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
1,598
Insurances with rates
13
CPT / HCPCS codes
1,558
Most expensive procedures (gross)
J3380
$27,541
Vedolizumab 300 MG Vial
Gross
$27,540
J3380
$27,541
Vedolizumab 300 MG Vial
Gross
$27,540
J3101
$20,985
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$20,985
J3101
$20,985
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$20,985
J0717
$14,721
Certolizumab Pegol 400 Mg Kit
Gross
$14,721
J0717
$14,721
Certolizumab Pegol 400 Mg Kit
Gross
$14,721
J9312
$14,143
Rituximab 500 MG/50 ML Vial
Gross
$14,142
J9312
$14,143
Rituximab 500 MG/50 ML Vial
Gross
$14,142
J1306
$10,326
Inclisiran 284mg/1.5ml Syringe
Gross
$10,326
J1306
$10,326
Inclisiran 284mg/1.5ml Syringe
Gross
$10,326
74178
$9,481
CT Abd & Pelv WWO Contrast
Gross
$9,481
74178
$9,481
CT Abd & Pelv WWO Contrast
Gross
$9,481
74174
$8,249
CTA Abd&Pelv WWO Dye
Gross
$8,249
74174
$8,249
CTA Abd&Pelv WWO Dye
Gross
$8,249
J3262
$7,982
Tocilizumab 400 MG/20 ML Vial
Gross
$7,981
J3262
$7,982
Tocilizumab 400 MG/20 ML Vial
Gross
$7,981
Q5115
$7,470
Rituximab-ABBS 500Mg/50Ml Vial
Gross
$7,469
Q5115
$7,470
Rituximab-ABBS 500Mg/50Ml Vial
Gross
$7,469
J3111
$7,450
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$7,450
J3111
$7,450
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$7,450
74177
$7,379
CT Abd & Pelv W Contrast
Gross
$7,379
74177
$7,379
CT Abd & Pelv W Contrast
Gross
$7,379
Q5119
$7,219
Rituximab-PVVR 500Mg/50Ml Vial
Gross
$7,219
Q5119
$7,219
Rituximab-PVVR 500Mg/50Ml Vial
Gross
$7,219
J1437
$7,023
Ferric Derisomaltose 1,000 Mg
Gross
$7,022
J1437
$7,023
Ferric Derisomaltose 1,000 Mg
Gross
$7,022
J3247
$6,417
Secukinumab 125 Mg/5 Ml Vial
Gross
$6,417
J3247
$6,417
Secukinumab 125 Mg/5 Ml Vial
Gross
$6,417
74176
$6,241
CT Abd & Pelvis WO Contrast
Gross
$6,241
74176
$6,241
CT Abd & Pelvis WO Contrast
Gross
$6,241
95811
$5,905
Polysomnogram W CPap
Gross
$5,905
95811
$5,905
Polysomnogram W CPap
Gross
$5,905
J1602
$5,895
Golimumab 50 MG/4 ML Vial
Gross
$5,894
J1602
$5,895
Golimumab 50 MG/4 ML Vial
Gross
$5,894
74183
$5,514
MRI Abdomen WWO Dye
Gross
$5,514
74183
$5,514
MRI Abdomen WWO Dye
Gross
$5,514
95810
$5,451
Polysomnogram
Gross
$5,451
95810
$5,451
Polysomnogram
Gross
$5,451
72158
$5,125
MRI Lumbar Spine WWO Dye
Gross
$5,125
72158
$5,125
MRI Lumbar Spine WWO Dye
Gross
$5,125
72148
$5,032
MRI Lumbar Spine WO Dye
Gross
$5,032
72148
$5,032
MRI Lumbar Spine WO Dye
Gross
$5,032
J0897
$4,979
Denosumab 60 MG/ML Syringe
Gross
$4,978
J0897
$4,979
Denosumab 60 MG/ML Syringe
Gross
$4,978
72197
$4,880
MRI Pelvis WWO Dye
Gross
$4,880
73723
$4,880
MRI Joint LE WWO Dye LT
Gross
$4,880
73723
$4,880
MRI Joint LE WWO Dye RT
Gross
$4,880
72197
$4,880
MRI Pelvis WWO Dye
Gross
$4,880
73221
$4,867
MRI Joint UE WO Dye LT
Gross
$4,867
73221
$4,867
MRI Joint UE WO Dye LT
Gross
$4,867
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | Vedolizumab 300 MG Vial | $27,540 | $27,541 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $27,540 | $27,541 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $20,985 | $20,985 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $20,985 | $20,985 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $14,721 | $14,721 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $14,721 | $14,721 | — | — | 6 |
