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
1,009
Insurances with rates
12
CPT / HCPCS codes
994
Most expensive procedures (gross)
J2350
$86,126
Ocrelizumab 300 Mg/10 Ml
Gross
$88,789
J2350
$86,126
Ocrelizumab 300 Mg/10 Ml
Gross
$88,789
J3245
$55,084
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$56,787
J3245
$55,084
Tildrakizumab-ASMN 100Mg/Ml Sy
Gross
$56,787
J3380
$38,840
Vedolizumab 300 MG Vial
Gross
$40,041
J3380
$38,840
Vedolizumab 300 MG Vial
Gross
$40,041
J0565
$16,732
Bezlotoxumab 1,000 Mg/40 Ml Vl
Gross
$17,249
J0565
$16,732
Bezlotoxumab 1,000 Mg/40 Ml Vl
Gross
$17,249
J1306
$15,129
Inclisiran 284mg/1.5ml Syringe
Gross
$15,596
J1306
$15,129
Inclisiran 284mg/1.5ml Syringe
Gross
$15,596
J3111
$11,465
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$11,819
J3111
$11,465
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$11,819
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
Q5122
$7,714
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$7,952
Q5122
$7,714
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$7,952
J0897
$7,341
Denosumab 60 MG/ML Syringe
Gross
$7,568
J0897
$7,341
Denosumab 60 MG/ML Syringe
Gross
$7,568
74178
$7,075
CT Abd & Pelv WWO Contrast
Gross
$7,294
74178
$7,075
CT Abd & Pelv WWO Contrast
Gross
$7,294
74174
$6,289
CTA Abd&Pelv WWO Dye
Gross
$6,483
74174
$6,289
CTA Abd&Pelv WWO Dye
Gross
$6,483
74176
$6,002
CT Abd & Pelvis WO Contrast
Gross
$6,188
74177
$6,002
CT Abd & Pelv W Contrast
Gross
$6,188
74177
$6,002
CT Abd & Pelv W Contrast
Gross
$6,188
74176
$6,002
CT Abd & Pelvis WO Contrast
Gross
$6,188
G0390
$4,313
Trauma Team Level 5
Gross
$4,446
689
$4,313
Trauma Team Evaluation Level 5
Gross
$4,446
G0390
$4,313
Trauma Team Level 5
Gross
$4,446
689
$4,313
Trauma Team Evaluation Level 5
Gross
$4,446
J9312
$4,137
Rituximab 100 MG/10 ML Vial
Gross
$4,265
J9312
$4,137
Rituximab 100 MG/10 ML Vial
Gross
$4,265
74170
$4,124
CT Abdomen WWO Dye
Gross
$4,252
74170
$4,124
CT Abdomen WWO Dye
Gross
$4,252
71275
$4,090
CTA Chest WWO Contrast
Gross
$4,217
71275
$4,090
CTA Chest WWO Contrast
Gross
$4,217
99291
$3,993
Critical Care 1st 30-74 Min
Gross
$4,116
99291
$3,993
Critical Care 1st 30-74 Min
Gross
$4,116
72131
$3,870
CT Lumbar Spine WO Contrast
Gross
$3,990
72131
$3,870
CT Lumbar Spine WO Contrast
Gross
$3,990
71270
$3,828
CT Thorax WWO Contrast
Gross
$3,946
71270
$3,828
CT Thorax WWO Contrast
Gross
$3,946
111
$3,788
Room Medical Unit Priv
Gross
$3,905
70496
$3,767
CT Angiography Head W Cont
Gross
$3,884
70498
$3,767
CT Angiography Neck W Cont
Gross
$3,884
70496
$3,767
CT Angiography Head W Cont
Gross
$3,884
70498
$3,767
CT Angiography Neck W Cont
Gross
$3,884
74160
$3,717
CT Abdomen W Dye
Gross
$3,832
74160
$3,717
CT Abdomen W Dye
Gross
$3,832
J1561
$3,621
Immune Glob Gamunex 10GR/100ML
Gross
$3,732
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2350 | Ocrelizumab 300 Mg/10 Ml | $88,789 | $86,126 | — | — | 6 |
| J2350 | Ocrelizumab 300 Mg/10 Ml | $88,789 | $86,126 | — | — | 6 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $56,787 | $55,084 | — | — | 6 |
