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
1,569
Insurances with rates
12
CPT / HCPCS codes
1,548
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
J3380
$38,624
Vedolizumab 300 MG Vial
Gross
$39,818
J3380
$38,624
Vedolizumab 300 MG Vial
Gross
$39,818
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
J9312
$20,651
Rituximab 500 MG/50 ML Vial
Gross
$21,289
J9312
$20,651
Rituximab 500 MG/50 ML Vial
Gross
$21,289
J0896
$17,747
Luspatercept-Aamt 25 Mg Vial
Gross
$18,296
J0896
$17,747
Luspatercept-Aamt 25 Mg Vial
Gross
$18,296
81352
$12,478
TP53 Somatic Mutation, Prog
Gross
$12,864
81352
$12,478
TP53 Somatic Mutation, Prog
Gross
$12,864
74174
$9,114
CTA Abd&Pelv WWO Dye
Gross
$9,396
74174
$9,114
CTA Abd&Pelv WWO Dye
Gross
$9,396
J3358
$8,869
Ustekinumab 130 mg/26ml Vial
Gross
$9,143
J3358
$8,869
Ustekinumab 130 mg/26ml Vial
Gross
$9,143
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
$8,266
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$8,521
Q5122
$8,266
Pegfilgrastim 6 Mg/0.6 Ml Syr
Gross
$8,521
74178
$7,322
CT Abd & Pelv WWO Contrast
Gross
$7,548
74178
$7,322
CT Abd & Pelv WWO Contrast
Gross
$7,548
J0897
$7,319
Denosumab 60 MG/ML Syringe
Gross
$7,545
J0897
$7,319
Denosumab 60 MG/ML Syringe
Gross
$7,545
95811
$7,116
Polysomnogram W CPap
Gross
$7,336
95811
$7,116
Polysomnogram W CPap
Gross
$7,336
95810
$6,795
Polysomnogram
Gross
$7,005
95810
$6,795
Polysomnogram
Gross
$7,005
74177
$6,773
CT Abd & Pelv W Contrast
Gross
$6,982
74177
$6,773
CT Abd & Pelv W Contrast
Gross
$6,982
J0129
$6,292
Abatacept 250 MG Vial
Gross
$6,486
J0129
$6,292
Abatacept 250 MG Vial
Gross
$6,486
74176
$6,058
CT Abd & Pelvis WO Contrast
Gross
$6,245
74176
$6,058
CT Abd & Pelvis WO Contrast
Gross
$6,245
J3262
$5,797
Tocilizumab 200 MG/10 ML Vial
Gross
$5,976
J3262
$5,797
Tocilizumab 200 MG/10 ML Vial
Gross
$5,976
J1745
$4,997
Infliximab 100 MG Vial
Gross
$5,151
J1745
$4,997
Infliximab 100 MG Vial
Gross
$5,151
99291
$4,671
Critical Care 1st 30-74 Min
Gross
$4,815
99291
$4,671
Critical Care 1st 30-74 Min
Gross
$4,815
J9202
$4,594
Goserelin 3.6 MG Implant
Gross
$4,735
J9202
$4,594
Goserelin 3.6 MG Implant
Gross
$4,735
J0630
$4,450
Calcitonin Salmon 400Unit/2ML
Gross
$4,587
J0630
$4,450
Calcitonin Salmon 400Unit/2ML
Gross
$4,587
78452
$4,447
Myocard Perf Spect Rest Stress
Gross
$4,585
78452
$4,447
Myocard Perf Spect Rest Stress
Gross
$4,585
74170
$4,398
CT Abdomen WWO Dye
Gross
$4,534
74170
$4,398
CT Abdomen WWO Dye
Gross
$4,534
| 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 |
| J3380 | Vedolizumab 300 MG Vial | $39,818 | $38,624 | — | — | 6 |
| J3380 | Vedolizumab 300 MG Vial | $39,818 | $38,624 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 6 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $30,637 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 6 |
