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
1,461
Insurances with rates
12
CPT / HCPCS codes
1,429
Most expensive procedures (gross)
J3245
$55,084
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$56,787
J3245
$55,084
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$56,787
J2327
$44,318
Risankizumab-Rzaa 600 Mg/10 Ml
Gross
$45,688
J2327
$44,318
Risankizumab-Rzaa 600 Mg/10 Ml
Gross
$45,688
J3380
$39,993
Vedolizumab 300 MG Vial
Gross
$41,229
J3380
$39,993
Vedolizumab 300 MG Vial
Gross
$41,229
81352
$10,719
TP53 Somatic Mutation, Prog
Gross
$11,051
81352
$10,719
TP53 Somatic Mutation, Prog
Gross
$11,051
Q5111
$8,657
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$8,925
Q5111
$8,657
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$8,925
74178
$8,456
CT Abd & Pelv WWO Contrast
Gross
$8,718
74178
$8,456
CT Abd & Pelv WWO Contrast
Gross
$8,718
74174
$8,157
CTA Abd&Pelv WWO Dye
Gross
$8,409
74174
$8,157
CTA Abd&Pelv WWO Dye
Gross
$8,409
74177
$7,597
CT Abd & Pelv W Contrast
Gross
$7,832
74177
$7,597
CT Abd & Pelv W Contrast
Gross
$7,832
J0897
$7,309
Denosumab 60 MG/ML Syringe
Gross
$7,534
J0897
$7,309
Denosumab 60 MG/ML Syringe
Gross
$7,534
74176
$7,078
CT Abd & Pelvis WO Contrast
Gross
$7,297
74176
$7,078
CT Abd & Pelvis WO Contrast
Gross
$7,297
73720
$6,916
MRI LE WWO Dye LT
Gross
$7,130
73720
$6,916
MRI LE WWO Dye LT
Gross
$7,130
J0129
$6,261
Abatacept 250 MG Vial
Gross
$6,454
J0129
$6,261
Abatacept 250 MG Vial
Gross
$6,454
74183
$5,631
MRI Abdomen WWO Dye
Gross
$5,805
74183
$5,631
MRI Abdomen WWO Dye
Gross
$5,805
J0585
$5,392
Botulinum Tx Type A 200 Un vl
Gross
$5,559
J0585
$5,392
Botulinum Tx Type A 200 Un vl
Gross
$5,559
74175
$5,154
CTA Abdom WWO Dye
Gross
$5,313
74175
$5,154
CTA Abdom WWO Dye
Gross
$5,313
70496
$5,037
CT Angiography Head W Cont
Gross
$5,193
70496
$5,037
CT Angiography Head W Cont
Gross
$5,193
73222
$4,901
MRI Joint UE W Dye LT
Gross
$5,053
73222
$4,901
MRI Joint UE W Dye LT
Gross
$5,053
J9202
$4,523
Goserelin 3.6 MG Implant
Gross
$4,663
J9202
$4,523
Goserelin 3.6 MG Implant
Gross
$4,663
71275
$4,481
CTA Chest WWO Contrast
Gross
$4,620
71275
$4,481
CTA Chest WWO Contrast
Gross
$4,620
70553
$4,380
MRI Brain WWO Contrast
Gross
$4,515
70553
$4,380
MRI Brain WWO Contrast
Gross
$4,515
J1439
$4,353
Ferric Carboxymalt 750MG/15ML
Gross
$4,487
J1439
$4,353
Ferric Carboxymalt 750MG/15ML
Gross
$4,487
72132
$4,208
CT Lumbar Spine W Contrast
Gross
$4,338
72132
$4,208
CT Lumbar Spine W Contrast
Gross
$4,338
70492
$4,188
CT Soft Tissue Neck WWO Cont
Gross
$4,318
70492
$4,188
CT Soft Tissue Neck WWO Cont
Gross
$4,318
70543
$4,171
MRI Orbit Face Neck WWO Cont
Gross
$4,300
72156
$4,171
MRI Neck Spine WWO Dye
Gross
$4,300
72157
$4,171
MRI Chest Spine WWO Dye
Gross
$4,300
72158
$4,171
MRI Lumbar Spine WWO Dye
Gross
$4,300
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $56,787 | $55,084 | — | — | 6 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $56,787 | $55,084 | — | — | 6 |
| J2327 | Risankizumab-Rzaa 600 Mg/10 Ml | $45,688 | $44,318 | — | — | 6 |
