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
977
Insurances with rates
5
CPT / HCPCS codes
0
Most expensive procedures (gross)
52528049
$4,247
Allopurinol Inj 500 mg (UD)
Gross
$14,876
52503372
$3,293
Dinoprostone Vag Supp 20 mg
Gross
$11,535
52509056
$1,930
Isoproterenol Inj 0.2 mg/mL 5 mL (UD)
Gross
$6,758
52509049
$1,930
Isoproterenol Inj 0.2 mg/mL (IV)
Gross
$6,758
52508728
$1,926
Beractant Intratracheal 25 mg/mL 8 mL (UD)
Gross
$6,745
52502028
$1,568
INDOmethacin Inj 1 mg (UD)
Gross
$5,492
52503919
$1,498
Lomustine Cap 100 mg
Gross
$5,247
52550910
$1,441
Conivaptan Inj 5 mg/mL (IV)
Gross
$5,049
52555190
$1,441
Conivaptan Inj 20 mg in Dextrose 5% 100 mL PREMIX
Gross
$5,049
52514486
$1,141
Pyrimethamine Tab 25 mg
Gross
$3,996
52508710
$1,088
Beractant Intratracheal 25 mg/mL 4 mL (UD)
Gross
$3,811
52554755
$1,074
Lenalidomide Cap 10 mg
Gross
$3,760
52554748
$1,074
Lenalidomide Cap 5 mg
Gross
$3,760
52554771
$1,074
Lenalidomide Cap 25 mg
Gross
$3,760
52554763
$1,074
Lenalidomide Cap 15 mg
Gross
$3,760
52509544
$1,023
nitroPRUSSide Inj 25 mg/mL (IV)
Gross
$3,582
52509551
$1,023
nitroPRUSSide Inj 50 mg (UD)
Gross
$3,582
52534419
$1,023
NitroPRUSSide 50mg in Dextrose 5% 250mL (OR)
Gross
$3,582
52510203
$970
CISatracurium Inj 10 mg/mL *PF* (IV)
Gross
$3,398
52510211
$970
CISatracurium Inj 10 mg/mL *PF* 20 mL (UD)
Gross
$3,398
52509486
$942
Fenoldopam Inj 10 mg/1 mL (IV)
Gross
$3,300
52510286
$856
Remifentanil Inj 5 mg (UD)
Gross
$2,997
52557212
$692
Ibuprofen Lysine Inj 4 mg/mL (IV)
Gross
$2,424
52556305
$664
Tolvaptan Tab 30 mg
Gross
$2,327
52560125
$653
Sildenafil Inj 10mg/12.5mL (UD)
Gross
$2,289
52554425
$642
Dasatinib Tab 100 mg
Gross
$2,248
52556297
$640
Tolvaptan Tab 15 mg
Gross
$2,243
52522398
$594
Indigo Carmine Inj 8 mg/mL 5 mL (UD)
Gross
$2,082
52510294
$569
pentaMIDine Inj 100 mg/mL (IV)
Gross
$1,993
52518578
$559
Dinoprostone Vag Insert 10 mg
Gross
$1,959
52513470
$501
Anakinra Inj 100 mg/0.67 mL (Subcutaneous)
Gross
$1,756
52512100
$491
Imatinib Tab 400 mg
Gross
$1,718
52534898
$481
Thalidomide Cap 200 mg
Gross
$1,683
52537370
$459
Sunitinib Cap 25 mg
Gross
$1,607
52527769
$452
DiazePAM rectal gel 10 mg/2 mL (for doses 5 mg-10 mg) (UD)
Gross
$1,585
52527785
$452
DiazePAM rectal gel 20 mg/4 mL (for doses 12.5 mg-20 mg) (UD)
Gross
$1,585
52537313
$422
Thalidomide Cap 100 mg
Gross
$1,478
52510260
$402
Remifentanil Inj 2 mg (UD)
Gross
$1,409
52534815
$402
Erlotinib Tab 150 mg
Gross
$1,407
52533478
$398
PenicillAMINE Cap 250 mg
Gross
$1,396
52549698
$356
Dasatinib Tab 50 mg
Gross
$1,248
52537024
$355
Erlotinib Tab 100 mg
Gross
$1,244
52527744
$336
DiazePAM rectal gel 2.5 mg/0.5 mL
Gross
$1,177
52537388
$332
Sunitinib Cap 50 mg
Gross
$1,163
52533874
$313
Albendazole Tab 200 mg
Gross
$1,096
52556321
$311
Ambrisentan Tab 10 mg
Gross
$1,090
52545902
$301
Trientine Cap 250 mg
Gross
$1,054
52556313
$291
Ambrisentan Tab 5 mg
Gross
$1,021
52522687
$281
Indocyanine Green Inj 25 mg
Gross
$985
52537479
$280
Nilutamide Tab 150 mg
Gross
$981
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 52528049 | Allopurinol Inj 500 mg (UD) | $14,876 | $4,247 | — | — | 104 |
| 52503372 | Dinoprostone Vag Supp 20 mg | $11,535 | $3,293 | — | — | 27 |
| 52509056 | Isoproterenol Inj 0.2 mg/mL 5 mL (UD) | $6,758 | $1,930 | — | — | 507 |
| 52509049 | Isoproterenol Inj 0.2 mg/mL (IV) | $6,758 | $1,930 | — | — | 196 |
| 52508728 | Beractant Intratracheal 25 mg/mL 8 mL (UD) | $6,745 | $1,926 | — | — | 27 |
