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
1,799
Insurances with rates
15
CPT / HCPCS codes
1,769
Most expensive procedures (gross)
J3380
$40,396
Vedolizumab 300 MG Vial
Gross
$41,645
J3380
$40,396
Vedolizumab 300 MG Vial
Gross
$41,645
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
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
J3032
$8,212
Eptinezumab-JJMR 100Mg/Ml Vial
Gross
$8,466
J3032
$8,212
Eptinezumab-JJMR 100Mg/Ml Vial
Gross
$8,466
74177
$7,897
CT Abd & Pelv W Contrast
Gross
$8,141
74177
$7,897
CT Abd & Pelv W Contrast
Gross
$8,141
95811
$7,453
Polysomnogram W CPap
Gross
$7,683
95811
$7,453
Polysomnogram W CPap
Gross
$7,683
74178
$7,316
CT Abd & Pelv WWO Contrast
Gross
$7,542
74178
$7,316
CT Abd & Pelv WWO Contrast
Gross
$7,542
95810
$7,146
Polysomnogram
Gross
$7,367
95810
$7,146
Polysomnogram
Gross
$7,367
J0129
$6,273
Abatacept 250 MG Vial
Gross
$6,466
J0129
$6,273
Abatacept 250 MG Vial
Gross
$6,466
72157
$5,663
MRI Chest Spine WWO Dye
Gross
$5,838
72158
$5,663
MRI Lumbar Spine WWO Dye
Gross
$5,838
73720
$5,663
MRI LE WWO Dye LT
Gross
$5,838
73720
$5,663
MRI LE WWO Dye LT
Gross
$5,838
72158
$5,663
MRI Lumbar Spine WWO Dye
Gross
$5,838
72157
$5,663
MRI Chest Spine WWO Dye
Gross
$5,838
74176
$5,158
CT Abd & Pelvis WO Contrast
Gross
$5,318
74176
$5,158
CT Abd & Pelvis WO Contrast
Gross
$5,318
70553
$5,084
MRI Brain WWO Contrast
Gross
$5,241
70553
$5,084
MRI Brain WWO Contrast
Gross
$5,241
72148
$4,828
MRI Lumbar Spine WO Dye
Gross
$4,977
73721
$4,828
MRI Joint LE WO Dye LT
Gross
$4,977
73221
$4,828
MRI Joint UE WO Dye RT
Gross
$4,977
73221
$4,828
MRI Joint UE WO Dye RT
Gross
$4,977
73721
$4,828
MRI Joint LE WO Dye RT
Gross
$4,977
72148
$4,828
MRI Lumbar Spine WO Dye
Gross
$4,977
74183
$4,568
MRI Abdomen WWO Dye
Gross
$4,709
74183
$4,568
MRI Abdomen WWO Dye
Gross
$4,709
70543
$4,469
MRI Orbit Face Neck WWO Cont
Gross
$4,607
70543
$4,469
MRI Orbit Face Neck WWO Cont
Gross
$4,607
750
$4,451
EGD
Gross
$4,589
750
$4,451
EGD
Gross
$4,589
73220
$4,417
MRI UE WWO Dye LT
Gross
$4,554
73220
$4,417
MRI UE WWO Dye LT
Gross
$4,554
70551
$4,203
MRI Brain WO Contrast
Gross
$4,333
72146
$4,203
MRI Chest Spine WO Dye
Gross
$4,333
70551
$4,203
MRI Brain WO Contrast
Gross
$4,333
72146
$4,203
MRI Chest Spine WO Dye
Gross
$4,333
72141
$3,896
MRI Neck Spine WO Dye
Gross
$4,017
72141
$3,896
MRI Neck Spine WO Dye
Gross
$4,017
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | Vedolizumab 300 MG Vial | $41,645 | $40,396 | — | — | 8 |
| J3380 | Vedolizumab 300 MG Vial | $41,645 | $40,396 | — | — | 8 |
| 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 | — | — | 8 |
| 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 |
| J3032 | Eptinezumab-JJMR 100Mg/Ml Vial | $8,466 | $8,212 | — | — | 8 |