| J3245 | Tildrakizumab-ASMN 100Mg/Ml Sy | $56,787 | $55,084 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $40,041 | $38,840 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $40,041 | $38,840 | — | — | 6 |
| J0565 | Bezlotoxumab 1,000 Mg/40 Ml Vl | $17,249 | $16,732 | — | — | 6 |
| J0565 | Bezlotoxumab 1,000 Mg/40 Ml Vl | $17,249 | $16,732 | — | — | 6 |
| J1306 | Inclisiran 284mg/1.5ml Syringe | $15,596 | $15,129 | — | — | 6 |
| J1306 | Inclisiran 284mg/1.5ml Syringe | $15,596 | $15,129 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $11,819 | $11,465 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $11,819 | $11,465 | — | — | 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 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $7,952 | $7,714 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $7,952 | $7,714 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,568 | $7,341 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,568 | $7,341 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,294 | $7,075 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,294 | $7,075 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $6,483 | $6,289 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $6,483 | $6,289 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,188 | $6,002 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $6,188 | $6,002 | — | — | 6 |
| 74177 | CT Abd & Pelv W Contrast | $6,188 | $6,002 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,188 | $6,002 | — | — | 8 |
| G0390 | Trauma Team Level 5 | $4,446 | $4,313 | — | — | 6 |
| 689 | Trauma Team Evaluation Level 5 | $4,446 | $4,313 | — | — | 6 |
| G0390 | Trauma Team Level 5 | $4,446 | $4,313 | — | — | 6 |
| 689 | Trauma Team Evaluation Level 5 | $4,446 | $4,313 | — | — | 6 |
| J9312 | Rituximab 100 MG/10 ML Vial | $4,265 | $4,137 | — | — | 6 |
| J9312 | Rituximab 100 MG/10 ML Vial | $4,265 | $4,137 | — | — | 6 |
| 74170 | CT Abdomen WWO Dye | $4,252 | $4,124 | — | — | 6 |
| 74170 | CT Abdomen WWO Dye | $4,252 | $4,124 | — | — | 6 |
| 71275 | CTA Chest WWO Contrast | $4,217 | $4,090 | — | — | 6 |
| 71275 | CTA Chest WWO Contrast | $4,217 | $4,090 | — | — | 9 |
| 99291 | Critical Care 1st 30-74 Min | $4,116 | $3,993 | — | — | 6 |
| 99291 | Critical Care 1st 30-74 Min | $4,116 | $3,993 | — | — | 6 |
| 72131 | CT Lumbar Spine WO Contrast | $3,990 | $3,870 | — | — | 6 |
| 72131 | CT Lumbar Spine WO Contrast | $3,990 | $3,870 | — | — | 6 |
| 71270 | CT Thorax WWO Contrast | $3,946 | $3,828 | — | — | 6 |
| 71270 | CT Thorax WWO Contrast | $3,946 | $3,828 | — | — | 6 |
| 111 | Room Medical Unit Priv | $3,905 | $3,788 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $3,884 | $3,767 | — | — | 6 |
| 70498 | CT Angiography Neck W Cont | $3,884 | $3,767 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $3,884 | $3,767 | — | — | 6 |
| 70498 | CT Angiography Neck W Cont | $3,884 | $3,767 | — | — | 6 |
| 74160 | CT Abdomen W Dye | $3,832 | $3,717 | — | — | 6 |
| 74160 | CT Abdomen W Dye | $3,832 | $3,717 | — | — | 6 |
| J1561 | Immune Glob Gamunex 10GR/100ML | $3,732 | $3,621 | — | — | 6 |
Showing top 50 of 1,009 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.