| 52502028 | INDOmethacin Inj 1 mg (UD) | $5,492 | $1,568 | — | — | 205 |
| 52503919 | Lomustine Cap 100 mg | $5,247 | $1,498 | — | — | 78 |
| 52550910 | Conivaptan Inj 5 mg/mL (IV) | $5,049 | $1,441 | — | — | 78 |
| 52555190 | Conivaptan Inj 20 mg in Dextrose 5% 100 mL PREMIX | $5,049 | $1,441 | — | — | 80 |
| 52514486 | Pyrimethamine Tab 25 mg | $3,996 | $1,141 | — | — | 76 |
| 52508710 | Beractant Intratracheal 25 mg/mL 4 mL (UD) | $3,811 | $1,088 | — | — | 25 |
| 52554755 | Lenalidomide Cap 10 mg | $3,760 | $1,074 | — | — | 21 |
| 52554748 | Lenalidomide Cap 5 mg | $3,760 | $1,074 | — | — | 23 |
| 52554771 | Lenalidomide Cap 25 mg | $3,760 | $1,074 | — | — | 27 |
| 52554763 | Lenalidomide Cap 15 mg | $3,760 | $1,074 | — | — | 26 |
| 52509544 | nitroPRUSSide Inj 25 mg/mL (IV) | $3,582 | $1,023 | — | — | 222 |
| 52509551 | nitroPRUSSide Inj 50 mg (UD) | $3,582 | $1,023 | — | — | 419 |
| 52534419 | NitroPRUSSide 50mg in Dextrose 5% 250mL (OR) | $3,582 | $1,023 | — | — | 428 |
| 52510203 | CISatracurium Inj 10 mg/mL *PF* (IV) | $3,398 | $970 | — | — | 176 |
| 52510211 | CISatracurium Inj 10 mg/mL *PF* 20 mL (UD) | $3,398 | $970 | — | — | 324 |
| 52509486 | Fenoldopam Inj 10 mg/1 mL (IV) | $3,300 | $942 | — | — | 76 |
| 52510286 | Remifentanil Inj 5 mg (UD) | $2,997 | $856 | — | — | 275 |
| 52557212 | Ibuprofen Lysine Inj 4 mg/mL (IV) | $2,424 | $692 | — | — | 78 |
| 52556305 | Tolvaptan Tab 30 mg | $2,327 | $664 | — | — | 176 |
| 52560125 | Sildenafil Inj 10mg/12.5mL (UD) | $2,289 | $653 | — | — | 48 |
| 52554425 | Dasatinib Tab 100 mg | $2,248 | $642 | — | — | 21 |
| 52556297 | Tolvaptan Tab 15 mg | $2,243 | $640 | — | — | 150 |
| 52522398 | Indigo Carmine Inj 8 mg/mL 5 mL (UD) | $2,082 | $594 | — | — | 205 |
| 52510294 | pentaMIDine Inj 100 mg/mL (IV) | $1,993 | $569 | — | — | 129 |
| 52518578 | Dinoprostone Vag Insert 10 mg | $1,959 | $559 | — | — | 74 |
| 52513470 | Anakinra Inj 100 mg/0.67 mL (Subcutaneous) | $1,756 | $501 | — | — | 78 |
| 52512100 | Imatinib Tab 400 mg | $1,718 | $491 | — | — | 331 |
| 52534898 | Thalidomide Cap 200 mg | $1,683 | $481 | — | — | 27 |
| 52537370 | Sunitinib Cap 25 mg | $1,607 | $459 | — | — | 46 |
| 52527769 | DiazePAM rectal gel 10 mg/2 mL (for doses 5 mg-10 mg) (UD) | $1,585 | $452 | — | — | 99 |
| 52527785 | DiazePAM rectal gel 20 mg/4 mL (for doses 12.5 mg-20 mg) (UD) | $1,585 | $452 | — | — | 105 |
| 52537313 | Thalidomide Cap 100 mg | $1,478 | $422 | — | — | 50 |
| 52510260 | Remifentanil Inj 2 mg (UD) | $1,409 | $402 | — | — | 252 |
| 52534815 | Erlotinib Tab 150 mg | $1,407 | $402 | — | — | 49 |
| 52533478 | PenicillAMINE Cap 250 mg | $1,396 | $398 | — | — | 48 |
| 52549698 | Dasatinib Tab 50 mg | $1,248 | $356 | — | — | 27 |
| 52537024 | Erlotinib Tab 100 mg | $1,244 | $355 | — | — | 50 |
| 52527744 | DiazePAM rectal gel 2.5 mg/0.5 mL | $1,177 | $336 | — | — | 95 |
| 52537388 | Sunitinib Cap 50 mg | $1,163 | $332 | — | — | 24 |
| 52533874 | Albendazole Tab 200 mg | $1,096 | $313 | — | — | 210 |
| 52556321 | Ambrisentan Tab 10 mg | $1,090 | $311 | — | — | 147 |
| 52545902 | Trientine Cap 250 mg | $1,054 | $301 | — | — | 71 |
| 52556313 | Ambrisentan Tab 5 mg | $1,021 | $291 | — | — | 181 |
| 52522687 | Indocyanine Green Inj 25 mg | $985 | $281 | — | — | 277 |
| 52537479 | Nilutamide Tab 150 mg | $981 | $280 | — | — | 51 |
Showing top 50 of 977 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.