45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
844
Insurances with rates
11
CPT / HCPCS codes
0
Most expensive procedures (gross)
52528049
$4,223
Allopurinol Inj 500 mg (UD)
Gross
$14,876
52503372
$3,275
Dinoprostone Vag Supp 20 mg
Gross
$11,535
52509056
$1,919
Isoproterenol Inj 0.2 mg/mL 5 mL (UD)
Gross
$6,758
52509049
$1,919
Isoproterenol Inj 0.2 mg/mL (IV)
Gross
$6,758
52508728
$1,915
Beractant Intratracheal 25 mg/mL 8 mL (UD)
Gross
$6,745
52502028
$1,559
INDOmethacin Inj 1 mg (UD)
Gross
$5,492
52503919
$1,490
Lomustine Cap 100 mg
Gross
$5,247
52555190
$1,433
Conivaptan Inj 20 mg in Dextrose 5% 100 mL PREMIX
Gross
$5,049
52550910
$1,433
Conivaptan Inj 5 mg/mL (IV)
Gross
$5,049
52514486
$1,135
Pyrimethamine Tab 25 mg
Gross
$3,996
52508710
$1,082
Beractant Intratracheal 25 mg/mL 4 mL (UD)
Gross
$3,811
52554755
$1,068
Lenalidomide Cap 10 mg
Gross
$3,760
52554748
$1,068
Lenalidomide Cap 5 mg
Gross
$3,760
52554771
$1,068
Lenalidomide Cap 25 mg
Gross
$3,760
52554763
$1,068
Lenalidomide Cap 15 mg
Gross
$3,760
52509544
$1,017
nitroPRUSSide Inj 25 mg/mL (IV)
Gross
$3,582
52534419
$1,017
NitroPRUSSide 50mg in Dextrose 5% 250mL (OR)
Gross
$3,582
52509551
$1,017
nitroPRUSSide Inj 50 mg (UD)
Gross
$3,582
52510203
$965
CISatracurium Inj 10 mg/mL *PF* (IV)
Gross
$3,398
52510211
$965
CISatracurium Inj 10 mg/mL *PF* 20 mL (UD)
Gross
$3,398
52509486
$937
Fenoldopam Inj 10 mg/1 mL (IV)
Gross
$3,300
52510286
$851
Remifentanil Inj 5 mg (UD)
Gross
$2,997
52557212
$688
Ibuprofen Lysine Inj 4 mg/mL (IV)
Gross
$2,424
52556305
$661
Tolvaptan Tab 30 mg
Gross
$2,327
52554425
$638
Dasatinib Tab 100 mg
Gross
$2,248
52556297
$637
Tolvaptan Tab 15 mg
Gross
$2,243
52522398
$591
Indigo Carmine Inj 8 mg/mL 5 mL (UD)
Gross
$2,082
52510294
$566
pentaMIDine Inj 100 mg/mL (IV)
Gross
$1,993
52518578
$556
Dinoprostone Vag Insert 10 mg
Gross
$1,959
52513470
$499
Anakinra Inj 100 mg/0.67 mL (Subcutaneous)
Gross
$1,756
52512100
$488
Imatinib Tab 400 mg
Gross
$1,718
52534898
$478
Thalidomide Cap 200 mg
Gross
$1,683
52537370
$456
Sunitinib Cap 25 mg
Gross
$1,607
52527769
$450
DiazePAM rectal gel 10 mg/2 mL (for doses 5 mg-10 mg) (UD)
Gross
$1,585
52527785
$450
DiazePAM rectal gel 20 mg/4 mL (for doses 12.5 mg-20 mg) (UD)
Gross
$1,585
52537313
$420
Thalidomide Cap 100 mg
Gross
$1,478
52510260
$400
Remifentanil Inj 2 mg (UD)
Gross
$1,409
52534815
$399
Erlotinib Tab 150 mg
Gross
$1,407
52533478
$396
PenicillAMINE Cap 250 mg
Gross
$1,396
52549698
$354
Dasatinib Tab 50 mg
Gross
$1,248
52537024
$353
Erlotinib Tab 100 mg
Gross
$1,244
52527744
$334
DiazePAM rectal gel 2.5 mg/0.5 mL
Gross
$1,177
52537388
$330
Sunitinib Cap 50 mg
Gross
$1,163
52533874
$311
Albendazole Tab 200 mg
Gross
$1,096
52556321
$310
Ambrisentan Tab 10 mg
Gross
$1,090
52545902
$299
Trientine Cap 250 mg
Gross
$1,054
52556313
$290
Ambrisentan Tab 5 mg
Gross
$1,021
52522687
$280
Indocyanine Green Inj 25 mg
Gross
$985
52537479
$278
Nilutamide Tab 150 mg
Gross
$981
52537867
$275
Ibandronate Tab 150 mg
Gross
$969
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 52528049 | Allopurinol Inj 500 mg (UD) | $14,876 | $4,223 | — | — | 113 |
| 52503372 | Dinoprostone Vag Supp 20 mg | $11,535 | $3,275 | — | — | 29 |
| 52509056 | Isoproterenol Inj 0.2 mg/mL 5 mL (UD) | $6,758 | $1,919 | — | — | 594 |
| 52509049 | Isoproterenol Inj 0.2 mg/mL (IV) | $6,758 | $1,919 | — | — | 225 |
| 52508728 | Beractant Intratracheal 25 mg/mL 8 mL (UD) | $6,745 | $1,915 | — | — | 28 |
