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
1,566
Insurances with rates
19
CPT / HCPCS codes
1,508
Most expensive procedures (gross)
J3101
$39,046
TENECTEPLASE 50 MG IV KIT (MI OR PE SCA - MAIN RX PREP)
Gross
$48,808
J2353
$22,609
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$28,261
J2182
$19,547
MEPOLIZUMAB 100 MG/ML SC SOSY
Gross
$24,434
J7165
$15,430
PROTHROMBIN COMPLEX HUMAN-LANS 1000 UNITS IV SOLR
Gross
$19,287
43240
$11,805
HC Egd Transoral Transmural Drainage Pseudocyst - Endo US (Upper)
Gross
$14,756
Q4187
$9,599
HC Epicord 1 Sq Cm
Gross
$11,999
41105
$9,240
HC Biopsy of Tongue
Gross
$11,550
J0897
$9,190
DENOSUMAB 60 MG/ML SC SOSY
Gross
$11,487
J9217
$8,716
LEUPROLIDE ACETATE 7.5 MG IM KIT
Gross
$10,895
55707
$8,186
HC Bx Prst Trct US Guided
Gross
$10,233
69110
$8,095
HC Remove External Ear Partial
Gross
$10,119
13101
$7,872
HC ED Repair Complex Trunk; 2.6 to 7.5 Cm
Gross
$9,840
Q5136
$7,861
DENOSUMAB-BBDZ 60 MG/ML SC SOSY
Gross
$9,826
30117
$7,700
HC Removal of Intranasal Lesion
Gross
$9,625
41110
$7,363
HC Excision of Tongue Lesion
Gross
$9,204
J7190
$7,351
ANTIHEMOPHILIC FACTOR 1000 UNITS IV SOLR
Gross
$9,189
J1950
$7,325
LEUPROLIDE ACETATE 3.75 MG IM KIT
Gross
$9,156
63650
$7,254
HC Implant Neuroelectrodes
Gross
$9,067
J2315
$6,898
NALTREXONE 380 MG IM SUSR
Gross
$8,623
41112
$6,817
HC Excision of Tongue Lesion
Gross
$8,521
42330
$6,817
HC Removal of Salivary Stone
Gross
$8,521
54700
$6,451
HC ED Incis/Drain Scrotum/Testis,Epididym
Gross
$8,064
64489
$5,719
HC Tap Block Bi by Infusion
Gross
$7,149
64468
$5,719
HC Thrc Fascial Pln Blk Bil Inj
Gross
$7,149
64469
$5,719
HC Thrc Fascial Pln Blk Bil Infs
Gross
$7,149
27502
$5,630
HC ED Closed Rx Femur Shaft Fx+Manip
Gross
$7,037
46320
$5,420
HC ED Excision Thrombosed Hemorrhoid, External
Gross
$6,775
64624
$5,353
HC Destruction Neurolytic Agt Gnclr Nrv W/Img
Gross
$6,691
36558
$5,230
HC Insert Tunneled Cv Cath
Gross
$6,538
72156
$5,084
HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast
Gross
$6,355
72158
$5,073
HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast
Gross
$6,341
2060000002
$5,053
HC Progressive Care Room, Isolation, Daily
Gross
$6,316
74183
$5,042
HC MRI, Abdomen, Combo - MRI Abdomen Renal W WO Contrast
Gross
$6,303
74178
$5,034
HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast
Gross
$6,292
72197
$4,988
HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast
Gross
$6,235
J0630
$4,903
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$6,129
73223
$4,875
HC MRI Joint Upr Extr W/O&W/Dye - MR Upr Extrem W/WO IV Contrast
Gross
$6,094
59409
$4,746
HC ED Obstetrical Care,Vag Deliv Only
Gross
$5,932
49405
$4,738
HC Image-Guide Fluid Collxn Drainage Cath Visc Perq
Gross
$5,922
2060000001
$4,699
HC Progressive Care Room, Daily
Gross
$5,874
27252
$4,527
HC ED Closed Rx Trauma Hip Disloc,Anesth
Gross
$5,659
81479
$4,488
HC Neotype Solid Tumor (Neogenomics)
Gross
$5,610
72157
$4,480
HC MRI, Dorsal Spine Combo - MRI Thoracic Spine W WO Contrast
Gross
$5,600
73723
$4,331
HC MRI, Joint of Leg. Combo - MR W and WO IV Contrast
Gross
$5,414
42100
$4,324
HC Biopsy Roof of Mouth
Gross
$5,405
73222
$4,273
HC MRI Joint Upr Extrem W/Dye - MR Upr Extrem W IV Contrast
Gross
$5,341
74177
$4,262
HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast
Gross
$5,328
74174
$4,234
HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast
Gross
$5,292
71552
$4,225
HC MRI, Chest, Combo - MRI Chest W WO Contrast
Gross
$5,281
72149
$4,195
HC MRI, Lumbar Spine Contrast - MRI Lumbar Spine W Contrast
Gross
$5,244
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TENECTEPLASE 50 MG IV KIT (MI OR PE SCA - MAIN RX PREP) | $48,808 | $39,046 | — | — | 30 |
| J2353 | OCTREOTIDE ACETATE 20 MG IM KIT | $28,261 | $22,609 | — | — | 30 |
| J2182 | MEPOLIZUMAB 100 MG/ML SC SOSY | $24,434 | $19,547 | — | — | 31 |
| J7165 | PROTHROMBIN COMPLEX HUMAN-LANS 1000 UNITS IV SOLR | $19,287 | $15,430 | — | — | 30 |