| J3032 | Eptinezumab-JJMR 100Mg/Ml Vial | $8,466 | $8,212 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $8,141 | $7,897 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $8,141 | $7,897 | — | — | 15 |
| 95811 | Polysomnogram W CPap | $7,683 | $7,453 | — | — | 8 |
| 95811 | Polysomnogram W CPap | $7,683 | $7,453 | — | — | 13 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,542 | $7,316 | — | — | 8 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,542 | $7,316 | — | — | 12 |
| 95810 | Polysomnogram | $7,367 | $7,146 | — | — | 8 |
| 95810 | Polysomnogram | $7,367 | $7,146 | — | — | 10 |
| J0129 | Abatacept 250 MG Vial | $6,466 | $6,273 | — | — | 8 |
| J0129 | Abatacept 250 MG Vial | $6,466 | $6,273 | — | — | 8 |
| 72157 | MRI Chest Spine WWO Dye | $5,838 | $5,663 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,838 | $5,663 | — | — | 8 |
| 73720 | MRI LE WWO Dye LT | $5,838 | $5,663 | — | — | 8 |
| 73720 | MRI LE WWO Dye LT | $5,838 | $5,663 | — | — | 8 |
| 72158 | MRI Lumbar Spine WWO Dye | $5,838 | $5,663 | — | — | 8 |
| 72157 | MRI Chest Spine WWO Dye | $5,838 | $5,663 | — | — | 8 |
| 74176 | CT Abd & Pelvis WO Contrast | $5,318 | $5,158 | — | — | 11 |
| 74176 | CT Abd & Pelvis WO Contrast | $5,318 | $5,158 | — | — | 15 |
| 70553 | MRI Brain WWO Contrast | $5,241 | $5,084 | — | — | 8 |
| 70553 | MRI Brain WWO Contrast | $5,241 | $5,084 | — | — | 12 |
| 72148 | MRI Lumbar Spine WO Dye | $4,977 | $4,828 | — | — | 8 |
| 73721 | MRI Joint LE WO Dye LT | $4,977 | $4,828 | — | — | 8 |
| 73221 | MRI Joint UE WO Dye RT | $4,977 | $4,828 | — | — | 8 |
| 73221 | MRI Joint UE WO Dye RT | $4,977 | $4,828 | — | — | 11 |
| 73721 | MRI Joint LE WO Dye RT | $4,977 | $4,828 | — | — | 11 |
| 72148 | MRI Lumbar Spine WO Dye | $4,977 | $4,828 | — | — | 11 |
| 74183 | MRI Abdomen WWO Dye | $4,709 | $4,568 | — | — | 8 |
| 74183 | MRI Abdomen WWO Dye | $4,709 | $4,568 | — | — | 9 |
| 70543 | MRI Orbit Face Neck WWO Cont | $4,607 | $4,469 | — | — | 8 |
| 70543 | MRI Orbit Face Neck WWO Cont | $4,607 | $4,469 | — | — | 8 |
| 750 | EGD | $4,589 | $4,451 | — | — | 8 |
| 750 | EGD | $4,589 | $4,451 | — | — | 8 |
| 73220 | MRI UE WWO Dye LT | $4,554 | $4,417 | — | — | 8 |
| 73220 | MRI UE WWO Dye LT | $4,554 | $4,417 | — | — | 8 |
| 70551 | MRI Brain WO Contrast | $4,333 | $4,203 | — | — | 8 |
| 72146 | MRI Chest Spine WO Dye | $4,333 | $4,203 | — | — | 8 |
| 70551 | MRI Brain WO Contrast | $4,333 | $4,203 | — | — | 11 |
| 72146 | MRI Chest Spine WO Dye | $4,333 | $4,203 | — | — | 8 |
| 72141 | MRI Neck Spine WO Dye | $4,017 | $3,896 | — | — | 8 |
| 72141 | MRI Neck Spine WO Dye | $4,017 | $3,896 | — | — | 10 |
Showing top 50 of 1,799 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.