45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
15,380
Insurances with rates
16
CPT / HCPCS codes
14,605
Most expensive procedures (gross)
J2406
$45,406
Oritavancin (Kimyrsa) 10 mg
Gross
$45,406
33208
$38,895
Ins/Rplc Pacemkr; Atr+vnt
Gross
$38,895
J1162
$32,509
Digifab 40 mg
Gross
$32,509
33207
$32,291
Insrt Heart Pm Venticular
Gross
$32,291
J1568
$29,387
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$29,387
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
37236
$20,812
Open/Perq Place Stent 1st
Gross
$20,812
J3262
$19,618
Tocilizumab 400 mg
Gross
$19,618
28730
$17,887
Fusion of Foot Bones
Gross
$17,887
J0349
$17,779
INJ, Rezafungin, 1 mg
Gross
$17,779
33216
$16,904
Insert 1 Electrode Pm-Defib
Gross
$16,904
33217
$16,904
Insert 2 Electrode Pm-Defib
Gross
$16,904
87903
$16,501
Phenotype DNA HIV W/Culture
Gross
$16,501
15830
$15,267
Excision Skin Abdomen
Gross
$15,267
24685
$15,151
Treat Ulnar Fracture
Gross
$15,151
31645
$14,704
Bronchoscopy, Initial Procedur
Gross
$14,704
74177
$14,531
CT Abdomen & Pelvis w/Contrast
Gross
$14,531
74178
$14,531
CT Abd & Pelv 1/> Regns w/wo c
Gross
$14,531
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
87633
$13,872
Resp VirUS 12-25 Targets
Gross
$13,872
J0875
$13,852
Dalbavancin HCL
Gross
$13,852
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
31646
$12,680
Bronchoscopy Subsq Same Visit
Gross
$12,680
36246
$12,435
Ins Cath Abd/L Ext Art 2n Lt
Gross
$12,435
36245
$12,201
Ins Cath Abd/Lext Art 1st
Gross
$12,201
36247
$11,514
Ins Cath/Abd/L-Ext Art 3r
Gross
$11,514
72157
$11,377
MRI Thoracic Spine W/O & W/Dye
Gross
$11,377
20240
$10,902
Bone Biopsy Open Superficial
Gross
$10,902
P9040
$10,733
L-R IrRADiatED Rbc
Gross
$10,733
0636
$10,227
Onabotulinumtoxina
Gross
$10,227
74176
$9,735
CT Abd & Pelvis W/O Contrast
Gross
$9,735
78803
$9,594
NM Rp Loclzj Tum Spect 1 Area
Gross
$9,594
27612
$9,462
Inc Ankle-Post Cpsl Rel
Gross
$9,462
27685
$9,462
Lgth/Sht Tendon/Leg; Sngl
Gross
$9,462
72158
$9,449
MRI Lumbar Spine W/O & W/Dye
Gross
$9,449
J0585
$9,448
Botox 100 unit
Gross
$9,448
J3489
$9,275
Zoledronic Acid 1 mg
Gross
$9,275
70480
$9,177
CT Orbit/Ear/Fossa W/O Dye
Gross
$9,177
J0887
$9,070
Methoxy Peg-Epoetin Beta
Gross
$9,070
P9037
$9,012
Plate Pheres Leukoredu Ir
Gross
$9,012
J2407
$8,726
Oritavancin Diphosphate 400 mg
Gross
$8,726
36558
$8,698
Ins Tunneled CV CATH
Gross
$8,698
36561
$8,618
Ins TunnelED Cvad W/Port
Gross
$8,618
71275
$8,587
CT Angiography Chest w/Contras
Gross
$8,587
70553
$8,538
MRI Brain Stem W/O & W/Dye
Gross
$8,538
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
49446
$8,340
Change G-Tube to G-J Perc
Gross
$8,340
15100
$8,302
Skn Splt Grft T/A/L
Gross
$8,302
15120
$8,302
Skn Splt A-Grft Fac/Nck/Hf/G
Gross
$8,302
15273
$8,302
Skin Sub Grft T/A/L <=100sq Cm
Gross
$8,302
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2406 | Oritavancin (Kimyrsa) 10 mg | $45,406 | $45,406 | — | — | 11 |
| 33208 | Ins/Rplc Pacemkr; Atr+vnt | $38,895 | $38,895 | — | — | 8 |
| J1162 | Digifab 40 mg | $32,509 | $32,509 | — | — | 11 |
| 33207 | Insrt Heart Pm Venticular | $32,291 | $32,291 | — | — | 8 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $29,387 | $29,387 | — | — | 11 |
