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
1,341
Insurances with rates
15
CPT / HCPCS codes
1,311
Most expensive procedures (gross)
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3101
$30,637
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
J0717
$25,110
Certolizumab Pegol 400 Mg Kit
Gross
$25,886
J9202
$11,874
Goserelin 10.8 MG Implant
Gross
$12,241
J9202
$11,874
Goserelin 10.8 MG Implant
Gross
$12,241
J3262
$11,665
Tocilizumab 400 MG/20 ML Vial
Gross
$12,026
J3262
$11,665
Tocilizumab 400 MG/20 ML Vial
Gross
$12,026
Q5115
$10,941
Rituximab-ABBS 500Mg/50Ml Vial
Gross
$11,279
Q5115
$10,941
Rituximab-ABBS 500Mg/50Ml Vial
Gross
$11,279
74174
$9,153
CTA Abd&Pelv WWO Dye
Gross
$9,436
74178
$9,153
CT Abd & Pelv WWO Contrast
Gross
$9,436
74178
$9,153
CT Abd & Pelv WWO Contrast
Gross
$9,436
74174
$9,153
CTA Abd&Pelv WWO Dye
Gross
$9,436
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
J1602
$8,577
Golimumab 50 MG/4 ML Vial
Gross
$8,842
J1602
$8,577
Golimumab 50 MG/4 ML Vial
Gross
$8,842
Q5135
$8,157
Tocilizumab-Aazg 400 Mg/20 Ml
Gross
$8,409
Q5135
$8,157
Tocilizumab-Aazg 400 Mg/20 Ml
Gross
$8,409
74177
$7,897
CT Abd & Pelv W Contrast
Gross
$8,141
74177
$7,897
CT Abd & Pelv W Contrast
Gross
$8,141
J3032
$7,862
Eptinezumab-JJMR 100Mg/Ml Vial
Gross
$8,104
J3032
$7,862
Eptinezumab-JJMR 100Mg/Ml Vial
Gross
$8,104
J0897
$7,391
Denosumab 60 MG/ML Syringe
Gross
$7,619
J0897
$7,391
Denosumab 60 MG/ML Syringe
Gross
$7,619
74176
$6,645
CT Abd & Pelvis WO Contrast
Gross
$6,850
74176
$6,645
CT Abd & Pelvis WO Contrast
Gross
$6,850
70549
$5,158
MRA Neck WWO Contrast
Gross
$5,318
70553
$5,158
MRI Brain WWO Contrast
Gross
$5,318
72156
$5,158
MRI Neck Spine WWO Dye
Gross
$5,318
72158
$5,158
MRI Lumbar Spine WWO Dye
Gross
$5,318
74183
$5,158
MRI Abdomen WWO Dye
Gross
$5,318
72158
$5,158
MRI Lumbar Spine WWO Dye
Gross
$5,318
74183
$5,158
MRI Abdomen WWO Dye
Gross
$5,318
72156
$5,158
MRI Neck Spine WWO Dye
Gross
$5,318
70549
$5,158
MRA Neck WWO Contrast
Gross
$5,318
70553
$5,158
MRI Brain WWO Contrast
Gross
$5,318
72157
$5,021
MRI Chest Spine WWO Dye
Gross
$5,176
72157
$5,021
MRI Chest Spine WWO Dye
Gross
$5,176
78451
$4,872
Myocard Perf Spect Rest Or Str
Gross
$5,023
78452
$4,872
Myocard Perf Spect Rest Stress
Gross
$5,023
78452
$4,872
Myocard Perf Spect Rest Stress
Gross
$5,023
78451
$4,872
Myocard Perf Spect Rest Or Str
Gross
$5,023
71260
$4,757
CT Thorax W Contrast
Gross
$4,904
71260
$4,757
CT Thorax W Contrast
Gross
$4,904
70487
$4,609
CT Maxillofacial W Contrast
Gross
$4,752
72129
$4,609
CT Thoracic Spine W Contrast
Gross
$4,752
70487
$4,609
CT Maxillofacial W Contrast
Gross
$4,752
72129
$4,609
CT Thoracic Spine W Contrast
Gross
$4,752
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 10 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 8 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 9 |
| J9202 | Goserelin 10.8 MG Implant | $12,241 | $11,874 | — | — | 8 |
| J9202 | Goserelin 10.8 MG Implant | $12,241 | $11,874 | — | — | 8 |
| J3262 | Tocilizumab 400 MG/20 ML Vial | $12,026 | $11,665 | — | — | 8 |
