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
1,201
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
LIFT,PATIENT,BTTRYPWRD, 450 LB
—
LIFT,PATIENT,BTTRYPWRD, 450 LB
Gross
$4,299
SCALE, FOR PATIENT LIFTS, 700 LB. CAP
—
SCALE, FOR PATIENT LIFTS, 700 LB. CAP
Gross
$2,015
*IV AMBISOME 185MG/D5W 100ML
—
*IV AMBISOME 185MG/D5W 100ML
Gross
$1,238
REGULATOR,SUCTION,CONT/INT,OHIO
—
REGULATOR,SUCTION,CONT/INT,OHIO
Gross
$897
Phlebotomy Serv. Toutine AM Rounds (7d/wk)per mo
—
Phlebotomy Serv. Toutine AM Rounds (7d/wk)per month
Gross
$750
SURECHECK DUNE, 90W X 115H, MEDLINE MESH
—
SURECHECK DUNE, 90W X 115H, MEDLINE MESH
Gross
$594
SPRING FROST AM COOKIE, 126W X 82H, STAN
—
SPRING FROST AM COOKIE, 126W X 82H, STAN
Gross
$564
VALVE,TRACH AND VENT,SPEAKING,AQUA
—
VALVE,TRACH AND VENT,SPEAKING,AQUA
Gross
$530
FIT TEST,QLFT-FIT TEST KIT,SACCHRIN TES
—
FIT TEST,QLFT-FIT TEST KIT,SACCHRIN TES
Gross
$523
COMBIVENT RESPIMAT AER 120CT
—
COMBIVENT RESPIMAT AER 120CT
Gross
$489
ANORO ELLIPT 62.5-25 AER
—
ANORO ELLIPT 62.5-25 AER
Gross
$462
BICILLIN L-A 2.4 MILL INJ
—
BICILLIN L-A 2.4 MILL INJ
Gross
$404
DBD-REGULATOR,SUCT,CONT,0-200,OHIO,HB
—
DBD-REGULATOR,SUCT,CONT,0-200,OHIO,HB
Gross
$381
LEVEMIR INJ
—
LEVEMIR INJ
Gross
$371
HUMULIN R U-500 SOL
—
HUMULIN R U-500 SOL
Gross
$360
*IV CUBICIN RF 1GM/NS 50ML
—
*IV CUBICIN RF 1GM/NS 50ML
Gross
$354
NOVOLOG MIX 70/30 INJ
—
NOVOLOG MIX 70/30 INJ
Gross
$354
RESTASIS 0.05% EMU
—
RESTASIS 0.05% EMU
Gross
$349
NOVOLOG 100/ML INJ
—
NOVOLOG 100/ML INJ
Gross
$341
HUMALOG MIX 75/25 SUS
—
HUMALOG MIX 75/25 SUS
Gross
$339
GLUCAGEN HYPOKIT INJ
—
GLUCAGEN HYPOKIT INJ
Gross
$332
PROCRIT 10,000/ML INJ
—
PROCRIT 10,000/ML INJ
Gross
$332
Leukocyte Reduced RBC ./
—
Leukocyte Reduced RBC ./
Gross
$325
LANTUS 100/ML INJ
—
LANTUS 100/ML INJ
Gross
$320
VALVE,TRACH/VENT,SPEAKING,SWALLOW,AQUA
—
VALVE,TRACH/VENT,SPEAKING,SWALLOW,AQUA
Gross
$319
SANTYL 250/GM OIN
—
SANTYL 250/GM OIN
Gross
$291
SYMBICORT 160-4.5 AER 60
—
SYMBICORT 160-4.5 AER 60
Gross
$287
TEXTILE,INTRDRY AG,SLVR,10X144RL
—
TEXTILE,INTRDRY AG,SLVR,10X144RL
Gross
$254
MASK,CPAP-BIPAP,FULL FACE,SILICONE,LARGE
—
MASK,CPAP-BIPAP,FULL FACE,SILICONE,LARGE
Gross
$254
MASK,CPAP-BIPAP,SILICON,FULL FACE,MEDIUM
—
MASK,CPAP-BIPAP,SILICON,FULL FACE,MEDIUM
Gross
$246
*IV TEFLARO 600MG/NS 50CC
—
*IV TEFLARO 600MG/NS 50CC
Gross
$240
TUBE,TRACH,CUFFED,SZ 8.0
—
TUBE,TRACH,CUFFED,SZ 8.0
Gross
$238
KIT,PROBE,WELL 4FT,ORAL FOR 690 AND 692
—
KIT,PROBE,WELL 4FT,ORAL FOR 690 AND 692
Gross
$227
TRULICITY 1.5/0.5 INJ
—
TRULICITY 1.5/0.5 INJ
Gross
$222
DBM-MOUTHPIECE,ACAPELLA,DH GREEN,NONSTER
—
DBM-MOUTHPIECE,ACAPELLA,DH GREEN,NONSTER
Gross
$220
SLING,SOLID,FULL BODY,LARGE
—
SLING,SOLID,FULL BODY,LARGE
Gross
$211
SIMBRINZA 1-0.2% SUS