| 43240 | HC Egd Transoral Transmural Drainage Pseudocyst - Endo US (Upper) | $14,756 | $11,805 | — | — | 28 |
| Q4187 | HC Epicord 1 Sq Cm | $11,999 | $9,599 | — | — | 16 |
| 41105 | HC Biopsy of Tongue | $11,550 | $9,240 | — | — | 27 |
| J0897 | DENOSUMAB 60 MG/ML SC SOSY | $11,487 | $9,190 | — | — | 31 |
| J9217 | LEUPROLIDE ACETATE 7.5 MG IM KIT | $10,895 | $8,716 | — | — | 31 |
| 55707 | HC Bx Prst Trct US Guided | $10,233 | $8,186 | — | — | 30 |
| 69110 | HC Remove External Ear Partial | $10,119 | $8,095 | — | — | 27 |
| 13101 | HC ED Repair Complex Trunk; 2.6 to 7.5 Cm | $9,840 | $7,872 | — | — | 32 |
| Q5136 | DENOSUMAB-BBDZ 60 MG/ML SC SOSY | $9,826 | $7,861 | — | — | 30 |
| 30117 | HC Removal of Intranasal Lesion | $9,625 | $7,700 | — | — | 28 |
| 41110 | HC Excision of Tongue Lesion | $9,204 | $7,363 | — | — | 27 |
| J7190 | ANTIHEMOPHILIC FACTOR 1000 UNITS IV SOLR | $9,189 | $7,351 | — | — | 30 |
| J1950 | LEUPROLIDE ACETATE 3.75 MG IM KIT | $9,156 | $7,325 | — | — | 30 |
| 63650 | HC Implant Neuroelectrodes | $9,067 | $7,254 | — | — | 28 |
| J2315 | NALTREXONE 380 MG IM SUSR | $8,623 | $6,898 | — | — | 30 |
| 41112 | HC Excision of Tongue Lesion | $8,521 | $6,817 | — | — | 27 |
| 42330 | HC Removal of Salivary Stone | $8,521 | $6,817 | — | — | 27 |
| 54700 | HC ED Incis/Drain Scrotum/Testis,Epididym | $8,064 | $6,451 | — | — | 32 |
| 64489 | HC Tap Block Bi by Infusion | $7,149 | $5,719 | — | — | 13 |
| 64468 | HC Thrc Fascial Pln Blk Bil Inj | $7,149 | $5,719 | — | — | 22 |
| 64469 | HC Thrc Fascial Pln Blk Bil Infs | $7,149 | $5,719 | — | — | 22 |
| 27502 | HC ED Closed Rx Femur Shaft Fx+Manip | $7,037 | $5,630 | — | — | 32 |
| 46320 | HC ED Excision Thrombosed Hemorrhoid, External | $6,775 | $5,420 | — | — | 32 |
| 64624 | HC Destruction Neurolytic Agt Gnclr Nrv W/Img | $6,691 | $5,353 | — | — | 27 |
| 36558 | HC Insert Tunneled Cv Cath | $6,538 | $5,230 | — | — | 33 |
| 72156 | HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast | $6,355 | $5,084 | — | — | 33 |
| 72158 | HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast | $6,341 | $5,073 | — | — | 33 |
| 2060000002 | HC Progressive Care Room, Isolation, Daily | $6,316 | $5,053 | — | — | 0 |
| 74183 | HC MRI, Abdomen, Combo - MRI Abdomen Renal W WO Contrast | $6,303 | $5,042 | — | — | 33 |
| 74178 | HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast | $6,292 | $5,034 | — | — | 33 |
| 72197 | HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast | $6,235 | $4,988 | — | — | 33 |
| J0630 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $6,129 | $4,903 | — | — | 21 |
| 73223 | HC MRI Joint Upr Extr W/O&W/Dye - MR Upr Extrem W/WO IV Contrast | $6,094 | $4,875 | — | — | 33 |
| 59409 | HC ED Obstetrical Care,Vag Deliv Only | $5,932 | $4,746 | — | — | 32 |
| 49405 | HC Image-Guide Fluid Collxn Drainage Cath Visc Perq | $5,922 | $4,738 | — | — | 28 |
| 2060000001 | HC Progressive Care Room, Daily | $5,874 | $4,699 | — | — | 0 |
| 27252 | HC ED Closed Rx Trauma Hip Disloc,Anesth | $5,659 | $4,527 | — | — | 32 |
| 81479 | HC Neotype Solid Tumor (Neogenomics) | $5,610 | $4,488 | — | — | 22 |
| 72157 | HC MRI, Dorsal Spine Combo - MRI Thoracic Spine W WO Contrast | $5,600 | $4,480 | — | — | 33 |
| 73723 | HC MRI, Joint of Leg. Combo - MR W and WO IV Contrast | $5,414 | $4,331 | — | — | 33 |
| 42100 | HC Biopsy Roof of Mouth | $5,405 | $4,324 | — | — | 27 |
| 73222 | HC MRI Joint Upr Extrem W/Dye - MR Upr Extrem W IV Contrast | $5,341 | $4,273 | — | — | 33 |
| 74177 | HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $5,328 | $4,262 | — | — | 33 |
| 74174 | HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast | $5,292 | $4,234 | — | — | 33 |
| 71552 | HC MRI, Chest, Combo - MRI Chest W WO Contrast | $5,281 | $4,225 | — | — | 33 |
| 72149 | HC MRI, Lumbar Spine Contrast - MRI Lumbar Spine W Contrast | $5,244 | $4,195 | — | — | 32 |
Showing top 50 of 1,566 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.