| 52502028 | INDOmethacin Inj 1 mg (UD) | $5,492 | $1,559 | — | — | 233 |
| 52503919 | Lomustine Cap 100 mg | $5,247 | $1,490 | — | — | 83 |
| 52555190 | Conivaptan Inj 20 mg in Dextrose 5% 100 mL PREMIX | $5,049 | $1,433 | — | — | 85 |
| 52550910 | Conivaptan Inj 5 mg/mL (IV) | $5,049 | $1,433 | — | — | 89 |
| 52514486 | Pyrimethamine Tab 25 mg | $3,996 | $1,135 | — | — | 85 |
| 52508710 | Beractant Intratracheal 25 mg/mL 4 mL (UD) | $3,811 | $1,082 | — | — | 31 |
| 52554755 | Lenalidomide Cap 10 mg | $3,760 | $1,068 | — | — | 30 |
| 52554748 | Lenalidomide Cap 5 mg | $3,760 | $1,068 | — | — | 30 |
| 52554771 | Lenalidomide Cap 25 mg | $3,760 | $1,068 | — | — | 27 |
| 52554763 | Lenalidomide Cap 15 mg | $3,760 | $1,068 | — | — | 28 |
| 52509544 | nitroPRUSSide Inj 25 mg/mL (IV) | $3,582 | $1,017 | — | — | 262 |
| 52534419 | NitroPRUSSide 50mg in Dextrose 5% 250mL (OR) | $3,582 | $1,017 | — | — | 493 |
| 52509551 | nitroPRUSSide Inj 50 mg (UD) | $3,582 | $1,017 | — | — | 507 |
| 52510203 | CISatracurium Inj 10 mg/mL *PF* (IV) | $3,398 | $965 | — | — | 211 |
| 52510211 | CISatracurium Inj 10 mg/mL *PF* 20 mL (UD) | $3,398 | $965 | — | — | 374 |
| 52509486 | Fenoldopam Inj 10 mg/1 mL (IV) | $3,300 | $937 | — | — | 93 |
| 52510286 | Remifentanil Inj 5 mg (UD) | $2,997 | $851 | — | — | 324 |
| 52557212 | Ibuprofen Lysine Inj 4 mg/mL (IV) | $2,424 | $688 | — | — | 89 |
| 52556305 | Tolvaptan Tab 30 mg | $2,327 | $661 | — | — | 203 |
| 52554425 | Dasatinib Tab 100 mg | $2,248 | $638 | — | — | 29 |
| 52556297 | Tolvaptan Tab 15 mg | $2,243 | $637 | — | — | 177 |
| 52522398 | Indigo Carmine Inj 8 mg/mL 5 mL (UD) | $2,082 | $591 | — | — | 236 |
| 52510294 | pentaMIDine Inj 100 mg/mL (IV) | $1,993 | $566 | — | — | 146 |
| 52518578 | Dinoprostone Vag Insert 10 mg | $1,959 | $556 | — | — | 85 |
| 52513470 | Anakinra Inj 100 mg/0.67 mL (Subcutaneous) | $1,756 | $499 | — | — | 87 |
| 52512100 | Imatinib Tab 400 mg | $1,718 | $488 | — | — | 369 |
| 52534898 | Thalidomide Cap 200 mg | $1,683 | $478 | — | — | 30 |
| 52537370 | Sunitinib Cap 25 mg | $1,607 | $456 | — | — | 58 |
| 52527769 | DiazePAM rectal gel 10 mg/2 mL (for doses 5 mg-10 mg) (UD) | $1,585 | $450 | — | — | 115 |
| 52527785 | DiazePAM rectal gel 20 mg/4 mL (for doses 12.5 mg-20 mg) (UD) | $1,585 | $450 | — | — | 119 |
| 52537313 | Thalidomide Cap 100 mg | $1,478 | $420 | — | — | 52 |
| 52510260 | Remifentanil Inj 2 mg (UD) | $1,409 | $400 | — | — | 292 |
| 52534815 | Erlotinib Tab 150 mg | $1,407 | $399 | — | — | 58 |
| 52533478 | PenicillAMINE Cap 250 mg | $1,396 | $396 | — | — | 60 |
| 52549698 | Dasatinib Tab 50 mg | $1,248 | $354 | — | — | 31 |
| 52537024 | Erlotinib Tab 100 mg | $1,244 | $353 | — | — | 59 |
| 52527744 | DiazePAM rectal gel 2.5 mg/0.5 mL | $1,177 | $334 | — | — | 112 |
| 52537388 | Sunitinib Cap 50 mg | $1,163 | $330 | — | — | 29 |
| 52533874 | Albendazole Tab 200 mg | $1,096 | $311 | — | — | 224 |
| 52556321 | Ambrisentan Tab 10 mg | $1,090 | $310 | — | — | 176 |
| 52545902 | Trientine Cap 250 mg | $1,054 | $299 | — | — | 87 |
| 52556313 | Ambrisentan Tab 5 mg | $1,021 | $290 | — | — | 206 |
| 52522687 | Indocyanine Green Inj 25 mg | $985 | $280 | — | — | 329 |
| 52537479 | Nilutamide Tab 150 mg | $981 | $278 | — | — | 57 |
| 52537867 | Ibandronate Tab 150 mg | $969 | $275 | — | — | 30 |
Showing top 50 of 844 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.