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
1,328
Insurances with rates
15
CPT / HCPCS codes
0
Most expensive procedures (gross)
Aftercare without complications
$25,703
Aftercare without complications
Gross
$32,129
10491903
$16,627
50242-0120-47 - tenecteplase 50 mg IV Inj [BVHO]
Gross
$20,784
Blood infection without major complications
$13,074
Blood infection without major complications
Gross
$16,343
G.I. obstruction without complications
$8,524
G.I. obstruction without complications
Gross
$10,656
12953263
$6,797
50242-0227-01 - omalizumab 300 mg/2 mL Sol [BVHO]
Gross
$8,497
Pneumonia without complications
$5,624
Pneumonia without complications
Gross
$7,029
G.I. obstruction with complications
$5,071
G.I. obstruction with complications
Gross
$6,338
Blood Infection with major complications
$4,076
Blood Infection with major complications
Gross
$5,095
1168796
$3,214
MRI Brain w/ + w/o Contrast
Gross
$4,018
Postpartum & post abortion diagnoses without ope
$3,081
Postpartum & post abortion diagnoses without operating room procedure
Gross
$3,851
1168800
$3,052
MRI Brain w/o Contrast
Gross
$3,815
1169024
$2,934
MRI Pelvis w/ + w/o Contrast
Gross
$3,667
1169028
$2,836
MRI Pelvis w/o Contrast
Gross
$3,545
10966629
$2,430
CT Abdomen and Pelvis w/ + w/o Contrast
Gross
$3,037
2424644
$2,430
CT Abdomen and Pelvis w/ + w/o Contrast
Gross
$3,037
1169054
$2,347
MRI Spine Cervical w/o Contrast
Gross
$2,934
1169066
$2,347
MRI Spine Thoracic w/o Contrast
Gross
$2,934
1169060
$2,347
MRI Spine Lumbar w/o Contrast
Gross
$2,934
12443400
$2,173
00781-3154-01 - ferumoxytol 510 mg/17 mL Sol [BVHO]
Gross
$2,716
10975145
$2,127
CT Abdomen and Pelvis w/ Contrast
Gross
$2,659
2424647
$2,127
CT Abdomen and Pelvis w/ Contrast
Gross
$2,659
1168653
$1,972
MRA Brain/Head w/o Contrast
Gross
$2,465
8099917
$1,956
MRI Forearm w/o Contrast Left
Gross
$2,445
8099919
$1,956
MRI Forearm w/o Contrast Right
Gross
$2,445
1168930
$1,956
MRI Hand w/o Contrast Left
Gross
$2,445
1168932
$1,956
MRI Hand w/o Contrast Right
Gross
$2,445
8099929
$1,956
MRI Humerus w/o Contrast Left
Gross
$2,445
8099931
$1,956
MRI Humerus w/o Contrast Right
Gross
$2,445
8099897
$1,891
MRI Femur w/ + w/o Contrast Left
Gross
$2,364
8099899
$1,891
MRI Femur w/ + w/o Contrast Right
Gross
$2,364
1168878
$1,891
MRI Foot w/ + w/o Contrast Left
Gross
$2,364
1168880
$1,891
MRI Foot w/ + w/o Contrast Right
Gross
$2,364
8207921
$1,891
MRI Lower Extremity w/ + w/o Cnt Left
Gross
$2,364
8207924
$1,891
MRI Lower Extremity w/ + w/o Cnt Right
Gross
$2,364
8099939
$1,891
MRI Tibia/Fibula w/ + w/o Contrast Left
Gross
$2,364
8099941
$1,891
MRI Tibia/Fibula w/ + w/o Contrast Right
Gross
$2,364
10966630
$1,885
CT Abdomen and Pelvis w/o Contrast
Gross
$2,356
2424650
$1,885
CT Abdomen and Pelvis w/o Contrast
Gross
$2,356
1168848
$1,825
MRI Elbow w/o Contrast Left
Gross
$2,281
1168850
$1,825
MRI Elbow w/o Contrast Right
Gross
$2,281
1169044
$1,825
MRI Shoulder w/o Contrast Left
Gross
$2,281
1169046
$1,825
MRI Shoulder w/o Contrast Right
Gross
$2,281
8211767
$1,825
MRI UE Joint w/o Contrast Left
Gross
$2,281
8211770
$1,825
MRI UE Joint w/o Contrast Right
Gross
$2,281
1169140
$1,825
MRI Wrist w/o Contrast Left
Gross
$2,281
1169142
$1,825
MRI Wrist w/o Contrast Right
Gross
$2,281
8099905
$1,759
MRI Femur w/o Contrast Left
Gross
$2,199
8099907
$1,759
MRI Femur w/o Contrast Right
Gross
$2,199
1168890
$1,759
MRI Foot w/o Contrast Left
Gross
$2,199
1168892
$1,759
MRI Foot w/o Contrast Right
Gross
$2,199
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Aftercare without complications | Aftercare without complications | $32,129 | $25,703 | — | — | 1 |
| 10491903 | 50242-0120-47 - tenecteplase 50 mg IV Inj [BVHO] | $20,784 | $16,627 | — | — | 2 |
| Blood infection without major complications | Blood infection without major complications | $16,343 | $13,074 | — | — | 1 |
