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
1,796
Insurances with rates
0
CPT / HCPCS codes
350
Source MRF
Most expensive procedures (gross)
69853010201
—
ANDEXXA
Gross
$48,000
50242008527
—
ACTIVASE INJ 100 MG
Gross
$42,242
51759096010
—
UZEDY
Gross
$30,751
00074366303
—
LUPRON DEPOT INJ 11.25 MG KIT
Gross
$24,701
51759085010
—
UZEDY
Gross
$24,600
00143956410
—
REGITINE INJ 5 MG/2ML
Gross
$23,518
50633012011
—
DIGIBIND 40 MG/VIAL
Gross
$22,958
50242004413
—
ACTIVASE INJ 50 MG
Gross
$21,121
44206043820
—
PRIVIGEN 10 % LIQUID 20 GM
Gross
$17,380
50458056401
—
INVEGA SUSTENNA
Gross
$16,698
55513047810
—
EPOGEN 20000 U/ML
Gross
$15,917
51759063010
—
UZEDY
Gross
$15,375
63833038702
—
KCENTRA 1,000 UNIT/40 ML VIAL
Gross
$15,236
55513053010
—
NEUPOGEN INJ 300 MCG/ML
Gross
$15,112
67457067502
—
CALCIMAR INJ 400 IU/2 ML
Gross
$15,034
59148001971
—
ABILIFY MAINTENA 400 MG
Gross
$13,535
61314031810
—
ZARXIO INJ 300 MCG/0.5 ML
Gross
$13,169
51759052010
—
UZEDY
Gross
$12,300
54643564601
—
MVI-12 INJ (PED) 5 ML
Gross
$11,542
50458056301
—
INVEGA SUSTENNA
Gross
$11,132
00944265804
—
GAMMAR I.V. 10 GM
Gross
$10,764
59148001871
—
ABILIFY MAINTENA 300 MG
Gross
$10,151
00074364203
—
LUPRON DEPOT INJ 7.5 MG KIT
Gross
$9,812
42023016425
—
PITRESSIN INJ 20 UNIT/ML
Gross
$9,720
00338035702
—
OSMITROL 20% PREMIX BAG 250 ML
Gross
$8,657
57970010001
—
DALVANCE 500MG VIAL
Gross
$8,540
00074364103
—
LUPRON DEPOT INJ 3.75 MG KIT
Gross
$8,234
00641047725
—
PHENOBARBITAL SOD INJ 130 MG/ML
Gross
$8,208
55513014410
—
EPOGEN 10000 U/ML
Gross
$7,958
50742051530
—
NITRO-DUR PATCH 0.3 MG/HR
Gross
$7,631
67919003001
—
ZERBAXA 1.5 GRAM VIAL
Gross
$7,615
54643564901
—
MVI-12 INJ (ADULT) 10 ML
Gross
$7,384
00173054700
—
MEPRON ORAL SUSP 750 MG/5 ML UDC
Gross
$6,684
70515026210
—
LANOXIN PED INJ 100 MCG/ML
Gross
$6,611
42023011925
—
TIGAN INJ 200 MG/2 ML
Gross
$6,326
00006542312
—
BRIDION 200 MG/2 ML
Gross
$6,224
10019005561
—
BREVIBLOC BAG 2500 MG/250 ML
Gross
$6,221
70100042402
—
INDOCYANINE GREEN
Gross
$6,112
00409915801
—
VITAMIN K1 INJ 10 MG/ML
Gross
$5,876
00069600121
—
CEREBYX INJ 500 MG/10 ML
Gross
$5,822
00517037405
—
PROVAYBLUE
Gross
$5,625
00517460525
—
ROBINUL INJ 1 MG/5 ML
Gross
$5,500
10122051003
—
CUROSURF 240 MG/3 ML
Gross
$5,404
55111068010
—
ARIXTRA SYR 7.5 MG/0.6 ML
Gross
$5,144
67457058508
—
ARIXTRA SYR 10 MG/0.8 ML
Gross
$5,144
00548590000
—
CORTROSYN INJ 0.25 MG/ML
Gross
$5,116
00407222317
—
VISIPAQUE
Gross
$5,085
67457021102
—
ANTIZOL INJ 1.5 GM/1.5 ML
Gross
$4,929
00517560225
—
VISTARIL INJ 100 MG/2 ML
Gross
$4,883
00407141491
—
OMNIPAQUE
Gross
$4,843
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69853010201 | ANDEXXA | $48,000 | — | — | — | 0 |
| 50242008527 | ACTIVASE INJ 100 MG | $42,242 | — | — | — | 0 |
| 51759096010 | UZEDY | $30,751 | — | — | — | 0 |
| 00074366303 | LUPRON DEPOT INJ 11.25 MG KIT | $24,701 | — | — | — | 0 |
| 51759085010 | UZEDY | $24,600 | — | — | — | 0 |
| 00143956410 | REGITINE INJ 5 MG/2ML | $23,518 | — | — | — | 0 |