—
SIMBRINZA 1-0.2% SUS
Gross
$203
TUBE,TRACH,CUFFED,LOW PRESSURE,SZ 6
—
TUBE,TRACH,CUFFED,LOW PRESSURE,SZ 6
Gross
$202
FLULAVAL QUA 2018-19 INJ
—
FLULAVAL QUA 2018-19 INJ
Gross
$198
GENTLESTEP W 14.5/M 13 (XW, BLACK)
—
GENTLESTEP W 14.5/M 13 (XW, BLACK)
Gross
$196
CATHFLO ACTIVASE 2MG INJ
—
CATHFLO ACTIVASE 2MG INJ
Gross
$193
MASK,CPAP,FACE,SILENTVENT,ADULT,SM
—
MASK,CPAP,FACE,SILENTVENT,ADULT,SM
Gross
$191
ADVAIR DISKU 250/50 AER 14DOSE
—
ADVAIR DISKU 250/50 AER 14DOSE
Gross
$185
*IV CUBICIN RF 260MG/NS 50CC
—
*IV CUBICIN RF 260MG/NS 50CC
Gross
$180
FIRVANQ 50MG/ML SOL
—
FIRVANQ 50MG/ML SOL
Gross
$179
*IV CUBICIN RF 500MG/NS 250CC
—
*IV CUBICIN RF 500MG/NS 250CC
Gross
$177
*IV CUBICIN RF 500MG/NS 50CC
—
*IV CUBICIN RF 500MG/NS 50CC
Gross
$177
KIT,HIP REPLW/32 RECHR,W/O TOILT SEAT
—
KIT,HIP REPLW/32 RECHR,W/O TOILT SEAT
Gross
$172
CUP,WEDGE,ADJ FLOW
—
CUP,WEDGE,ADJ FLOW
Gross
$166
*IV INVANZ 1GM/NS 100CC+
—
*IV INVANZ 1GM/NS 100CC+
Gross
$164
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| LIFT,PATIENT,BTTRYPWRD, 450 LB | LIFT,PATIENT,BTTRYPWRD, 450 LB | $4,299 | — | — | — | 0 |
| SCALE, FOR PATIENT LIFTS, 700 LB. CAP | SCALE, FOR PATIENT LIFTS, 700 LB. CAP | $2,015 | — | — | — | 0 |
| *IV AMBISOME 185MG/D5W 100ML | *IV AMBISOME 185MG/D5W 100ML | $1,238 | — | — | — | 0 |
| REGULATOR,SUCTION,CONT/INT,OHIO | REGULATOR,SUCTION,CONT/INT,OHIO | $897 | — | — | — | 0 |
| Phlebotomy Serv. Toutine AM Rounds (7d/wk)per mo | Phlebotomy Serv. Toutine AM Rounds (7d/wk)per month | $750 | — | — | — | 0 |
| SURECHECK DUNE, 90W X 115H, MEDLINE MESH | SURECHECK DUNE, 90W X 115H, MEDLINE MESH | $594 | — | — | — | 0 |
| SPRING FROST AM COOKIE, 126W X 82H, STAN | SPRING FROST AM COOKIE, 126W X 82H, STAN | $564 | — | — | — | 0 |
| VALVE,TRACH AND VENT,SPEAKING,AQUA | VALVE,TRACH AND VENT,SPEAKING,AQUA | $530 | — | — | — | 0 |
| FIT TEST,QLFT-FIT TEST KIT,SACCHRIN TES | FIT TEST,QLFT-FIT TEST KIT,SACCHRIN TES | $523 | — | — | — | 0 |
| COMBIVENT RESPIMAT AER 120CT | COMBIVENT RESPIMAT AER 120CT | $489 | — | — | — | 0 |
| ANORO ELLIPT 62.5-25 AER | ANORO ELLIPT 62.5-25 AER | $462 | — | — | — | 0 |
| BICILLIN L-A 2.4 MILL INJ | BICILLIN L-A 2.4 MILL INJ | $404 | — | — | — | 0 |
| DBD-REGULATOR,SUCT,CONT,0-200,OHIO,HB | DBD-REGULATOR,SUCT,CONT,0-200,OHIO,HB | $381 | — | — | — | 0 |
| LEVEMIR INJ | LEVEMIR INJ | $371 | — | — | — | 0 |
| HUMULIN R U-500 SOL | HUMULIN R U-500 SOL | $360 | — | — | — | 0 |
| *IV CUBICIN RF 1GM/NS 50ML | *IV CUBICIN RF 1GM/NS 50ML | $354 | — | — | — | 0 |
| NOVOLOG MIX 70/30 INJ | NOVOLOG MIX 70/30 INJ | $354 | — | — | — | 0 |
| RESTASIS 0.05% EMU | RESTASIS 0.05% EMU | $349 | — | — | — | 0 |
| NOVOLOG 100/ML INJ | NOVOLOG 100/ML INJ | $341 | — | — | — | 0 |
