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
1,005
Insurances with rates
2
CPT / HCPCS codes
994
Most expensive procedures (gross)
J3101
$9,843
TENECTEPLASE INJ [50 MG]
Gross
$9,843
99291
$1,800
Critical Care
Gross
$1,800
59409
$1,613
VAGINAL DELIVERY
Gross
$1,613
36011
$1,598
SELECTIVE CATH PLACEMENT
Gross
$1,598
J0714
$1,094
CEFTAZIDIME & AVIBACTAM INJ [2.5 GM]
Gross
$1,094
J0561
$1,086
PENICILLIN G BENZ INJ [1.2 MMU/2 ML]
Gross
$1,086
51045
$980
CYSTOTOMY W/ INSERTION
Gross
$980
90651
$916
VAC - HPV 9-VALENT RECOMB INJ [0.5 ML]
Gross
$916
13121
$833
LAC RPR CMPLX S/A/L 2.6-7.5 CM
Gross
$833
90677
$763
VAC - PNEUMOCOCCAL 20-VAL CONJ [0.5 ML]
Gross
$763
J1610
$741
GLUCAGON EMERG KIT [1 MG]
Gross
$741
90733
$719
VAC - MENINGOCOCCAL ACWY [0.5 ML]
Gross
$719
27560
$716
KNEECAP DISLOCATION LT
Gross
$716
17106
$674
DESTRUCT LESIONS < 10 CM
Gross
$674
90670
$668
VAC - PNEUMOCOCCAL 13-VAL CONJ [0.5 ML]
Gross
$668
26725
$660
FX /DISLO W MANIP FINGER OR TOE
Gross
$660
12034
$651
PROFEE RPR INTERM S/A/T/E 7.6 CM-12.5 CM
Gross
$651
93225
$642
HOLTER MONITOR
Gross
$642
23650
$620
TREAT SHOLD DISLOC
Gross
$620
20610
$600
ARTHROCENTESIS MAJOR JT
Gross
$600
92950
$598
HEART/LUNG RESUSCITATION
Gross
$598
93350
$597
US STRESS ECHOCARDIOGRAPHY
Gross
$597
84433
$585
S/O Thiopurine Methyltransferase (TPMT)
Gross
$585
11012
$578
DEBRIDEMENT SKIN/MUSCLE
Gross
$578
26700
$570
CLSD TX METACARPOPHALANGEAL DIS, SINGLE
Gross
$570
12042
$565
LAC RPR INTERM N/H/F/XTRNL GENT 2.6-7.5
Gross
$565
36680
$563
NEEDLE EZ-IO 45MM 15 G
Gross
$563
93312
$551
US TRANSESOPHG ECHO
Gross
$551
10121
$538
REMOVAL FORGNBODY/COMPLEX
Gross
$538
A4690
$518
QUICK TRACH ADULT/PEDIA
Gross
$518
93970
$514
US BILATERAL DPLX SC VENOUS
Gross
$514
93880
$514
US DUPLEX SCAN/EXTRACRANIAL
Gross
$514
88241
$494
S/O CHROMOSONAL STUDIES
Gross
$494
J0695
$493
ZERBAXA INJ [1.5 G]
Gross
$493
31525
$489
LARYNGOSCOPE EXCL NB
Gross
$489
93306
$489
US TTE W/DOPPLER, COMPLETE
Gross
$489
110
$472
PRIVATE ROOM
Gross
$472
93975
$459
US COMP DPLX ORGAN INFLOW
Gross
$459
93930
$456
US V/S VENOUS UPPER EXTREMITY BILATERAL
Gross
$456
A7041
$451
CHESTDRAIN TUBES
Gross
$451
51102
$449
TROCAR CATH 16FR
Gross
$449
93880
$267
US V/S CAROTID,, 0
Gross
$445
90750
$440
VAC - ZOSTER RECOMB ADJ [0.5 ML]
Gross
$440
93925
$429
US ART UNILAT LOWER EXT
Gross
$429
93925
$429
US COMPL SCAN LOWER EXT ART
Gross
$429
93975
$413
US RENAL, MESENTERIC
Gross
$413
32551
$400
CHEST TUBE KIT
Gross
$400
J0885
$396
EPOETIN ALFA INJ [10000 UNIT/ML]
Gross
$396
93923
$395
US COM SCAN /LOWER EXT
Gross
$395
11423
$394
EXC LESION 2.1-3.0CM
Gross
$394
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TENECTEPLASE INJ [50 MG] | $9,843 | $9,843 | — | — | 1 |
| 99291 | Critical Care | $1,800 | $1,800 | — | — | 1 |
| 59409 | VAGINAL DELIVERY | $1,613 | $1,613 | — | — | 1 |
| 36011 | SELECTIVE CATH PLACEMENT | $1,598 | $1,598 | — | — | 1 |
| J0714 | CEFTAZIDIME & AVIBACTAM INJ [2.5 GM] | $1,094 | $1,094 | — | — | 1 |
