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
1,247
Insurances with rates
6
CPT / HCPCS codes
1,228
Most expensive procedures (gross)
J3245
$50,400
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$50,399
J3245
$50,400
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$50,399
J3380
$37,495
Vedolizumab 300 MG Vial
Gross
$37,494
J3380
$37,495
Vedolizumab 300 MG Vial
Gross
$37,494
J3101
$27,997
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$27,997
J3101
$27,997
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$27,997
J2353
$25,206
Octreotide (Depot) 30 MG Syr
Gross
$25,205
J2353
$25,206
Octreotide (Depot) 30 MG Syr
Gross
$25,205
J0717
$22,932
Certolizumab Pegol 400 Mg Kit
Gross
$22,931
J0717
$22,932
Certolizumab Pegol 400 Mg Kit
Gross
$22,931
J3111
$9,991
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$9,990
J3111
$9,991
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$9,990
J1437
$9,381
Ferric Derisomaltose 1,000 Mg
Gross
$9,380
J1437
$9,381
Ferric Derisomaltose 1,000 Mg
Gross
$9,380
J1602
$7,876
Golimumab 50 MG/4 ML Vial
Gross
$7,876
J1602
$7,876
Golimumab 50 MG/4 ML Vial
Gross
$7,876
Q5111
$7,855
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$7,855
Q5111
$7,855
Pegfilgrastim-Cbqv 6 Mg/0.6 Ml
Gross
$7,855
Q5122
$7,205
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$7,204
Q5122
$7,205
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$7,204
J2426
$7,097
Paliperidone Palmit 156 MG/ML
Gross
$7,096
J2426
$7,097
Paliperidone Palmit 156 MG/ML
Gross
$7,096
J0897
$6,680
Denosumab 60 MG/ML Syringe
Gross
$6,679
J0897
$6,680
Denosumab 60 MG/ML Syringe
Gross
$6,679
74178
$6,391
CT Abd & Pelv WWO Contrast
Gross
$6,391
74178
$6,391
CT Abd & Pelv WWO Contrast
Gross
$6,391
74177
$6,125
CT Abd & Pelv W Contrast
Gross
$6,125
74177
$6,125
CT Abd & Pelv W Contrast
Gross
$6,125
74176
$5,889
CT Abd & Pelvis WO Contrast
Gross
$5,889
74176
$5,889
CT Abd & Pelvis WO Contrast
Gross
$5,889
70553
$5,750
MRI Brain WWO Contrast
Gross
$5,750
72156
$5,750
MRI Neck Spine WWO Dye
Gross
$5,750
72158
$5,750
MRI Lumbar Spine WWO Dye
Gross
$5,750
72197
$5,750
MRI Pelvis WWO Dye
Gross
$5,750
74183
$5,750
MRI Abdomen WWO Dye
Gross
$5,750
73720
$5,750
MRI LE WWO Dye LT
Gross
$5,750
73720
$5,750
MRI LE WWO Dye LT
Gross
$5,750
72158
$5,750
MRI Lumbar Spine WWO Dye
Gross
$5,750
74183
$5,750
MRI Abdomen WWO Dye
Gross
$5,750
72156
$5,750
MRI Neck Spine WWO Dye
Gross
$5,750
70553
$5,750
MRI Brain WWO Contrast
Gross
$5,750
72197
$5,750
MRI Pelvis WWO Dye
Gross
$5,750
74181
$5,375
MRI Abdomen WO Dye
Gross
$5,375
73221
$5,375
MRI Joint UE WO Dye RT
Gross
$5,375
73221
$5,375
MRI Joint UE WO Dye RT
Gross
$5,375
74181
$5,375
MRI Abdomen WO Dye
Gross
$5,375
95811
$5,029
Polysomnogram W CPap
Gross
$5,029
95811
$5,029
Polysomnogram W CPap
Gross
$5,029
70496
$4,966
CT Angiography Head W Cont
Gross
$4,966
70498
$4,966
CT Angiography Neck W Cont
Gross
$4,966
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $50,399 | $50,400 | — | — | 6 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $50,399 | $50,400 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $37,494 | $37,495 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $37,494 | $37,495 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $27,997 | $27,997 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $27,997 | $27,997 | — | — | 6 |
| J2353 | Octreotide (Depot) 30 MG Syr | $25,205 | $25,206 | — | — | 6 |
| J2353 | Octreotide (Depot) 30 MG Syr | $25,205 | $25,206 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $22,931 | $22,932 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $22,931 | $22,932 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $9,990 | $9,991 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $9,990 | $9,991 | — | — | 6 |
| J1437 | Ferric Derisomaltose 1,000 Mg | $9,380 | $9,381 | — | — | 6 |
| J1437 | Ferric Derisomaltose 1,000 Mg | $9,380 | $9,381 | — | — | 6 |
| J1602 | Golimumab 50 MG/4 ML Vial | $7,876 | $7,876 | — | — | 6 |
| J1602 | Golimumab 50 MG/4 ML Vial | $7,876 | $7,876 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $7,855 | $7,855 | — | — | 6 |
| Q5111 | Pegfilgrastim-Cbqv 6 Mg/0.6 Ml | $7,855 | $7,855 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $7,204 | $7,205 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $7,204 | $7,205 | — | — | 6 |
| J2426 | Paliperidone Palmit 156 MG/ML | $7,096 | $7,097 | — | — | 6 |
| J2426 | Paliperidone Palmit 156 MG/ML | $7,096 | $7,097 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $6,679 | $6,680 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $6,679 | $6,680 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $6,391 | $6,391 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $6,391 | $6,391 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $6,125 | $6,125 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $6,125 | $6,125 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $5,889 | $5,889 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $5,889 | $5,889 | — | — | 6 |
| 70553 | MRI Brain WWO Contrast | $5,750 | $5,750 | — | — | 6 |
| 72156 | MRI Neck Spine WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 72197 | MRI Pelvis WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 74183 | MRI Abdomen WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 73720 | MRI LE WWO Dye LT | $5,750 | $5,750 | — | — | 6 |
| 73720 | MRI LE WWO Dye LT | $5,750 | $5,750 | — | — | 6 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 74183 | MRI Abdomen WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 72156 | MRI Neck Spine WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 70553 | MRI Brain WWO Contrast | $5,750 | $5,750 | — | — | 6 |
| 72197 | MRI Pelvis WWO Dye | $5,750 | $5,750 | — | — | 6 |
| 74181 | MRI Abdomen WO Dye | $5,375 | $5,375 | — | — | 6 |
| 73221 | MRI Joint UE WO Dye RT | $5,375 | $5,375 | — | — | 6 |
| 73221 | MRI Joint UE WO Dye RT | $5,375 | $5,375 | — | — | 6 |
| 74181 | MRI Abdomen WO Dye | $5,375 | $5,375 | — | — | 6 |
| 95811 | Polysomnogram W CPap | $5,029 | $5,029 | — | — | 6 |
| 95811 | Polysomnogram W CPap | $5,029 | $5,029 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $4,966 | $4,966 | — | — | 6 |
| 70498 | CT Angiography Neck W Cont | $4,966 | $4,966 | — | — | 6 |
Showing top 50 of 1,247 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.