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
12,498
Insurances with rates
3
CPT / HCPCS codes
7,681
Most expensive procedures (gross)
50242-0085-27
$19,801
alteplase 100 mg intravenous injection [CCMD]
Gross
$26,401
50242-0120-47
$16,601
tenecteplase 50 mg intravenous injection [CCMD]
Gross
$22,135
00944-2700-07
$10,898
immune globulin intravenous and subcutaneous 10% Sol
Gross
$14,531
70114-0120-01
$9,394
pegfilgrastim cbqv 6 mg/0.6 mL Sol [CCMD]
Gross
$12,525
13533-0800-40
$8,694
immune globulin intravenous 10% Sol 400 mL Gamunex [CCMD]
Gross
$11,592
00078-1000-60
$7,590
inclisiran 284 mg/1.5 mL Sol [CCMD]
Gross
$10,120
9438930
$6,791
27268-Femore; proximal end; w/manip
Gross
$9,055
13533-0800-24
$4,350
immune globulin intravenous 10% Sol 200 mL Gamunex [CCMD]
Gross
$5,800
1167853
$4,226
CT Angio Abdomen
Gross
$5,635
55513-0710-21
$4,220
denosumab 60 mg/mL injectable solution [CCMD]
Gross
$5,626
2424686
$4,137
CT Angio Abdomen and Pelvis
Gross
$5,515
9446962
$4,137
74174 CT Angio Abdomen and Pelvis: AddOn
Gross
$5,515
57970-0100-01
$4,003
dalbavancin 500 mg Pow [CCMD]
Gross
$5,337
2424644
$3,736
CT Abdomen and Pelvis w/ + w/o Contrast
Gross
$4,981
9444011
$3,736
74178 CT Abdomen and Pelvis w/ + w/o Contrast: AddOn
Gross
$4,981
55513-0710-01
$3,655
denosumab 60 mg/mL injectable solution [CCMD]
Gross
$4,874
8404030
$3,633
MRA Lower Extremity w/ + w/o Cnt Bilat
Gross
$4,844
8093216
$3,455
CT Angio Abdominal Aorta with Runoff
Gross
$4,607
8036704
$3,393
10121 Incision and removal of foreign body, subcutaneous tissues; complicated
Gross
$4,524
8036770
$3,393
11606 Excision, malignant lesion including margins, trunk, arms, or legs; >4.0cm
Gross
$4,524
8036843
$3,386
13100 Repair, complex, trunk; 1.1 cm to 2.5 cm
Gross
$4,515
2424647
$3,369
CT Abdomen and Pelvis w/ Contrast
Gross
$4,492
9444010
$3,369
74177 CT Abdomen and Pelvis w/ Contrast: AddOn
Gross
$4,492
1168796
$3,356
MRI Brain w/ + w/o Contrast
Gross
$4,475
00517-0650-01
$3,351
ferric carboxymaltose 50 mg/mL Sol [CCMD]
Gross
$4,468
8102200
$3,240
25605-Distal Radial w/ Manipulation
Gross
$4,319
8102230
$3,240
27810-Bimalleolar Ankle w/ Manipulation
Gross
$4,319
1169062
$3,105
MRI Spine Thoracic w/ + w/o Contrast
Gross
$4,140
1168649
$2,976
MRA Brain/Head w/ + w/o Contrast
Gross
$3,968
66621-0790-02
$2,970
antivenin (Crotalidae) polyvalent - Powder [CCMD]
Gross
$3,960
55513-0998-02
$2,958
romosozumab 105 mg/1.17 mL injectable solution [CCMD]
Gross
$3,943
1169056
$2,760
MRI Spine Lumbar w/ + w/o Contrast
Gross
$3,680
1168679
$2,735
MRA Neck w/ + w/o Contrast
Gross
$3,647
1169066
$2,713
MRI Spine Thoracic w/o Contrast
Gross
$3,617
8102190
$2,710
25505-Radial Shaft w/ Manipulation
Gross
$3,613
8102232
$2,710
