45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
○Discounted cash price
○Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
5,805
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
0378-8030-77 [185835]
—
LANSOPRAZOLE 30 MG PO CPDR [27692]
Gross
$548,681
63323-883-30 [150418]
—
DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]
Gross
$324,179
63323-117-61 [89738]
—
FLUOROURACIL 5 GM/100ML IV SOLN [98249]
Gross
$271,976
70436-116-82 [371243]
—
LEUCOVORIN CALCIUM 50 MG IJ SOLR (WET VIAL) [4394]
Gross
$271,794
50419-325-01 [208011]
—
GADOBUTROL 1 MMOL/ML IV SOLN [109395]
Gross
$253,619
0904-6709-61 [299645]
—
GLYCOPYRROLATE 1 MG PO TABS [10130]
Gross
$242,033
4813327001
—
HC INS/REP SUBQ DEFIBRILLATOR
Gross
$216,356
72485-113-01 [342670]
—
ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034]
Gross
$206,964
67457-220-00 [295764]
—
ISOSULFAN BLUE 1 % SC SOLN [10358]
Gross
$205,585
31722-629-21 [309901]
—
ATOVAQUONE 750 MG/5ML PO SUSP [14953]
Gross
$191,370
42192-608-16 [228541]
—
GABAPENTIN 250 MG/5ML PO SOLN [29169]
Gross
$185,827
0143-2112-50 [10450]
—
DOXYCYCLINE HYCLATE 100 MG PO TABS [2625]
Gross
$160,460
0121-0489-00 [286019]
—
DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511]
Gross
$160,248
13668-593-86 [334517]
—
APREPITANT 125 MG PO CAPS [35489]
Gross
$155,969
3613722302
—
HC ILIAC REVAS,ADD PLASTY/STENT
Gross
$151,291
344A954301
—
HC Y-90 ZEVALIN ISOTOPE
Gross
$146,516
67457-153-99 [311434]
—
AMIODARONE HCL 450 MG/9ML IV SOLN [97692]
Gross
$146,370
3613683601
—
HC SP AVF CREATION PERCU/W GUIDE
Gross
$144,139
3613324901
—
HC INSRT/RPL ICD W/LEAD SING/DUAL
Gross
$136,230
71288-160-10 [367040]
—
LEUCOVORIN CALCIUM 50 MG IJ SOLR (WET VIAL) [4394]
Gross
$135,699
44567-620-24 [313751]
—
CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [166340]
Gross
$133,113
36137277001
—
HC RVSC EVSC FPVT ST ATHR CPX 1
Gross
$132,789
0143-9273-01 [292939]
—
DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859]
Gross
$131,974
36137294001
—
HC RVSC EVSC TPVT ST ATHR CPX 1
Gross
$131,563
0409-3150-05 [358517]
—
HEPARIN (PORCINE) IN NACL 25000-0.45 UT/500ML-% IV SOLN [160926]
Gross
$129,161
70860-100-41 [315988]
—
AZITHROMYCIN 500 MG IV SOLR [21063]
Gross
$126,230
4809365602
—
HC AFIB ABLATION W/EP STUDY
Gross
$126,172
0904-7289-61 [367419]
—
BENZTROPINE MESYLATE 1 MG PO TABS [999]
Gross
$125,603
4809365601
—
HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN
Gross
$123,734
3613722102
—
HC ILIAC REVAS PLASTY STENT BILAT
Gross
$122,907
0143-9721-01 [225153]
—
LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [108119]
Gross
$119,627
3613722701
—
HC PLASTY STENT ATHEREC FEM/POP
Gross
$117,297
9213723101
—
HC REVAS PLASTY STENT ATH TIB/PER
Gross
$116,214
4809365401
—
HC MYOCARDIAL STRAIN IMAGING
Gross
$115,457
3613323001
—