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 9 |
| 37236 | Open/Perq Place Stent 1st | $20,812 | $20,812 | — | — | 8 |
| J3262 | Tocilizumab 400 mg | $19,618 | $19,618 | — | — | 11 |
| 28730 | Fusion of Foot Bones | $17,887 | $17,887 | — | — | 8 |
| J0349 | INJ, Rezafungin, 1 mg | $17,779 | $17,779 | — | — | 11 |
| 33216 | Insert 1 Electrode Pm-Defib | $16,904 | $16,904 | — | — | 8 |
| 33217 | Insert 2 Electrode Pm-Defib | $16,904 | $16,904 | — | — | 8 |
| 87903 | Phenotype DNA HIV W/Culture | $16,501 | $16,501 | — | — | 8 |
| 15830 | Excision Skin Abdomen | $15,267 | $15,267 | — | — | 8 |
| 24685 | Treat Ulnar Fracture | $15,151 | $15,151 | — | — | 8 |
| 31645 | Bronchoscopy, Initial Procedur | $14,704 | $14,704 | — | — | 8 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $14,531 | $14,531 | — | — | 9 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $14,531 | $14,531 | — | — | 9 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 8 |
| 87633 | Resp VirUS 12-25 Targets | $13,872 | $13,872 | — | — | 8 |
| J0875 | Dalbavancin HCL | $13,852 | $13,852 | — | — | 11 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 9 |
| 31646 | Bronchoscopy Subsq Same Visit | $12,680 | $12,680 | — | — | 8 |
| 36246 | Ins Cath Abd/L Ext Art 2n Lt | $12,435 | $12,435 | — | — | 8 |
| 36245 | Ins Cath Abd/Lext Art 1st | $12,201 | $12,201 | — | — | 8 |
| 36247 | Ins Cath/Abd/L-Ext Art 3r | $11,514 | $11,514 | — | — | 8 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 9 |
| 20240 | Bone Biopsy Open Superficial | $10,902 | $10,902 | — | — | 8 |
| P9040 | L-R IrRADiatED Rbc | $10,733 | $10,733 | — | — | 8 |
| 0636 | Onabotulinumtoxina | $10,227 | $10,227 | — | — | 33 |
| 74176 | CT Abd & Pelvis W/O Contrast | $9,735 | $9,735 | — | — | 9 |
| 78803 | NM Rp Loclzj Tum Spect 1 Area | $9,594 | $9,594 | — | — | 8 |
| 27612 | Inc Ankle-Post Cpsl Rel | $9,462 | $9,462 | — | — | 8 |
| 27685 | Lgth/Sht Tendon/Leg; Sngl | $9,462 | $9,462 | — | — | 8 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $9,449 | $9,449 | — | — | 9 |
| J0585 | Botox 100 unit | $9,448 | $9,448 | — | — | 11 |
| J3489 | Zoledronic Acid 1 mg | $9,275 | $9,275 | — | — | 11 |
| 70480 | CT Orbit/Ear/Fossa W/O Dye | $9,177 | $9,177 | — | — | 9 |
| J0887 | Methoxy Peg-Epoetin Beta | $9,070 | $9,070 | — | — | 11 |
| P9037 | Plate Pheres Leukoredu Ir | $9,012 | $9,012 | — | — | 8 |
| J2407 | Oritavancin Diphosphate 400 mg | $8,726 | $8,726 | — | — | 8 |
| 36558 | Ins Tunneled CV CATH | $8,698 | $8,698 | — | — | 8 |
| 36561 | Ins TunnelED Cvad W/Port | $8,618 | $8,618 | — | — | 8 |
| 71275 | CT Angiography Chest w/Contras | $8,587 | $8,587 | — | — | 9 |
| 70553 | MRI Brain Stem W/O & W/Dye | $8,538 | $8,538 | — | — | 9 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 8 |
| 49446 | Change G-Tube to G-J Perc | $8,340 | $8,340 | — | — | 8 |
| 15100 | Skn Splt Grft T/A/L | $8,302 | $8,302 | — | — | 8 |
| 15120 | Skn Splt A-Grft Fac/Nck/Hf/G | $8,302 | $8,302 | — | — | 8 |
| 15273 | Skin Sub Grft T/A/L <=100sq Cm | $8,302 | $8,302 | — | — | 8 |
Showing top 50 of 15,380 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.