27818-Trimalleolar Ankle w/ Manipulation
Gross
$3,613
8037895
$2,632
27781 Closed treatment of proximal fibula or shaft fracture; with manipulation
Gross
$3,509
8838405
$2,619
ROOM/BED: Inpatient Isolation
Gross
$3,493
9293547
$2,619
ROOM/BED: Inpatient With Telemetry
Gross
$3,493
1168820
$2,611
MRI Chest w/ + w/o Contrast
Gross
$3,481
55513-0880-02
$2,608
romosozumab 105 mg/1.17 mL injectable solution [CCMD]
Gross
$3,478
1169050
$2,588
MRI Spine Cervical w/ + w/o Contrast
Gross
$3,451
2424650
$2,549
CT Abdomen and Pelvis w/o Contrast
Gross
$3,398
9446965
$2,549
74176 CT Abdomen and Pelvis w/o Contrast: AddOn
Gross
$3,398
1168852
$2,544
MRI Face Neck Orbit w/ + w/o Contrast
Gross
$3,391
8047932
$2,544
MRI Orbits w/ + w/o Contrast
Gross
$3,391
9724517
$2,544
MRI Neck w/ + w/o Contrast
Gross
$3,391
1168681
$2,495
MRA Neck w/ Contrast
Gross
$3,327
8102160
$2,470
27250-Hip Traumatic w/o Anesthesia
Gross
$3,294
1168704
$2,448
MRA Upper Extremity w/ + w/o Cnt Left
Gross
$3,264
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0085-27 | alteplase 100 mg intravenous injection [CCMD] | $26,401 | $19,801 | — | — | 0 |
| 50242-0120-47 | tenecteplase 50 mg intravenous injection [CCMD] | $22,135 | $16,601 | — | — | 0 |
| 00944-2700-07 | immune globulin intravenous and subcutaneous 10% Sol | $14,531 | $10,898 | — | — | 0 |
| 70114-0120-01 | pegfilgrastim cbqv 6 mg/0.6 mL Sol [CCMD] | $12,525 | $9,394 | — | — | 0 |
| 13533-0800-40 | immune globulin intravenous 10% Sol 400 mL Gamunex [CCMD] | $11,592 | $8,694 | — | — | 0 |
| 00078-1000-60 | inclisiran 284 mg/1.5 mL Sol [CCMD] | $10,120 | $7,590 | — | — | 0 |
| 9438930 | 27268-Femore; proximal end; w/manip | $9,055 | $6,791 | — | — | 0 |
| 13533-0800-24 | immune globulin intravenous 10% Sol 200 mL Gamunex [CCMD] | $5,800 | $4,350 | — | — | 0 |
| 1167853 | CT Angio Abdomen | $5,635 | $4,226 | — | — | 0 |
| 55513-0710-21 | denosumab 60 mg/mL injectable solution [CCMD] | $5,626 | $4,220 | — | — | 0 |
| 2424686 | CT Angio Abdomen and Pelvis | $5,515 | $4,137 | — | — | 0 |
| 9446962 | 74174 CT Angio Abdomen and Pelvis: AddOn | $5,515 | $4,137 | — | — | 0 |
| 57970-0100-01 | dalbavancin 500 mg Pow [CCMD] | $5,337 | $4,003 | — | — | 0 |
| 2424644 | CT Abdomen and Pelvis w/ + w/o Contrast | $4,981 | $3,736 | — | — | 0 |
| 9444011 | 74178 CT Abdomen and Pelvis w/ + w/o Contrast: AddOn | $4,981 | $3,736 | — | — | 0 |
| 55513-0710-01 | denosumab 60 mg/mL injectable solution [CCMD] | $4,874 | $3,655 | — | — | 0 |
| 8404030 | MRA Lower Extremity w/ + w/o Cnt Bilat | $4,844 | $3,633 | — | — | 0 |
| 8093216 | CT Angio Abdominal Aorta with Runoff | $4,607 | $3,455 | — | — | 0 |
| 8036704 | 10121 Incision and removal of foreign body, subcutaneous tissues; complicated | $4,524 | $3,393 | — | — | 0 |
