45 CFR § 180 compliance
B · 85
This hospital published most 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
8,334
Insurances with rates
18
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
05201301_1
$4,898,646
QUETIAPINE FUMARATE 400 MG TAB
Gross
$8,164,410
05203718_1
$91,907
NYSTATIN 10 BILLION UNIT POWD
Gross
$153,178
05203082_1
$16,904
NF-Diclo Gel Topical application Gel 1%
Gross
$28,173
05203995_1
$12,720
HUMIRA(CF) 20 MG/0.2 ML SYRING
Gross
$21,201
05203966_1
$11,409
FLUTICASONE PROP MICRO POWDER
Gross
$19,014
05204915_1
$8,767
INVEGA SUSTENNA 156 MG/ML SYRG
Gross
$14,611
00600007_1
$8,128
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$13,546
00600011_1
$8,128
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$13,546
05204076_1
$7,809
INVEGA SUSTENNA 234 MG/1.5 ML
Gross
$13,015
05202472_1
$7,545
RABIES IMMUNE GLOBULIN (RIG), HUMAN, FOR INTRAMUSCULAR AND/OR SUBCUTANEOUS USE
Gross
$12,575
05200666_1
$7,444
INJECTION, TENECTEPLASE, 1 MG
Gross
$12,407
05204760_1
$6,662
ENBREL 25 MG/0.5 ML SYRINGE
Gross
$11,103
05204998_1
$6,404
DALVANCE 500 MG VIAL
Gross
$10,674
01400039_1
$6,187
LAPAROSCOPY, SURGICAL, APPENDECTOMY
Gross
$10,312
01400073_1
$6,187
LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE)
Gross
$10,312
01400080_1
$6,187
LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE
Gross
$10,312
01400081_1
$6,187
LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)
Gross
$10,312
01400106_1
$6,187
LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S)
Gross
$10,312
01400112_1
$6,187
LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTOMY AND/OR SALP
Gross
$10,312
01400113_1
$6,187
LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION)
Gross
$10,312
01400107_1
$6,177
LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUB
Gross
$10,294
05202504_1
$6,154
VIVITROL 380 MG VIAL-DILUENT
Gross
$10,257
05202519_1
$6,154
VIVITROL 380 MG VIAL-DILUENT
Gross
$10,257
05202539_1
$6,154
VIVITROL 380 MG VIAL-DILUENT
Gross
$10,257
01400044_1
$5,943
SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)
Gross
$9,905
01400095_1
$5,943
COLPOPEXY, VAGINAL; INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR MYORRHAPHY)
Gross
$9,905
01400096_1
$5,943
SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)
Gross
$9,905
01400101_1
$5,943
EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH REPAIR OF ENTEROCELE
Gross
$9,905
00600005_1
$5,659
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$9,432
05202549_1
$5,352
VIVITROL 380 MG VIAL-DILUENT
Gross
$8,920
05202441_1
$5,327
NF-Enbrel Subcutaneous Solution 50MG/1ML
Gross
$8,878
05203046_1
$5,111
ACTIVASE 50 MG VIAL
Gross
$8,518
01400012_1
$5,027
LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S)
Gross
$8,379
01400076_1
$5,027
LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE)
Gross
$8,379
01400104_1
$5,027
LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGHT OF 250 G OR
Gross
$8,379
01400111_1
$4,917
HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, ELECTROSURGICAL ABLATI
Gross
$8,194
05200916_1
$4,816
HUMIRA PEN 40 MG/0.8 ML
Gross
$8,026
00600003_1
$4,734
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$7,890
01400090_1
$4,658
PLASTIC REPAIR OF URETHROCELE
Gross
$7,764
01400091_1
$4,658
ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURE
Gross
$7,764
01400092_1
$4,658
POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY
Gross
$7,764
01400093_1
$4,658
COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED
Gross
$7,764
01400094_1
$4,658
INSERTION OF MESH OR OTHER PROSTHESIS FOR REPAIR OF PELVIC FLOOR DEFECT, EACH SITE (ANTERIOR, POSTER
Gross
$7,764
01400103_1
$4,658
CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS
Gross
$7,764
01400115_1
$4,658
OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL
Gross
$7,764
01400074_1
$4,251
REPAIR OF RECTOCELE (SEPARATE PROCEDURE)
Gross
$7,084
01400119_1
$4,251
REPAIR OF RECTOCELE (SEPARATE PROCEDURE)
Gross
$7,084
05200918_1
$4,229
HUMATROPE 12 MG CARTRIDGE
Gross
$7,048
01400077_1
$4,222
REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE
Gross
$7,036
05204996_1
$4,163
NEXPLANON SUBQ IMPLANT 68MG
Gross
$6,938
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 05201301_1 | QUETIAPINE FUMARATE 400 MG TAB | $8,164,410 | $4,898,646 | — | — | 22 |
| 05203718_1 | NYSTATIN 10 BILLION UNIT POWD | $153,178 | $91,907 | — | — | 22 |
| 05203082_1 | NF-Diclo Gel Topical application Gel 1% | $28,173 | $16,904 | — | — | 22 |
| 05203995_1 | HUMIRA(CF) 20 MG/0.2 ML SYRING | $21,201 | $12,720 | — | — | 22 |