| J0561 | PENICILLIN G BENZ INJ [1.2 MMU/2 ML] | $1,086 | $1,086 | — | — | 1 |
| 51045 | CYSTOTOMY W/ INSERTION | $980 | $980 | — | — | 1 |
| 90651 | VAC - HPV 9-VALENT RECOMB INJ [0.5 ML] | $916 | $916 | — | — | 1 |
| 13121 | LAC RPR CMPLX S/A/L 2.6-7.5 CM | $833 | $833 | — | — | 1 |
| 90677 | VAC - PNEUMOCOCCAL 20-VAL CONJ [0.5 ML] | $763 | $763 | — | — | 1 |
| J1610 | GLUCAGON EMERG KIT [1 MG] | $741 | $741 | — | — | 1 |
| 90733 | VAC - MENINGOCOCCAL ACWY [0.5 ML] | $719 | $719 | — | — | 2 |
| 27560 | KNEECAP DISLOCATION LT | $716 | $716 | — | — | 1 |
| 17106 | DESTRUCT LESIONS < 10 CM | $674 | $674 | — | — | 1 |
| 90670 | VAC - PNEUMOCOCCAL 13-VAL CONJ [0.5 ML] | $668 | $668 | — | — | 1 |
| 26725 | FX /DISLO W MANIP FINGER OR TOE | $660 | $660 | — | — | 1 |
| 12034 | PROFEE RPR INTERM S/A/T/E 7.6 CM-12.5 CM | $651 | $651 | — | — | 1 |
| 93225 | HOLTER MONITOR | $642 | $642 | — | — | 1 |
| 23650 | TREAT SHOLD DISLOC | $620 | $620 | — | — | 1 |
| 20610 | ARTHROCENTESIS MAJOR JT | $600 | $600 | — | — | 2 |
| 92950 | HEART/LUNG RESUSCITATION | $598 | $598 | — | — | 2 |
| 93350 | US STRESS ECHOCARDIOGRAPHY | $597 | $597 | — | — | 1 |
| 84433 | S/O Thiopurine Methyltransferase (TPMT) | $585 | $585 | — | — | 1 |
| 11012 | DEBRIDEMENT SKIN/MUSCLE | $578 | $578 | — | — | 1 |
| 26700 | CLSD TX METACARPOPHALANGEAL DIS, SINGLE | $570 | $570 | — | — | 1 |
| 12042 | LAC RPR INTERM N/H/F/XTRNL GENT 2.6-7.5 | $565 | $565 | — | — | 1 |
| 36680 | NEEDLE EZ-IO 45MM 15 G | $563 | $563 | — | — | 2 |
| 93312 | US TRANSESOPHG ECHO | $551 | $551 | — | — | 1 |
| 10121 | REMOVAL FORGNBODY/COMPLEX | $538 | $538 | — | — | 1 |
| A4690 | QUICK TRACH ADULT/PEDIA | $518 | $518 | — | — | 1 |
| 93970 | US BILATERAL DPLX SC VENOUS | $514 | $514 | — | — | 1 |
| 93880 | US DUPLEX SCAN/EXTRACRANIAL | $514 | $514 | — | — | 1 |
| 88241 | S/O CHROMOSONAL STUDIES | $494 | $494 | — | — | 1 |
| J0695 | ZERBAXA INJ [1.5 G] | $493 | $493 | — | — | 1 |
| 31525 | LARYNGOSCOPE EXCL NB | $489 | $489 | — | — | 1 |
| 93306 | US TTE W/DOPPLER, COMPLETE | $489 | $489 | — | — | 1 |
| 110 | PRIVATE ROOM | $472 | $472 | — | — | 1 |
| 93975 | US COMP DPLX ORGAN INFLOW | $459 | $459 | — | — | 1 |
| 93930 | US V/S VENOUS UPPER EXTREMITY BILATERAL | $456 | $456 | — | — | 1 |
| A7041 | CHESTDRAIN TUBES | $451 | $451 | — | — | 1 |
| 51102 | TROCAR CATH 16FR | $449 | $449 | — | — | 1 |
| 93880 | US V/S CAROTID,, 0 | $445 | $267 | — | — | 1 |
| 90750 | VAC - ZOSTER RECOMB ADJ [0.5 ML] | $440 | $440 | — | — | 1 |
| 93925 | US ART UNILAT LOWER EXT | $429 | $429 | — | — | 1 |
| 93925 | US COMPL SCAN LOWER EXT ART | $429 | $429 | — | — | 1 |
| 93975 | US RENAL, MESENTERIC | $413 | $413 | — | — | 1 |
| 32551 | CHEST TUBE KIT | $400 | $400 | — | — | 1 |
| J0885 | EPOETIN ALFA INJ [10000 UNIT/ML] | $396 | $396 | — | — | 1 |
| 93923 | US COM SCAN /LOWER EXT | $395 | $395 | — | — | 1 |
| 11423 | EXC LESION 2.1-3.0CM | $394 | $394 | — | — | 1 |
Showing top 50 of 1,005 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.