| HUMALOG MIX 75/25 SUS | HUMALOG MIX 75/25 SUS | $339 | — | — | — | 0 |
| GLUCAGEN HYPOKIT INJ | GLUCAGEN HYPOKIT INJ | $332 | — | — | — | 0 |
| PROCRIT 10,000/ML INJ | PROCRIT 10,000/ML INJ | $332 | — | — | — | 0 |
| Leukocyte Reduced RBC ./ | Leukocyte Reduced RBC ./ | $325 | — | — | — | 0 |
| LANTUS 100/ML INJ | LANTUS 100/ML INJ | $320 | — | — | — | 0 |
| VALVE,TRACH/VENT,SPEAKING,SWALLOW,AQUA | VALVE,TRACH/VENT,SPEAKING,SWALLOW,AQUA | $319 | — | — | — | 0 |
| SANTYL 250/GM OIN | SANTYL 250/GM OIN | $291 | — | — | — | 0 |
| SYMBICORT 160-4.5 AER 60 | SYMBICORT 160-4.5 AER 60 | $287 | — | — | — | 0 |
| TEXTILE,INTRDRY AG,SLVR,10X144RL | TEXTILE,INTRDRY AG,SLVR,10X144RL | $254 | — | — | — | 0 |
| MASK,CPAP-BIPAP,FULL FACE,SILICONE,LARGE | MASK,CPAP-BIPAP,FULL FACE,SILICONE,LARGE | $254 | — | — | — | 0 |
| MASK,CPAP-BIPAP,SILICON,FULL FACE,MEDIUM | MASK,CPAP-BIPAP,SILICON,FULL FACE,MEDIUM | $246 | — | — | — | 0 |
| *IV TEFLARO 600MG/NS 50CC | *IV TEFLARO 600MG/NS 50CC | $240 | — | — | — | 0 |
| TUBE,TRACH,CUFFED,SZ 8.0 | TUBE,TRACH,CUFFED,SZ 8.0 | $238 | — | — | — | 0 |
| KIT,PROBE,WELL 4FT,ORAL FOR 690 AND 692 | KIT,PROBE,WELL 4FT,ORAL FOR 690 AND 692 | $227 | — | — | — | 0 |
| TRULICITY 1.5/0.5 INJ | TRULICITY 1.5/0.5 INJ | $222 | — | — | — | 0 |
| DBM-MOUTHPIECE,ACAPELLA,DH GREEN,NONSTER | DBM-MOUTHPIECE,ACAPELLA,DH GREEN,NONSTER | $220 | — | — | — | 0 |
| SLING,SOLID,FULL BODY,LARGE | SLING,SOLID,FULL BODY,LARGE | $211 | — | — | — | 0 |
| SIMBRINZA 1-0.2% SUS | SIMBRINZA 1-0.2% SUS | $203 | — | — | — | 0 |
| TUBE,TRACH,CUFFED,LOW PRESSURE,SZ 6 | TUBE,TRACH,CUFFED,LOW PRESSURE,SZ 6 | $202 | — | — | — | 0 |
| FLULAVAL QUA 2018-19 INJ | FLULAVAL QUA 2018-19 INJ | $198 | — | — | — | 0 |
| GENTLESTEP W 14.5/M 13 (XW, BLACK) | GENTLESTEP W 14.5/M 13 (XW, BLACK) | $196 | — | — | — | 0 |
| CATHFLO ACTIVASE 2MG INJ | CATHFLO ACTIVASE 2MG INJ | $193 | — | — | — | 0 |
| MASK,CPAP,FACE,SILENTVENT,ADULT,SM | MASK,CPAP,FACE,SILENTVENT,ADULT,SM | $191 | — | — | — | 0 |
| ADVAIR DISKU 250/50 AER 14DOSE | ADVAIR DISKU 250/50 AER 14DOSE | $185 | — | — | — | 0 |
| *IV CUBICIN RF 260MG/NS 50CC | *IV CUBICIN RF 260MG/NS 50CC | $180 | — | — | — | 0 |
| FIRVANQ 50MG/ML SOL | FIRVANQ 50MG/ML SOL | $179 | — | — | — | 0 |
| *IV CUBICIN RF 500MG/NS 250CC | *IV CUBICIN RF 500MG/NS 250CC | $177 | — | — | — | 0 |
| *IV CUBICIN RF 500MG/NS 50CC | *IV CUBICIN RF 500MG/NS 50CC | $177 | — | — | — | 0 |
| KIT,HIP REPLW/32 RECHR,W/O TOILT SEAT | KIT,HIP REPLW/32 RECHR,W/O TOILT SEAT | $172 | — | — | — | 0 |
| CUP,WEDGE,ADJ FLOW | CUP,WEDGE,ADJ FLOW | $166 | — | — | — | 0 |
| *IV INVANZ 1GM/NS 100CC+ | *IV INVANZ 1GM/NS 100CC+ | $164 | — | — | — | 0 |
Showing top 50 of 1,201 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.