| J2327 | Risankizumab-Rzaa 600 Mg/10 Ml | $45,688 | $44,318 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $41,229 | $39,993 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $41,229 | $39,993 | — | — | 6 |
| 81352 | TP53 Somatic Mutation, Prog | $11,051 | $10,719 | — | — | 6 |
| 81352 | TP53 Somatic Mutation, Prog | $11,051 | $10,719 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $8,718 | $8,456 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $8,718 | $8,456 | — | — | 8 |
| 74174 | CTA Abd&Pelv WWO Dye | $8,409 | $8,157 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $8,409 | $8,157 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $7,832 | $7,597 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $7,832 | $7,597 | — | — | 10 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,534 | $7,309 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,534 | $7,309 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $7,297 | $7,078 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $7,297 | $7,078 | — | — | 10 |
| 73720 | MRI LE WWO Dye LT | $7,130 | $6,916 | — | — | 6 |
| 73720 | MRI LE WWO Dye LT | $7,130 | $6,916 | — | — | 6 |
| J0129 | Abatacept 250 MG Vial | $6,454 | $6,261 | — | — | 6 |
| J0129 | Abatacept 250 MG Vial | $6,454 | $6,261 | — | — | 6 |
| 74183 | MRI Abdomen WWO Dye | $5,805 | $5,631 | — | — | 6 |
| 74183 | MRI Abdomen WWO Dye | $5,805 | $5,631 | — | — | 8 |
| J0585 | Botulinum Tx Type A 200 Un vl | $5,559 | $5,392 | — | — | 6 |
| J0585 | Botulinum Tx Type A 200 Un vl | $5,559 | $5,392 | — | — | 8 |
| 74175 | CTA Abdom WWO Dye | $5,313 | $5,154 | — | — | 6 |
| 74175 | CTA Abdom WWO Dye | $5,313 | $5,154 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $5,193 | $5,037 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $5,193 | $5,037 | — | — | 9 |
| 73222 | MRI Joint UE W Dye LT | $5,053 | $4,901 | — | — | 6 |
| 73222 | MRI Joint UE W Dye LT | $5,053 | $4,901 | — | — | 6 |
| J9202 | Goserelin 3.6 MG Implant | $4,663 | $4,523 | — | — | 6 |
| J9202 | Goserelin 3.6 MG Implant | $4,663 | $4,523 | — | — | 6 |
| 71275 | CTA Chest WWO Contrast | $4,620 | $4,481 | — | — | 6 |
| 71275 | CTA Chest WWO Contrast | $4,620 | $4,481 | — | — | 9 |
| 70553 | MRI Brain WWO Contrast | $4,515 | $4,380 | — | — | 6 |
| 70553 | MRI Brain WWO Contrast | $4,515 | $4,380 | — | — | 9 |
| J1439 | Ferric Carboxymalt 750MG/15ML | $4,487 | $4,353 | — | — | 6 |
| J1439 | Ferric Carboxymalt 750MG/15ML | $4,487 | $4,353 | — | — | 7 |
| 72132 | CT Lumbar Spine W Contrast | $4,338 | $4,208 | — | — | 6 |
| 72132 | CT Lumbar Spine W Contrast | $4,338 | $4,208 | — | — | 6 |
| 70492 | CT Soft Tissue Neck WWO Cont | $4,318 | $4,188 | — | — | 6 |
| 70492 | CT Soft Tissue Neck WWO Cont | $4,318 | $4,188 | — | — | 7 |
| 70543 | MRI Orbit Face Neck WWO Cont | $4,300 | $4,171 | — | — | 6 |
| 72156 | MRI Neck Spine WWO Dye | $4,300 | $4,171 | — | — | 6 |
| 72157 | MRI Chest Spine WWO Dye | $4,300 | $4,171 | — | — | 6 |
| 72158 | MRI Lumbar Spine WWO Dye | $4,300 | $4,171 | — | — | 6 |
Showing top 50 of 1,461 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.