | $9,652 | $689 | $9,480 | 30 |
| 406152055 | cocaine Powd 25 g Bottle | $11,979 | $8,385 | $599 | $8,236 | 30 |
| 3008141501 | HC EXOME SEQUENCE ANALYSIS REF1 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141502 | HC EXOME SEQUENCE ANALYSIS REF2 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141503 | HC EXOME SEQUENCE ANALYSIS PROBAND REF3 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141504 | HC INV EXOME SEQUENC ANALYS PROBAND REF4 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141505 | HC GDX EXOME SEQUENC ANALYS PROBAND REF5 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141506 | HC GDX EXOME SEQUENC ANALYS PROBAND REF6 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141507 | HC GDX EXOME SEQUENC ANALYS PROBAND REF7 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141508 | HC GDX EXOME SEQUENC ANALYS PROBAND REF8 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 3008141509 | HC GDX EXOME SEQUENC ANALYS PROBAND REF9 | $11,951 | $8,366 | $598 | $8,216 | 30 |
| 4502557501 | HC OPEN TX RDL ULNAR FX W/FXTN (ED) | $11,899 | $8,329 | $595 | $8,181 | 30 |
| 4035009 | Peginterferon alfa-2a 180 MCG/ML Soln 1 mL Vial | $10,981 | $7,687 | $549 | $7,549 | 30 |
| 2780176402 | HC REVEAL EVENT RECORDER | $10,485 | $7,340 | $524 | $7,208 | 30 |
| 3008144801 | HC HEREDITARY PERIPH NEUROPATHY PNL REF1 | $9,975 | $6,983 | $499 | $6,858 | 30 |
| 3008144802 | HC HEREDITRY SPASTIC PARAPLEGIA PNL REF2 | $9,975 | $6,983 | $499 | $6,858 | 30 |
| 3000047001 | HC ONC PROSTATE MRNA 17 GENE REF1 | $9,684 | $6,779 | $484 | $6,658 | 30 |
Showing top 50 of 5,910 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.