HC INSRT ICD GEN W/EXST DUAL LEAD
Gross
$111,162
3613323101
—
HC INSRT ICD GEN W/EXST MULT LEAD
Gross
$111,162
3613324001
—
HC INSERT ICD SINGLE CHAMBER
Gross
$111,162
3613326201
—
HC RMV ICD GEN W/RPL GEN SNG LEAD
Gross
$111,162
3613326301
—
HC RMV ICD GEN W/RPL GEN DUAL LEA
Gross
$111,162
3613326401
—
HC RMV ICD GEN W/RPL GEN MULT LEA
Gross
$111,162
36137275001
—
HC RVSC EVSC FPVT ST ATHRC SF 1
Gross
$110,658
36137292001
—
HC RVSC EVSC TPVT ST ATHRC SF 1
Gross
$109,636
4813340501
—
HC REP AORTIC VALVE OPEN W/BYPASS
Gross
$109,209
4813722002
—
HC REVASC/PLASTY ILIAC ART BILAT
Gross
$106,920
0121-0489-05 [10116]
—
DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511]
Gross
$106,868
64406-102-02 [339858]
—
ADUCANUMAB-AVWA 300 MG/3ML IV SOLN [175554]
Gross
$104,686
67457-153-18 [150639]
—
AMIODARONE HCL 900 MG/18ML IV SOLN [97694]
Gross
$102,493
3613722002
—
HC ILIAC REVAS,PLASTY BILATERAL
Gross
$100,868
278C182000
—
1039972 - KIT IPG WAVEWRITER ALPHA 16
Gross
$100,652
4813723601
—
HC STENT PLMT,ART INCLUDE PLASTY
Gross
$100,122
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0378-8030-77 [185835] | LANSOPRAZOLE 30 MG PO CPDR [27692] | $548,681 | — | — | — | 0 |
| 63323-883-30 [150418] | DOXORUBICIN HCL 2 MG/ML IV SOLN [2616] | $324,179 | — | — | — | 0 |
| 63323-117-61 [89738] | FLUOROURACIL 5 GM/100ML IV SOLN [98249] | $271,976 | — | — | — | 0 |
| 70436-116-82 [371243] | LEUCOVORIN CALCIUM 50 MG IJ SOLR (WET VIAL) [4394] | $271,794 | — | — | — | 0 |
| 50419-325-01 [208011] | GADOBUTROL 1 MMOL/ML IV SOLN [109395] | $253,619 | — | — | — | 0 |
| 0904-6709-61 [299645] | GLYCOPYRROLATE 1 MG PO TABS [10130] | $242,033 | — | — | — | 0 |
| 4813327001 | HC INS/REP SUBQ DEFIBRILLATOR | $216,356 | — | — | — | 0 |
| 72485-113-01 [342670] | ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034] | $206,964 | — | — | — | 0 |
| 67457-220-00 [295764] | ISOSULFAN BLUE 1 % SC SOLN [10358] | $205,585 | — | — | — | 0 |
| 31722-629-21 [309901] | ATOVAQUONE 750 MG/5ML PO SUSP [14953] | $191,370 | — | — | — | 0 |
| 42192-608-16 [228541] | GABAPENTIN 250 MG/5ML PO SOLN [29169] | $185,827 | — | — | — | 0 |
| 0143-2112-50 [10450] | DOXYCYCLINE HYCLATE 100 MG PO TABS [2625] | $160,460 | — | — | — | 0 |
| 0121-0489-00 [286019] | DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511] | $160,248 | — | — | — | 0 |
| 13668-593-86 [334517] | APREPITANT 125 MG PO CAPS [35489] | $155,969 | — | — | — | 0 |
| 3613722302 | HC ILIAC REVAS,ADD PLASTY/STENT | $151,291 | — | — | — | 0 |
| 344A954301 | HC Y-90 ZEVALIN ISOTOPE | $146,516 | — | — | — | 0 |
| 67457-153-99 [311434] | AMIODARONE HCL 450 MG/9ML IV SOLN [97692] | $146,370 | — | — | — | 0 |
| 3613683601 | HC SP AVF CREATION PERCU/W GUIDE | $144,139 | — | — | — | 0 |
| 3613324901 | HC INSRT/RPL ICD W/LEAD SING/DUAL | $136,230 | — | — | — | 0 |