| G.I. obstruction without complications | G.I. obstruction without complications | $10,656 | $8,524 | — | — | 1 |
| 12953263 | 50242-0227-01 - omalizumab 300 mg/2 mL Sol [BVHO] | $8,497 | $6,797 | — | — | 2 |
| Pneumonia without complications | Pneumonia without complications | $7,029 | $5,624 | — | — | 1 |
| G.I. obstruction with complications | G.I. obstruction with complications | $6,338 | $5,071 | — | — | 1 |
| Blood Infection with major complications | Blood Infection with major complications | $5,095 | $4,076 | — | — | 2 |
| 1168796 | MRI Brain w/ + w/o Contrast | $4,018 | $3,214 | — | — | 7 |
| Postpartum & post abortion diagnoses without ope | Postpartum & post abortion diagnoses without operating room procedure | $3,851 | $3,081 | — | — | 1 |
| 1168800 | MRI Brain w/o Contrast | $3,815 | $3,052 | — | — | 10 |
| 1169024 | MRI Pelvis w/ + w/o Contrast | $3,667 | $2,934 | — | — | 2 |
| 1169028 | MRI Pelvis w/o Contrast | $3,545 | $2,836 | — | — | 5 |
| 10966629 | CT Abdomen and Pelvis w/ + w/o Contrast | $3,037 | $2,430 | — | — | 2 |
| 2424644 | CT Abdomen and Pelvis w/ + w/o Contrast | $3,037 | $2,430 | — | — | 2 |
| 1169054 | MRI Spine Cervical w/o Contrast | $2,934 | $2,347 | — | — | 8 |
| 1169066 | MRI Spine Thoracic w/o Contrast | $2,934 | $2,347 | — | — | 4 |
| 1169060 | MRI Spine Lumbar w/o Contrast | $2,934 | $2,347 | — | — | 12 |
| 12443400 | 00781-3154-01 - ferumoxytol 510 mg/17 mL Sol [BVHO] | $2,716 | $2,173 | — | — | 1 |
| 10975145 | CT Abdomen and Pelvis w/ Contrast | $2,659 | $2,127 | — | — | 13 |
| 2424647 | CT Abdomen and Pelvis w/ Contrast | $2,659 | $2,127 | — | — | 13 |
| 1168653 | MRA Brain/Head w/o Contrast | $2,465 | $1,972 | — | — | 1 |
| 8099917 | MRI Forearm w/o Contrast Left | $2,445 | $1,956 | — | — | 1 |
| 8099919 | MRI Forearm w/o Contrast Right | $2,445 | $1,956 | — | — | 1 |
| 1168930 | MRI Hand w/o Contrast Left | $2,445 | $1,956 | — | — | 1 |
| 1168932 | MRI Hand w/o Contrast Right | $2,445 | $1,956 | — | — | 1 |
| 8099929 | MRI Humerus w/o Contrast Left | $2,445 | $1,956 | — | — | 1 |
| 8099931 | MRI Humerus w/o Contrast Right | $2,445 | $1,956 | — | — | 1 |
| 8099897 | MRI Femur w/ + w/o Contrast Left | $2,364 | $1,891 | — | — | 1 |
| 8099899 | MRI Femur w/ + w/o Contrast Right | $2,364 | $1,891 | — | — | 1 |
| 1168878 | MRI Foot w/ + w/o Contrast Left | $2,364 | $1,891 | — | — | 1 |
| 1168880 | MRI Foot w/ + w/o Contrast Right | $2,364 | $1,891 | — | — | 1 |
| 8207921 | MRI Lower Extremity w/ + w/o Cnt Left | $2,364 | $1,891 | — | — | 1 |
| 8207924 | MRI Lower Extremity w/ + w/o Cnt Right | $2,364 | $1,891 | — | — | 1 |
| 8099939 | MRI Tibia/Fibula w/ + w/o Contrast Left | $2,364 | $1,891 | — | — | 1 |
| 8099941 | MRI Tibia/Fibula w/ + w/o Contrast Right | $2,364 | $1,891 | — | — | 1 |
| 10966630 | CT Abdomen and Pelvis w/o Contrast | $2,356 | $1,885 | — | — | 10 |
| 2424650 | CT Abdomen and Pelvis w/o Contrast | $2,356 | $1,885 | — | — | 10 |
| 1168848 | MRI Elbow w/o Contrast Left | $2,281 | $1,825 | — | — | 9 |
| 1168850 | MRI Elbow w/o Contrast Right | $2,281 | $1,825 | — | — | 9 |
| 1169044 | MRI Shoulder w/o Contrast Left | $2,281 | $1,825 | — | — | 9 |
| 1169046 | MRI Shoulder w/o Contrast Right | $2,281 | $1,825 | — | — | 9 |
| 8211767 | MRI UE Joint w/o Contrast Left | $2,281 | $1,825 | — | — | 9 |
| 8211770 | MRI UE Joint w/o Contrast Right | $2,281 | $1,825 | — | — | 9 |
| 1169140 | MRI Wrist w/o Contrast Left | $2,281 | $1,825 | — | — | 9 |
| 1169142 | MRI Wrist w/o Contrast Right | $2,281 | $1,825 | — | — | 9 |
| 8099905 | MRI Femur w/o Contrast Left | $2,199 | $1,759 | — | — | 4 |
| 8099907 | MRI Femur w/o Contrast Right | $2,199 | $1,759 | — | — | 4 |
| 1168890 | MRI Foot w/o Contrast Left | $2,199 | $1,759 | — | — | 4 |
| 1168892 | MRI Foot w/o Contrast Right | $2,199 | $1,759 | — | — | 4 |
Showing top 50 of 1,328 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.