| J0717 | Certolizumab Pegol 400 Mg Kit | $25,886 | $25,110 | — | — | 6 |
| J9312 | Rituximab 500 MG/50 ML Vial | $21,289 | $20,651 | — | — | 6 |
| J9312 | Rituximab 500 MG/50 ML Vial | $21,289 | $20,651 | — | — | 6 |
| J0896 | Luspatercept-Aamt 25 Mg Vial | $18,296 | $17,747 | — | — | 6 |
| J0896 | Luspatercept-Aamt 25 Mg Vial | $18,296 | $17,747 | — | — | 6 |
| 81352 | TP53 Somatic Mutation, Prog | $12,864 | $12,478 | — | — | 6 |
| 81352 | TP53 Somatic Mutation, Prog | $12,864 | $12,478 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $9,396 | $9,114 | — | — | 6 |
| 74174 | CTA Abd&Pelv WWO Dye | $9,396 | $9,114 | — | — | 8 |
| J3358 | Ustekinumab 130 mg/26ml Vial | $9,143 | $8,869 | — | — | 6 |
| J3358 | Ustekinumab 130 mg/26ml Vial | $9,143 | $8,869 | — | — | 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 | $8,521 | $8,266 | — | — | 6 |
| Q5122 | Pegfilgrastim 6 Mg/0.6 Ml Syr | $8,521 | $8,266 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,548 | $7,322 | — | — | 6 |
| 74178 | CT Abd & Pelv WWO Contrast | $7,548 | $7,322 | — | — | 8 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,545 | $7,319 | — | — | 6 |
| J0897 | Denosumab 60 MG/ML Syringe | $7,545 | $7,319 | — | — | 8 |
| 95811 | Polysomnogram W CPap | $7,336 | $7,116 | — | — | 6 |
| 95811 | Polysomnogram W CPap | $7,336 | $7,116 | — | — | 9 |
| 95810 | Polysomnogram | $7,005 | $6,795 | — | — | 6 |
| 95810 | Polysomnogram | $7,005 | $6,795 | — | — | 8 |
| 74177 | CT Abd & Pelv W Contrast | $6,982 | $6,773 | — | — | 7 |
| 74177 | CT Abd & Pelv W Contrast | $6,982 | $6,773 | — | — | 11 |
| J0129 | Abatacept 250 MG Vial | $6,486 | $6,292 | — | — | 6 |
| J0129 | Abatacept 250 MG Vial | $6,486 | $6,292 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,245 | $6,058 | — | — | 6 |
| 74176 | CT Abd & Pelvis WO Contrast | $6,245 | $6,058 | — | — | 9 |
| J3262 | Tocilizumab 200 MG/10 ML Vial | $5,976 | $5,797 | — | — | 6 |
| J3262 | Tocilizumab 200 MG/10 ML Vial | $5,976 | $5,797 | — | — | 6 |
| J1745 | Infliximab 100 MG Vial | $5,151 | $4,997 | — | — | 6 |
| J1745 | Infliximab 100 MG Vial | $5,151 | $4,997 | — | — | 6 |
| 99291 | Critical Care 1st 30-74 Min | $4,815 | $4,671 | — | — | 6 |
| 99291 | Critical Care 1st 30-74 Min | $4,815 | $4,671 | — | — | 8 |
| J9202 | Goserelin 3.6 MG Implant | $4,735 | $4,594 | — | — | 6 |
| J9202 | Goserelin 3.6 MG Implant | $4,735 | $4,594 | — | — | 8 |
| J0630 | Calcitonin Salmon 400Unit/2ML | $4,587 | $4,450 | — | — | 6 |
| J0630 | Calcitonin Salmon 400Unit/2ML | $4,587 | $4,450 | — | — | 6 |
| 78452 | Myocard Perf Spect Rest Stress | $4,585 | $4,447 | — | — | 6 |
| 78452 | Myocard Perf Spect Rest Stress | $4,585 | $4,447 | — | — | 8 |
| 74170 | CT Abdomen WWO Dye | $4,534 | $4,398 | — | — | 6 |
| 74170 | CT Abdomen WWO Dye | $4,534 | $4,398 | — | — | 8 |
Showing top 50 of 1,569 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.