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
66,579
Insurances with rates
22
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
99999100457
—
MELOXICAM 7.5 MG PO SPLIT TABS
Gross
$175,120
6909787067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$85,370
6909790667
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$64,257
5789444101
—
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$34,982
5789444001
—
USTEKINUMAB 45 MG/0.5ML SC SOSY
Gross
$34,982
7628272067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$30,220
0074012411
—
ADALIMUMAB 80 MG/0.8ML SC AJKT
Gross
$28,647
0480925908
—
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$21,050
6931570150
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
6745729750
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
4202315701
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
0480925708
—
OCTREOTIDE ACETATE 10 MG IM KIT
Gross
$16,067
99999100465
—
HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR
Gross
$15,324
4612238672
—
FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP
Gross
$10,120
8200915022
—
ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT
Gross
$9,000
0037006603
—
ROWASA 4 G RE KIT
Gross
$8,963
6050561880
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$8,479
6699349528
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$8,479
0093110616
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$8,479
6131432720
—
ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ
Gross
$7,892
7006983601
—
BORTEZOMIB 3.5 MG IJ SOLR
Gross
$7,694
1672925105
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,680
6800157241
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,680
6050560504
—
BORTEZOMIB 3.5 MG IJ SOLR
Gross
$7,310
8461248101
—
ADALIMUMAB-ATTO 80 MG/0.8ML SC SOAJ
Gross
$7,194
6822006603
—
ROWASA 4 G RE KIT
Gross
$6,934
740
—
POLYSOM ATTENDED 1-3
Gross
$6,519
350
—
CT ABD WO/W CONTRAST
Gross
$6,456
4359805111
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$6,387
059705902
—
ADALIMUMAB 40 MG/0.8ML SC PSKT
Gross
$6,313
483
—
ECHOC 2D W/DOP W/COL
Gross
$5,886
0480973501
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$5,605
0480145308
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$5,605
6362988211
—
LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT
Gross
$5,516
4778165289
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$5,304
610
—
MRI ABDOMEN W/O CONTRAST
Gross
$5,051
0002758901
—
BEBTELOVIMAB 175 MG/2ML IV SOLN
Gross
$5,040
340
—
NM BONE SCAN-3 PHASE
Gross
$5,027
0781915894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
1672927503
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
1672927567
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
0781915895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
0781315894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
0781315895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
6745725600
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
6745725610
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
7043602580
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
7043602582
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
333
—
RAD SIMULATION COMPLEX
Gross
$4,369
128
—
ROOM & BOARD 8NCH
Gross
$4,253
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 99999100457 | MELOXICAM 7.5 MG PO SPLIT TABS | $175,120 | — | — | — | 0 |
| 6909787067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $85,370 | — | — | — | 0 |
| 6909790667 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $64,257 | — | — | — | 0 |
| 5789444101 | USTEKINUMAB 90 MG/ML SC SOSY | $34,982 | — | — | — | 0 |
| 5789444001 | USTEKINUMAB 45 MG/0.5ML SC SOSY | $34,982 | — | — | — | 0 |
| 7628272067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $30,220 | — | — | — | 0 |
| 0074012411 | ADALIMUMAB 80 MG/0.8ML SC AJKT | $28,647 | — | — | — | 0 |
| 0480925908 | OCTREOTIDE ACETATE 20 MG IM KIT | $21,050 | — | — | — | 0 |
| 6931570150 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 6745729750 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 4202315701 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 0480925708 | OCTREOTIDE ACETATE 10 MG IM KIT | $16,067 | — | — | — | 0 |
| 99999100465 | HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR | $15,324 | — | — | — | 0 |
| 4612238672 | FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP | $10,120 | — | — | — | 0 |
| 8200915022 | ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT | $9,000 | — | — | — | 0 |
| 0037006603 | ROWASA 4 G RE KIT | $8,963 | — | — | — | 0 |
| 6050561880 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $8,479 | — | — | — | 0 |
| 6699349528 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $8,479 | — | — | — | 0 |
| 0093110616 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $8,479 | — | — | — | 0 |
| 6131432720 | ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ | $7,892 | — | — | — | 0 |
| 7006983601 | BORTEZOMIB 3.5 MG IJ SOLR | $7,694 | — | — | — | 0 |
| 1672925105 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,680 | — | — | — | 0 |
| 6800157241 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,680 | — | — | — | 0 |
| 6050560504 | BORTEZOMIB 3.5 MG IJ SOLR | $7,310 | — | — | — | 0 |
| 8461248101 | ADALIMUMAB-ATTO 80 MG/0.8ML SC SOAJ | $7,194 | — | — | — | 0 |
| 6822006603 | ROWASA 4 G RE KIT | $6,934 | — | — | — | 0 |
| 740 | POLYSOM ATTENDED 1-3 | $6,519 | — | — | — | 0 |
| 350 | CT ABD WO/W CONTRAST | $6,456 | — | — | — | 0 |
| 4359805111 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $6,387 | — | — | — | 0 |
| 059705902 | ADALIMUMAB 40 MG/0.8ML SC PSKT | $6,313 | — | — | — | 0 |
| 483 | ECHOC 2D W/DOP W/COL | $5,886 | — | — | — | 0 |
| 0480973501 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $5,605 | — | — | — | 0 |
| 0480145308 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $5,605 | — | — | — | 0 |
| 6362988211 | LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT | $5,516 | — | — | — | 0 |
| 4778165289 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $5,304 | — | — | — | 0 |
| 610 | MRI ABDOMEN W/O CONTRAST | $5,051 | — | — | — | 0 |
| 0002758901 | BEBTELOVIMAB 175 MG/2ML IV SOLN | $5,040 | — | — | — | 0 |
| 340 | NM BONE SCAN-3 PHASE | $5,027 | — | — | — | 0 |
| 0781915894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 1672927503 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 1672927567 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 0781915895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 0781315894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 0781315895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 6745725600 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 6745725610 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 7043602580 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 7043602582 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 333 | RAD SIMULATION COMPLEX | $4,369 | — | — | — | 0 |
| 128 | ROOM & BOARD 8NCH | $4,253 | — | — | — | 0 |
Showing top 50 of 66,579 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.