| J9312 | Rituximab 500 MG/50 ML Vial | $14,142 | $14,143 | — | — | 6 |
| J9312 | Rituximab 500 MG/50 ML Vial | $14,142 | $14,143 | — | — | 6 |
| J1306 | Inclisiran 284mg/1.5ml Syringe | $10,326 | $10,326 | — | — | 6 |
| J1306 | Inclisiran 284mg/1.5ml Syringe | $10,326 | $10,326 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $9,481 | $9,481 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $9,481 | $9,481 | — | — | 8 |
| 74174 | CTA Abd&Pelv WWO Dye | $8,249 | $8,249 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $8,249 | $8,249 | — | — | 6 |
| J3262 | Tocilizumab 400 MG/20 ML Vial | $7,981 | $7,982 | — | — | 6 |
| J3262 | Tocilizumab 400 MG/20 ML Vial | $7,981 | $7,982 | — | — | 6 |
| Q5115 | Rituximab-ABBS 500Mg/50Ml Vial | $7,469 | $7,470 | — | — | 6 |
| Q5115 | Rituximab-ABBS 500Mg/50Ml Vial | $7,469 | $7,470 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $7,450 | $7,450 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $7,450 | $7,450 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $7,379 | $7,379 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $7,379 | $7,379 | — | — | 12 |
| Q5119 | Rituximab-PVVR 500Mg/50Ml Vial | $7,219 | $7,219 | — | — | 6 |
| Q5119 | Rituximab-PVVR 500Mg/50Ml Vial | $7,219 | $7,219 | — | — | 6 |
| J1437 | Ferric Derisomaltose 1,000 Mg | $7,022 | $7,023 | — | — | 6 |
| J1437 | Ferric Derisomaltose 1,000 Mg | $7,022 | $7,023 | — | — | 6 |
| J3247 | Secukinumab 125 Mg/5 Ml Vial | $6,417 | $6,417 | — | — | 6 |
| J3247 | Secukinumab 125 Mg/5 Ml Vial | $6,417 | $6,417 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,241 | $6,241 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,241 | $6,241 | — | — | 11 |
| 95811 | Polysomnogram W CPap | $5,905 | $5,905 | — | — | 6 |
| 95811 | Polysomnogram W CPap | $5,905 | $5,905 | — | — | 9 |
| J1602 | Golimumab 50 MG/4 ML Vial | $5,894 | $5,895 | — | — | 6 |
| J1602 | Golimumab 50 MG/4 ML Vial | $5,894 | $5,895 | — | — | 6 |
| 74183 | MRI Abdomen WWO Dye | $5,514 | $5,514 | — | — | 6 |
| 74183 | MRI Abdomen WWO Dye | $5,514 | $5,514 | — | — | 9 |
| 95810 | Polysomnogram | $5,451 | $5,451 | — | — | 6 |
| 95810 | Polysomnogram | $5,451 | $5,451 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,125 | $5,125 | — | — | 6 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,125 | $5,125 | — | — | 6 |
| 72148 | MRI Lumbar Spine WO Dye | $5,032 | $5,032 | — | — | 6 |
| 72148 | MRI Lumbar Spine WO Dye | $5,032 | $5,032 | — | — | 10 |
| J0897 | Denosumab 60 MG/ML Syringe | $4,978 | $4,979 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $4,978 | $4,979 | — | — | 6 |
| 72197 | MRI Pelvis WWO Dye | $4,880 | $4,880 | — | — | 6 |
| 73723 | MRI Joint LE WWO Dye LT | $4,880 | $4,880 | — | — | 6 |
| 73723 | MRI Joint LE WWO Dye RT | $4,880 | $4,880 | — | — | 6 |
| 72197 | MRI Pelvis WWO Dye | $4,880 | $4,880 | — | — | 6 |
| 73221 | MRI Joint UE WO Dye LT | $4,867 | $4,867 | — | — | 6 |
| 73221 | MRI Joint UE WO Dye LT | $4,867 | $4,867 | — | — | 9 |
Showing top 50 of 1,598 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.