| 8036770 | 11606 Excision, malignant lesion including margins, trunk, arms, or legs; >4.0cm | $4,524 | $3,393 | — | — | 0 |
| 8036843 | 13100 Repair, complex, trunk; 1.1 cm to 2.5 cm | $4,515 | $3,386 | — | — | 0 |
| 2424647 | CT Abdomen and Pelvis w/ Contrast | $4,492 | $3,369 | — | — | 0 |
| 9444010 | 74177 CT Abdomen and Pelvis w/ Contrast: AddOn | $4,492 | $3,369 | — | — | 0 |
| 1168796 | MRI Brain w/ + w/o Contrast | $4,475 | $3,356 | — | — | 0 |
| 00517-0650-01 | ferric carboxymaltose 50 mg/mL Sol [CCMD] | $4,468 | $3,351 | — | — | 0 |
| 8102200 | 25605-Distal Radial w/ Manipulation | $4,319 | $3,240 | — | — | 0 |
| 8102230 | 27810-Bimalleolar Ankle w/ Manipulation | $4,319 | $3,240 | — | — | 0 |
| 1169062 | MRI Spine Thoracic w/ + w/o Contrast | $4,140 | $3,105 | — | — | 0 |
| 1168649 | MRA Brain/Head w/ + w/o Contrast | $3,968 | $2,976 | — | — | 0 |
| 66621-0790-02 | antivenin (Crotalidae) polyvalent - Powder [CCMD] | $3,960 | $2,970 | — | — | 0 |
| 55513-0998-02 | romosozumab 105 mg/1.17 mL injectable solution [CCMD] | $3,943 | $2,958 | — | — | 0 |
| 1169056 | MRI Spine Lumbar w/ + w/o Contrast | $3,680 | $2,760 | — | — | 0 |
| 1168679 | MRA Neck w/ + w/o Contrast | $3,647 | $2,735 | — | — | 0 |
| 1169066 | MRI Spine Thoracic w/o Contrast | $3,617 | $2,713 | — | — | 0 |
| 8102190 | 25505-Radial Shaft w/ Manipulation | $3,613 | $2,710 | — | — | 0 |
| 8102232 | 27818-Trimalleolar Ankle w/ Manipulation | $3,613 | $2,710 | — | — | 0 |
| 8037895 | 27781 Closed treatment of proximal fibula or shaft fracture; with manipulation | $3,509 | $2,632 | — | — | 0 |
| 8838405 | ROOM/BED: Inpatient Isolation | $3,493 | $2,619 | — | — | 0 |
| 9293547 | ROOM/BED: Inpatient With Telemetry | $3,493 | $2,619 | — | — | 0 |
| 1168820 | MRI Chest w/ + w/o Contrast | $3,481 | $2,611 | — | — | 0 |
| 55513-0880-02 | romosozumab 105 mg/1.17 mL injectable solution [CCMD] | $3,478 | $2,608 | — | — | 0 |
| 1169050 | MRI Spine Cervical w/ + w/o Contrast | $3,451 | $2,588 | — | — | 0 |
| 2424650 | CT Abdomen and Pelvis w/o Contrast | $3,398 | $2,549 | — | — | 0 |
| 9446965 | 74176 CT Abdomen and Pelvis w/o Contrast: AddOn | $3,398 | $2,549 | — | — | 0 |
| 1168852 | MRI Face Neck Orbit w/ + w/o Contrast | $3,391 | $2,544 | — | — | 0 |
| 8047932 | MRI Orbits w/ + w/o Contrast | $3,391 | $2,544 | — | — | 0 |
| 9724517 | MRI Neck w/ + w/o Contrast | $3,391 | $2,544 | — | — | 0 |
| 1168681 | MRA Neck w/ Contrast | $3,327 | $2,495 | — | — | 0 |
| 8102160 | 27250-Hip Traumatic w/o Anesthesia | $3,294 | $2,470 | — | — | 0 |
| 1168704 | MRA Upper Extremity w/ + w/o Cnt Left | $3,264 | $2,448 | — | — | 0 |
Showing top 50 of 12,498 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.