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
1,012
Insurances with rates
6
CPT / HCPCS codes
0
Most expensive procedures (gross)
52528049
$6,656
Allopurinol Inj 500 mg (UD)
Gross
$14,876
52503372
$5,161
Dinoprostone Vag Supp 20 mg
Gross
$11,535
52509056
$3,024
Isoproterenol Inj 0.2 mg/mL 5 mL (UD)
Gross
$6,758
52509049
$3,024
Isoproterenol Inj 0.2 mg/mL (IV)
Gross
$6,758
52508728
$3,018
Beractant Intratracheal 25 mg/mL 8 mL (UD)
Gross
$6,745
52502028
$2,457
INDOmethacin Inj 1 mg (UD)
Gross
$5,492
52503919
$2,348
Lomustine Cap 100 mg
Gross
$5,247
52550910
$2,259
Conivaptan Inj 5 mg/mL (IV)
Gross
$5,049
52555190
$2,259
Conivaptan Inj 20 mg in Dextrose 5% 100 mL PREMIX
Gross
$5,049
52514486
$1,788
Pyrimethamine Tab 25 mg
Gross
$3,996
52508710
$1,705
Beractant Intratracheal 25 mg/mL 4 mL (UD)
Gross
$3,811
52554755
$1,682
Lenalidomide Cap 10 mg
Gross
$3,760
52554748
$1,682
Lenalidomide Cap 5 mg
Gross
$3,760
52554771
$1,682
Lenalidomide Cap 25 mg
Gross
$3,760
52554763
$1,682
Lenalidomide Cap 15 mg
Gross
$3,760
52509544
$1,603
nitroPRUSSide Inj 25 mg/mL (IV)
Gross
$3,582
52509551
$1,603
nitroPRUSSide Inj 50 mg (UD)
Gross
$3,582
52534419
$1,603
NitroPRUSSide 50mg in Dextrose 5% 250mL (OR)
Gross
$3,582
52510203
$1,520
CISatracurium Inj 10 mg/mL *PF* (IV)
Gross
$3,398
52510211
$1,520
CISatracurium Inj 10 mg/mL *PF* 20 mL (UD)
Gross
$3,398
52509486
$1,476
Fenoldopam Inj 10 mg/1 mL (IV)
Gross
$3,300
52510286
$1,341
Remifentanil Inj 5 mg (UD)
Gross
$2,997
52557212
$1,084
Ibuprofen Lysine Inj 4 mg/mL (IV)
Gross
$2,424
52556305
$1,041
Tolvaptan Tab 30 mg
Gross
$2,327
52560125
$1,024
Sildenafil Inj 10mg/12.5mL (UD)
Gross
$2,289
52554425
$1,006
Dasatinib Tab 100 mg
Gross
$2,248
52556297
$1,003
Tolvaptan Tab 15 mg
Gross
$2,243
52536083
$934
Bosentan Tab 125 mg
Gross
$2,087
52522398
$931
Indigo Carmine Inj 8 mg/mL 5 mL (UD)
Gross
$2,082
52510294
$892
pentaMIDine Inj 100 mg/mL (IV)
Gross
$1,993
52518578
$876
Dinoprostone Vag Insert 10 mg
Gross
$1,959
52513470
$786
Anakinra Inj 100 mg/0.67 mL (Subcutaneous)
Gross
$1,756
52512100
$769
Imatinib Tab 400 mg
Gross
$1,718
52534898
$753
Thalidomide Cap 200 mg
Gross
$1,683
52537370
$719
Sunitinib Cap 25 mg
Gross
$1,607
52527769
$709
DiazePAM rectal gel 10 mg/2 mL (for doses 5 mg-10 mg) (UD)
Gross
$1,585
52527785
$709
DiazePAM rectal gel 20 mg/4 mL (for doses 12.5 mg-20 mg) (UD)
Gross
$1,585
52537313
$661
Thalidomide Cap 100 mg
Gross
$1,478
52510260
$630
Remifentanil Inj 2 mg (UD)
Gross
$1,409
52534815
$629
Erlotinib Tab 150 mg
Gross
$1,407
52533478
$624
PenicillAMINE Cap 250 mg
Gross
$1,396
52549698
$558
Dasatinib Tab 50 mg
Gross
$1,248
52537024
$556
Erlotinib Tab 100 mg
Gross
$1,244
52527744
$526
DiazePAM rectal gel 2.5 mg/0.5 mL
Gross
$1,177
52537388
$520
Sunitinib Cap 50 mg
Gross
$1,163
52533874
$490
Albendazole Tab 200 mg
Gross
$1,096
52556321
$488
Ambrisentan Tab 10 mg
Gross
$1,090
52545902
$472
Trientine Cap 250 mg
Gross
$1,054
52556313
$457
Ambrisentan Tab 5 mg
Gross
$1,021
52522687
$441
Indocyanine Green Inj 25 mg
Gross
$985
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 52528049 | Allopurinol Inj 500 mg (UD) | $14,876 | $6,656 | — | — | 97 |
| 52503372 | Dinoprostone Vag Supp 20 mg | $11,535 | $5,161 | — | — | 22 |
| 52509056 | Isoproterenol Inj 0.2 mg/mL 5 mL (UD) | $6,758 | $3,024 | — | — | 494 |
| 52509049 | Isoproterenol Inj 0.2 mg/mL (IV) | $6,758 | $3,024 | — | — | 185 |
| 52508728 | Beractant Intratracheal 25 mg/mL 8 mL (UD) | $6,745 | $3,018 | — | — | 25 |