| 71288-160-10 [367040] | LEUCOVORIN CALCIUM 50 MG IJ SOLR (WET VIAL) [4394] | $135,699 | — | — | — | 0 |
| 44567-620-24 [313751] | CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [166340] | $133,113 | — | — | — | 0 |
| 36137277001 | HC RVSC EVSC FPVT ST ATHR CPX 1 | $132,789 | — | — | — | 0 |
| 0143-9273-01 [292939] | DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859] | $131,974 | — | — | — | 0 |
| 36137294001 | HC RVSC EVSC TPVT ST ATHR CPX 1 | $131,563 | — | — | — | 0 |
| 0409-3150-05 [358517] | HEPARIN (PORCINE) IN NACL 25000-0.45 UT/500ML-% IV SOLN [160926] | $129,161 | — | — | — | 0 |
| 70860-100-41 [315988] | AZITHROMYCIN 500 MG IV SOLR [21063] | $126,230 | — | — | — | 0 |
| 4809365602 | HC AFIB ABLATION W/EP STUDY | $126,172 | — | — | — | 0 |
| 0904-7289-61 [367419] | BENZTROPINE MESYLATE 1 MG PO TABS [999] | $125,603 | — | — | — | 0 |
| 4809365601 | HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $123,734 | — | — | — | 0 |
| 3613722102 | HC ILIAC REVAS PLASTY STENT BILAT | $122,907 | — | — | — | 0 |
| 0143-9721-01 [225153] | LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [108119] | $119,627 | — | — | — | 0 |
| 3613722701 | HC PLASTY STENT ATHEREC FEM/POP | $117,297 | — | — | — | 0 |
| 9213723101 | HC REVAS PLASTY STENT ATH TIB/PER | $116,214 | — | — | — | 0 |
| 4809365401 | HC MYOCARDIAL STRAIN IMAGING | $115,457 | — | — | — | 0 |
| 3613323001 | HC INSRT ICD GEN W/EXST DUAL LEAD | $111,162 | — | — | — | 0 |
| 3613323101 | HC INSRT ICD GEN W/EXST MULT LEAD | $111,162 | — | — | — | 0 |
| 3613324001 | HC INSERT ICD SINGLE CHAMBER | $111,162 | — | — | — | 0 |
| 3613326201 | HC RMV ICD GEN W/RPL GEN SNG LEAD | $111,162 | — | — | — | 0 |
| 3613326301 | HC RMV ICD GEN W/RPL GEN DUAL LEA | $111,162 | — | — | — | 0 |
| 3613326401 | HC RMV ICD GEN W/RPL GEN MULT LEA | $111,162 | — | — | — | 0 |
| 36137275001 | HC RVSC EVSC FPVT ST ATHRC SF 1 | $110,658 | — | — | — | 0 |
| 36137292001 | HC RVSC EVSC TPVT ST ATHRC SF 1 | $109,636 | — | — | — | 0 |
| 4813340501 | HC REP AORTIC VALVE OPEN W/BYPASS | $109,209 | — | — | — | 0 |
| 4813722002 | HC REVASC/PLASTY ILIAC ART BILAT | $106,920 | — | — | — | 0 |
| 0121-0489-05 [10116] | DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511] | $106,868 | — | — | — | 0 |
| 64406-102-02 [339858] | ADUCANUMAB-AVWA 300 MG/3ML IV SOLN [175554] | $104,686 | — | — | — | 0 |
| 67457-153-18 [150639] | AMIODARONE HCL 900 MG/18ML IV SOLN [97694] | $102,493 | — | — | — | 0 |
| 3613722002 | HC ILIAC REVAS,PLASTY BILATERAL | $100,868 | — | — | — | 0 |
| 278C182000 | 1039972 - KIT IPG WAVEWRITER ALPHA 16 | $100,652 | — | — | — | 0 |
| 4813723601 | HC STENT PLMT,ART INCLUDE PLASTY | $100,122 | — | — | — | 0 |
Showing top 50 of 5,805 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.