| J3262 | Tocilizumab 400 MG/20 ML Vial | $12,026 | $11,665 | — | — | 8 |
| Q5115 | Rituximab-ABBS 500Mg/50Ml Vial | $11,279 | $10,941 | — | — | 8 |
| Q5115 | Rituximab-ABBS 500Mg/50Ml Vial | $11,279 | $10,941 | — | — | 8 |
| 74174 | CTA Abd&Pelv WWO Dye | $9,436 | $9,153 | — | — | 8 |
| 74178 | CT Abd & Pelv WWO Contrast | $9,436 | $9,153 | — | — | 8 |
| 74178 | CT Abd & Pelv WWO Contrast | $9,436 | $9,153 | — | — | 9 |
| 74174 | CTA Abd&Pelv WWO Dye | $9,436 | $9,153 | — | — | 9 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 8 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $8,925 | $8,657 | — | — | 8 |
| J1602 | Golimumab 50 MG/4 ML Vial | $8,842 | $8,577 | — | — | 8 |
| J1602 | Golimumab 50 MG/4 ML Vial | $8,842 | $8,577 | — | — | 8 |
| Q5135 | Tocilizumab-Aazg 400 Mg/20 Ml | $8,409 | $8,157 | — | — | 8 |
| Q5135 | Tocilizumab-Aazg 400 Mg/20 Ml | $8,409 | $8,157 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $8,141 | $7,897 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $8,141 | $7,897 | — | — | 15 |
| J3032 | Eptinezumab-JJMR 100Mg/Ml Vial | $8,104 | $7,862 | — | — | 8 |
| J3032 | Eptinezumab-JJMR 100Mg/Ml Vial | $8,104 | $7,862 | — | — | 8 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,619 | $7,391 | — | — | 8 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,619 | $7,391 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,850 | $6,645 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,850 | $6,645 | — | — | 13 |
| 70549 | MRA Neck WWO Contrast | $5,318 | $5,158 | — | — | 8 |
| 70553 | MRI Brain WWO Contrast | $5,318 | $5,158 | — | — | 8 |
| 72156 | MRI Neck Spine WWO Dye | $5,318 | $5,158 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,318 | $5,158 | — | — | 8 |
| 74183 | MRI Abdomen WWO Dye | $5,318 | $5,158 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,318 | $5,158 | — | — | 8 |
| 74183 | MRI Abdomen WWO Dye | $5,318 | $5,158 | — | — | 11 |
| 72156 | MRI Neck Spine WWO Dye | $5,318 | $5,158 | — | — | 8 |
| 70549 | MRA Neck WWO Contrast | $5,318 | $5,158 | — | — | 8 |
| 70553 | MRI Brain WWO Contrast | $5,318 | $5,158 | — | — | 11 |
| 72157 | MRI Chest Spine WWO Dye | $5,176 | $5,021 | — | — | 8 |
| 72157 | MRI Chest Spine WWO Dye | $5,176 | $5,021 | — | — | 8 |
| 78451 | Myocard Perf Spect Rest Or Str | $5,023 | $4,872 | — | — | 8 |
| 78452 | Myocard Perf Spect Rest Stress | $5,023 | $4,872 | — | — | 8 |
| 78452 | Myocard Perf Spect Rest Stress | $5,023 | $4,872 | — | — | 8 |
| 78451 | Myocard Perf Spect Rest Or Str | $5,023 | $4,872 | — | — | 10 |
| 71260 | CT Thorax W Contrast | $4,904 | $4,757 | — | — | 8 |
| 71260 | CT Thorax W Contrast | $4,904 | $4,757 | — | — | 10 |
| 70487 | CT Maxillofacial W Contrast | $4,752 | $4,609 | — | — | 8 |
| 72129 | CT Thoracic Spine W Contrast | $4,752 | $4,609 | — | — | 8 |
| 70487 | CT Maxillofacial W Contrast | $4,752 | $4,609 | — | — | 8 |
| 72129 | CT Thoracic Spine W Contrast | $4,752 | $4,609 | — | — | 8 |
Showing top 50 of 1,341 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.