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
1,500
Insurances with rates
12
CPT / HCPCS codes
1,486
Most expensive procedures (gross)
J3380
$37,975
Vedolizumab 300 MG Vial
Gross
$39,149
J3380
$37,975
Vedolizumab 300 MG Vial
Gross
$39,149
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
J2506
$19,872
Pegfilgrastim 6 MG/0.6 ML Syr
Gross
$20,486
J2506
$19,872
Pegfilgrastim 6 MG/0.6 ML Syr
Gross
$20,486
J3111
$11,171
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$11,516
J3111
$11,171
Romosozumab-AQQG 210 Mg/2.34Ml
Gross
$11,516
J1569
$9,510
Immune Glob Gamagar 20GR/200ML
Gross
$9,803
J1569
$9,510
Immune Glob Gamagar 20GR/200ML
Gross
$9,803
J3032
$7,920
Eptinezumab-JJMR 100Mg/Ml Vial
Gross
$8,165
J3032
$7,920
Eptinezumab-JJMR 100Mg/Ml Vial
Gross
$8,165
J0897
$7,350
Denosumab 60 MG/ML Syringe
Gross
$7,577
J0897
$7,350
Denosumab 60 MG/ML Syringe
Gross
$7,577
74178
$7,075
CT Abd & Pelv WWO Contrast
Gross
$7,294
74178
$7,075
CT Abd & Pelv WWO Contrast
Gross
$7,294
74174
$6,604
CTA Abd&Pelv WWO Dye
Gross
$6,808
74174
$6,604
CTA Abd&Pelv WWO Dye
Gross
$6,808
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
78452
$5,850
Myocard Perf Spect Rest Stress
Gross
$6,031
78452
$5,850
Myocard Perf Spect Rest Stress
Gross
$6,031
J1439
$4,223
Ferric Carboxymalt 750MG/15ML
Gross
$4,353
J1439
$4,223
Ferric Carboxymalt 750MG/15ML
Gross
$4,353
72132
$4,177
CT Lumbar Spine W Contrast
Gross
$4,306
72132
$4,177
CT Lumbar Spine W Contrast
Gross
$4,306
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
70498
$3,996
CT Angiography Neck W Cont
Gross
$4,120
70498
$3,996
CT Angiography Neck W Cont
Gross
$4,120
99291
$3,993
Critical Care 1st 30-74 Min
Gross
$4,116
99291
$3,993
Critical Care 1st 30-74 Min
Gross
$4,116
70496
$3,940
CT Angiography Head W Cont
Gross
$4,062
70496
$3,940
CT Angiography Head W Cont
Gross
$4,062
689
$3,901
Trauma Team Evaluation Level 5
Gross
$4,022
689
$3,901
Trauma Team Evaluation Level 5
Gross
$4,022
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
74160
$3,717
CT Abdomen W Dye
Gross
$3,832
74160
$3,717
CT Abdomen W Dye
Gross
$3,832
G0390
$3,716
Trauma Team Level 5
Gross
$3,831
G0390
$3,716
Trauma Team Level 5
Gross
$3,831
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3380 | Vedolizumab 300 MG Vial | $39,149 | $37,975 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $39,149 | $37,975 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 8 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 6 |
| J2506 | Pegfilgrastim 6 MG/0.6 ML Syr | $20,486 | $19,872 | — | — | 6 |
| J2506 | Pegfilgrastim 6 MG/0.6 ML Syr | $20,486 | $19,872 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $11,516 | $11,171 | — | — | 6 |
| J3111 | Romosozumab-AQQG 210 Mg/2.34Ml | $11,516 | $11,171 | — | — | 6 |
| J1569 | Immune Glob Gamagar 20GR/200ML | $9,803 | $9,510 | — | — | 6 |
| J1569 | Immune Glob Gamagar 20GR/200ML | $9,803 | $9,510 | — | — | 6 |
| J3032 | Eptinezumab-JJMR 100Mg/Ml Vial | $8,165 | $7,920 | — | — | 6 |
| J3032 | Eptinezumab-JJMR 100Mg/Ml Vial | $8,165 | $7,920 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,577 | $7,350 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,577 | $7,350 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,294 | $7,075 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,294 | $7,075 | — | — | 8 |
| 74174 | CTA Abd&Pelv WWO Dye | $6,808 | $6,604 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $6,808 | $6,604 | — | — | 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 | — | — | 10 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,188 | $6,002 | — | — | 9 |
| 78452 | Myocard Perf Spect Rest Stress | $6,031 | $5,850 | — | — | 6 |
| 78452 | Myocard Perf Spect Rest Stress | $6,031 | $5,850 | — | — | 10 |
| J1439 | Ferric Carboxymalt 750MG/15ML | $4,353 | $4,223 | — | — | 6 |
| J1439 | Ferric Carboxymalt 750MG/15ML | $4,353 | $4,223 | — | — | 8 |
| 72132 | CT Lumbar Spine W Contrast | $4,306 | $4,177 | — | — | 6 |
| 72132 | CT Lumbar Spine W Contrast | $4,306 | $4,177 | — | — | 6 |
| 74170 | CT Abdomen WWO Dye | $4,252 | $4,124 | — | — | 6 |
| 74170 | CT Abdomen WWO Dye | $4,252 | $4,124 | — | — | 8 |
| 71275 | CTA Chest WWO Contrast | $4,217 | $4,090 | — | — | 6 |
| 71275 | CTA Chest WWO Contrast | $4,217 | $4,090 | — | — | 9 |
| 70498 | CT Angiography Neck W Cont | $4,120 | $3,996 | — | — | 6 |
| 70498 | CT Angiography Neck W Cont | $4,120 | $3,996 | — | — | 8 |
| 99291 | Critical Care 1st 30-74 Min | $4,116 | $3,993 | — | — | 6 |
| 99291 | Critical Care 1st 30-74 Min | $4,116 | $3,993 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $4,062 | $3,940 | — | — | 6 |
| 70496 | CT Angiography Head W Cont | $4,062 | $3,940 | — | — | 8 |
| 689 | Trauma Team Evaluation Level 5 | $4,022 | $3,901 | — | — | 6 |
| 689 | Trauma Team Evaluation Level 5 | $4,022 | $3,901 | — | — | 6 |
| 72131 | CT Lumbar Spine WO Contrast | $3,990 | $3,870 | — | — | 6 |
| 72131 | CT Lumbar Spine WO Contrast | $3,990 | $3,870 | — | — | 8 |
| 71270 | CT Thorax WWO Contrast | $3,946 | $3,828 | — | — | 6 |
| 71270 | CT Thorax WWO Contrast | $3,946 | $3,828 | — | — | 6 |
| 74160 | CT Abdomen W Dye | $3,832 | $3,717 | — | — | 6 |
| 74160 | CT Abdomen W Dye | $3,832 | $3,717 | — | — | 6 |
| G0390 | Trauma Team Level 5 | $3,831 | $3,716 | — | — | 6 |
| G0390 | Trauma Team Level 5 | $3,831 | $3,716 | — | — | 6 |
Showing top 50 of 1,500 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.