| 52502028 | INDOmethacin Inj 1 mg (UD) | $5,492 | $2,457 | — | — | 194 |
| 52503919 | Lomustine Cap 100 mg | $5,247 | $2,348 | — | — | 73 |
| 52550910 | Conivaptan Inj 5 mg/mL (IV) | $5,049 | $2,259 | — | — | 69 |
| 52555190 | Conivaptan Inj 20 mg in Dextrose 5% 100 mL PREMIX | $5,049 | $2,259 | — | — | 79 |
| 52514486 | Pyrimethamine Tab 25 mg | $3,996 | $1,788 | — | — | 72 |
| 52508710 | Beractant Intratracheal 25 mg/mL 4 mL (UD) | $3,811 | $1,705 | — | — | 22 |
| 52554755 | Lenalidomide Cap 10 mg | $3,760 | $1,682 | — | — | 26 |
| 52554748 | Lenalidomide Cap 5 mg | $3,760 | $1,682 | — | — | 23 |
| 52554771 | Lenalidomide Cap 25 mg | $3,760 | $1,682 | — | — | 24 |
| 52554763 | Lenalidomide Cap 15 mg | $3,760 | $1,682 | — | — | 24 |
| 52509544 | nitroPRUSSide Inj 25 mg/mL (IV) | $3,582 | $1,603 | — | — | 213 |
| 52509551 | nitroPRUSSide Inj 50 mg (UD) | $3,582 | $1,603 | — | — | 415 |
| 52534419 | NitroPRUSSide 50mg in Dextrose 5% 250mL (OR) | $3,582 | $1,603 | — | — | 417 |
| 52510203 | CISatracurium Inj 10 mg/mL *PF* (IV) | $3,398 | $1,520 | — | — | 166 |
| 52510211 | CISatracurium Inj 10 mg/mL *PF* 20 mL (UD) | $3,398 | $1,520 | — | — | 315 |
| 52509486 | Fenoldopam Inj 10 mg/1 mL (IV) | $3,300 | $1,476 | — | — | 69 |
| 52510286 | Remifentanil Inj 5 mg (UD) | $2,997 | $1,341 | — | — | 268 |
| 52557212 | Ibuprofen Lysine Inj 4 mg/mL (IV) | $2,424 | $1,084 | — | — | 72 |
| 52556305 | Tolvaptan Tab 30 mg | $2,327 | $1,041 | — | — | 159 |
| 52560125 | Sildenafil Inj 10mg/12.5mL (UD) | $2,289 | $1,024 | — | — | 53 |
| 52554425 | Dasatinib Tab 100 mg | $2,248 | $1,006 | — | — | 23 |
| 52556297 | Tolvaptan Tab 15 mg | $2,243 | $1,003 | — | — | 147 |
| 52536083 | Bosentan Tab 125 mg | $2,087 | $934 | — | — | 92 |
| 52522398 | Indigo Carmine Inj 8 mg/mL 5 mL (UD) | $2,082 | $931 | — | — | 189 |
| 52510294 | pentaMIDine Inj 100 mg/mL (IV) | $1,993 | $892 | — | — | 124 |
| 52518578 | Dinoprostone Vag Insert 10 mg | $1,959 | $876 | — | — | 69 |
| 52513470 | Anakinra Inj 100 mg/0.67 mL (Subcutaneous) | $1,756 | $786 | — | — | 70 |
| 52512100 | Imatinib Tab 400 mg | $1,718 | $769 | — | — | 313 |
| 52534898 | Thalidomide Cap 200 mg | $1,683 | $753 | — | — | 25 |
| 52537370 | Sunitinib Cap 25 mg | $1,607 | $719 | — | — | 46 |
| 52527769 | DiazePAM rectal gel 10 mg/2 mL (for doses 5 mg-10 mg) (UD) | $1,585 | $709 | — | — | 96 |
| 52527785 | DiazePAM rectal gel 20 mg/4 mL (for doses 12.5 mg-20 mg) (UD) | $1,585 | $709 | — | — | 100 |
| 52537313 | Thalidomide Cap 100 mg | $1,478 | $661 | — | — | 46 |
| 52510260 | Remifentanil Inj 2 mg (UD) | $1,409 | $630 | — | — | 233 |
| 52534815 | Erlotinib Tab 150 mg | $1,407 | $629 | — | — | 45 |
| 52533478 | PenicillAMINE Cap 250 mg | $1,396 | $624 | — | — | 47 |
| 52549698 | Dasatinib Tab 50 mg | $1,248 | $558 | — | — | 20 |
| 52537024 | Erlotinib Tab 100 mg | $1,244 | $556 | — | — | 48 |
| 52527744 | DiazePAM rectal gel 2.5 mg/0.5 mL | $1,177 | $526 | — | — | 85 |
| 52537388 | Sunitinib Cap 50 mg | $1,163 | $520 | — | — | 25 |
| 52533874 | Albendazole Tab 200 mg | $1,096 | $490 | — | — | 193 |
| 52556321 | Ambrisentan Tab 10 mg | $1,090 | $488 | — | — | 151 |
| 52545902 | Trientine Cap 250 mg | $1,054 | $472 | — | — | 75 |
| 52556313 | Ambrisentan Tab 5 mg | $1,021 | $457 | — | — | 167 |
| 52522687 | Indocyanine Green Inj 25 mg | $985 | $441 | — | — | 256 |
Showing top 50 of 1,012 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.