| 50633012011 | DIGIBIND 40 MG/VIAL | $22,958 | — | — | — | 0 |
| 50242004413 | ACTIVASE INJ 50 MG | $21,121 | — | — | — | 0 |
| 44206043820 | PRIVIGEN 10 % LIQUID 20 GM | $17,380 | — | — | — | 0 |
| 50458056401 | INVEGA SUSTENNA | $16,698 | — | — | — | 0 |
| 55513047810 | EPOGEN 20000 U/ML | $15,917 | — | — | — | 0 |
| 51759063010 | UZEDY | $15,375 | — | — | — | 0 |
| 63833038702 | KCENTRA 1,000 UNIT/40 ML VIAL | $15,236 | — | — | — | 0 |
| 55513053010 | NEUPOGEN INJ 300 MCG/ML | $15,112 | — | — | — | 0 |
| 67457067502 | CALCIMAR INJ 400 IU/2 ML | $15,034 | — | — | — | 0 |
| 59148001971 | ABILIFY MAINTENA 400 MG | $13,535 | — | — | — | 0 |
| 61314031810 | ZARXIO INJ 300 MCG/0.5 ML | $13,169 | — | — | — | 0 |
| 51759052010 | UZEDY | $12,300 | — | — | — | 0 |
| 54643564601 | MVI-12 INJ (PED) 5 ML | $11,542 | — | — | — | 0 |
| 50458056301 | INVEGA SUSTENNA | $11,132 | — | — | — | 0 |
| 00944265804 | GAMMAR I.V. 10 GM | $10,764 | — | — | — | 0 |
| 59148001871 | ABILIFY MAINTENA 300 MG | $10,151 | — | — | — | 0 |
| 00074364203 | LUPRON DEPOT INJ 7.5 MG KIT | $9,812 | — | — | — | 0 |
| 42023016425 | PITRESSIN INJ 20 UNIT/ML | $9,720 | — | — | — | 0 |
| 00338035702 | OSMITROL 20% PREMIX BAG 250 ML | $8,657 | — | — | — | 0 |
| 57970010001 | DALVANCE 500MG VIAL | $8,540 | — | — | — | 0 |
| 00074364103 | LUPRON DEPOT INJ 3.75 MG KIT | $8,234 | — | — | — | 0 |
| 00641047725 | PHENOBARBITAL SOD INJ 130 MG/ML | $8,208 | — | — | — | 0 |
| 55513014410 | EPOGEN 10000 U/ML | $7,958 | — | — | — | 0 |
| 50742051530 | NITRO-DUR PATCH 0.3 MG/HR | $7,631 | — | — | — | 0 |
| 67919003001 | ZERBAXA 1.5 GRAM VIAL | $7,615 | — | — | — | 0 |
| 54643564901 | MVI-12 INJ (ADULT) 10 ML | $7,384 | — | — | — | 0 |
| 00173054700 | MEPRON ORAL SUSP 750 MG/5 ML UDC | $6,684 | — | — | — | 0 |
| 70515026210 | LANOXIN PED INJ 100 MCG/ML | $6,611 | — | — | — | 0 |
| 42023011925 | TIGAN INJ 200 MG/2 ML | $6,326 | — | — | — | 0 |
| 00006542312 | BRIDION 200 MG/2 ML | $6,224 | — | — | — | 0 |
| 10019005561 | BREVIBLOC BAG 2500 MG/250 ML | $6,221 | — | — | — | 0 |
| 70100042402 | INDOCYANINE GREEN | $6,112 | — | — | — | 0 |
| 00409915801 | VITAMIN K1 INJ 10 MG/ML | $5,876 | — | — | — | 0 |
| 00069600121 | CEREBYX INJ 500 MG/10 ML | $5,822 | — | — | — | 0 |
| 00517037405 | PROVAYBLUE | $5,625 | — | — | — | 0 |
| 00517460525 | ROBINUL INJ 1 MG/5 ML | $5,500 | — | — | — | 0 |
| 10122051003 | CUROSURF 240 MG/3 ML | $5,404 | — | — | — | 0 |
| 55111068010 | ARIXTRA SYR 7.5 MG/0.6 ML | $5,144 | — | — | — | 0 |
| 67457058508 | ARIXTRA SYR 10 MG/0.8 ML | $5,144 | — | — | — | 0 |
| 00548590000 | CORTROSYN INJ 0.25 MG/ML | $5,116 | — | — | — | 0 |
| 00407222317 | VISIPAQUE | $5,085 | — | — | — | 0 |
| 67457021102 | ANTIZOL INJ 1.5 GM/1.5 ML | $4,929 | — | — | — | 0 |
| 00517560225 | VISTARIL INJ 100 MG/2 ML | $4,883 | — | — | — | 0 |
| 00407141491 | OMNIPAQUE | $4,843 | — | — | — | 0 |
Showing top 50 of 1,796 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.