| 05203966_1 | FLUTICASONE PROP MICRO POWDER | $19,014 | $11,409 | — | — | 22 |
| 05204915_1 | INVEGA SUSTENNA 156 MG/ML SYRG | $14,611 | $8,767 | — | — | 22 |
| 00600007_1 | OPERATING ROOM SERVICES - GENERAL CLASSIFICATION | $13,546 | $8,128 | — | — | 22 |
| 00600011_1 | OPERATING ROOM SERVICES - GENERAL CLASSIFICATION | $13,546 | $8,128 | — | — | 22 |
| 05204076_1 | INVEGA SUSTENNA 234 MG/1.5 ML | $13,015 | $7,809 | — | — | 22 |
| 05202472_1 | RABIES IMMUNE GLOBULIN (RIG), HUMAN, FOR INTRAMUSCULAR AND/OR SUBCUTANEOUS USE | $12,575 | $7,545 | — | — | 24 |
| 05200666_1 | INJECTION, TENECTEPLASE, 1 MG | $12,407 | $7,444 | — | — | 24 |
| 05204760_1 | ENBREL 25 MG/0.5 ML SYRINGE | $11,103 | $6,662 | — | — | 22 |
| 05204998_1 | DALVANCE 500 MG VIAL | $10,674 | $6,404 | — | — | 22 |
| 01400039_1 | LAPAROSCOPY, SURGICAL, APPENDECTOMY | $10,312 | $6,187 | — | — | 1 |
| 01400073_1 | LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE) | $10,312 | $6,187 | — | — | 1 |
| 01400080_1 | LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE | $10,312 | $6,187 | — | — | 1 |
| 01400081_1 | LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) | $10,312 | $6,187 | — | — | 1 |
| 01400106_1 | LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) | $10,312 | $6,187 | — | — | 1 |
| 01400112_1 | LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTOMY AND/OR SALP | $10,312 | $6,187 | — | — | 1 |
| 01400113_1 | LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION) | $10,312 | $6,187 | — | — | 1 |
| 01400107_1 | LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUB | $10,294 | $6,177 | — | — | 1 |
| 05202504_1 | VIVITROL 380 MG VIAL-DILUENT | $10,257 | $6,154 | — | — | 22 |
| 05202519_1 | VIVITROL 380 MG VIAL-DILUENT | $10,257 | $6,154 | — | — | 22 |
| 05202539_1 | VIVITROL 380 MG VIAL-DILUENT | $10,257 | $6,154 | — | — | 22 |
| 01400044_1 | SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) | $9,905 | $5,943 | — | — | 1 |
| 01400095_1 | COLPOPEXY, VAGINAL; INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR MYORRHAPHY) | $9,905 | $5,943 | — | — | 1 |
| 01400096_1 | SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) | $9,905 | $5,943 | — | — | 1 |
| 01400101_1 | EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH REPAIR OF ENTEROCELE | $9,905 | $5,943 | — | — | 1 |
| 00600005_1 | OPERATING ROOM SERVICES - GENERAL CLASSIFICATION | $9,432 | $5,659 | — | — | 22 |
| 05202549_1 | VIVITROL 380 MG VIAL-DILUENT | $8,920 | $5,352 | — | — | 22 |
| 05202441_1 | NF-Enbrel Subcutaneous Solution 50MG/1ML | $8,878 | $5,327 | — | — | 22 |
| 05203046_1 | ACTIVASE 50 MG VIAL | $8,518 | $5,111 | — | — | 22 |
| 01400012_1 | LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) | $8,379 | $5,027 | — | — | 1 |
| 01400076_1 | LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) | $8,379 | $5,027 | — | — | 1 |
| 01400104_1 | LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGHT OF 250 G OR | $8,379 | $5,027 | — | — | 1 |
| 01400111_1 | HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, ELECTROSURGICAL ABLATI | $8,194 | $4,917 | — | — | 1 |
| 05200916_1 | HUMIRA PEN 40 MG/0.8 ML | $8,026 | $4,816 | — | — | 22 |
| 00600003_1 | OPERATING ROOM SERVICES - GENERAL CLASSIFICATION | $7,890 | $4,734 | — | — | 22 |
| 01400090_1 | PLASTIC REPAIR OF URETHROCELE | $7,764 | $4,658 | — | — | 1 |
| 01400091_1 | ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURE | $7,764 | $4,658 | — | — | 1 |
| 01400092_1 | POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY | $7,764 | $4,658 | — | — | 1 |
| 01400093_1 | COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED | $7,764 | $4,658 | — | — | 1 |
| 01400094_1 | INSERTION OF MESH OR OTHER PROSTHESIS FOR REPAIR OF PELVIC FLOOR DEFECT, EACH SITE (ANTERIOR, POSTER | $7,764 | $4,658 | — | — | 1 |
| 01400103_1 | CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS | $7,764 | $4,658 | — | — | 1 |
| 01400115_1 | OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL | $7,764 | $4,658 | — | — | 1 |
| 01400074_1 | REPAIR OF RECTOCELE (SEPARATE PROCEDURE) | $7,084 | $4,251 | — | — | 1 |
| 01400119_1 | REPAIR OF RECTOCELE (SEPARATE PROCEDURE) | $7,084 | $4,251 | — | — | 1 |
| 05200918_1 | HUMATROPE 12 MG CARTRIDGE | $7,048 | $4,229 | — | — | 22 |
| 01400077_1 | REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE | $7,036 | $4,222 | — | — | 1 |
| 05204996_1 | NEXPLANON SUBQ IMPLANT 68MG | $6,938 | $4,163 | — | — | 22 |
Showing top 50 of 8,334 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.