45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
21,103
Insurances with rates
2
CPT / HCPCS codes
17,046
Most expensive procedures (gross)
73027377
$6,318
DANTROLENE 250 MG INJ
Gross
$17,551
73032468
$2,383
SPRAVATO 84MG KIT NASAL SPRAY
Gross
$6,621
63090096
$2,049
PEDS BH SPEC MON ROOM
Gross
$5,693
86400827
$2,049
1 SOUTH SP MONITORING RM CHG
Gross
$5,693
64090095
$1,960
ADULT BH SPEC MON ROOM
Gross
$5,445
73002008
$1,908
ARIPIPRAZOLE ORAL SOLN 150ML
Gross
$5,300
63090013
$1,621
PEDS BH ROOM
Gross
$4,503
86400835
$1,621
1 SOUTH SEMI PVT RATE
Gross
$4,503
64090012
$1,267
ADULT BH ROOM
Gross
$3,520
63090054
$1,154
MISC ROOM CHARGE
Gross
$3,206
61099990
$1,072
MISC ROOM RATE
Gross
$2,977
73008021
$1,026
COMBIVENT RESPIMAT CFC FREE
Gross
$2,851
63099980
$991
MISC ROOM CHARGE
Gross
$2,752
66099987
$991
MISC ROOM CHARGE
Gross
$2,752
61099982
$954
MISC ROOM RATE
Gross
$2,650
61099974
$893
MISC ROOM RATE
Gross
$2,481
73038788
$808
WIXELA INHUB 200MCG-50MCG/INH
Gross
$2,245
88400627
$772
GER THERAP SPNL PNCT DRAIN CSF
Gross
$2,145
73005001
$678
PROLIXIN 5/1 LIQ 118
Gross
$1,883
75584466
$672
ECTA ECT AND RECOVERY ROOM
Gross
$1,867
73050551
$663
IPRATROPIUM 17MCG/INHALER
Gross
$1,841
73038762
$651
WIXELA INHUB 100MCG-50MCG/INH
Gross
$1,807
73033383
$607
GLUCAGON 3MG INTRANASAL POWDER
Gross
$1,685
73904872
$577
ADOP ANTHEM DAILY CHARGE TM
Gross
$1,604
88400619
$552
GER SPINAL PUNCT LUMB DIAGNSTC
Gross
$1,533
75584581
$526
ECTA CONSLT LVL 5 OPT
Gross
$1,462
75594960
$526
ECTA CONSLT LVL 5 OPT-TM
Gross
$1,462
73027542
$484
CIPRODEX OTIC SUSP
Gross
$1,345
73034621
$455
DULERA 100/5MCG INH
Gross
$1,265
73034597
$455
DULERA 200/5MCG INH
Gross
$1,265
75650069
$438
OHH INTERMED LEVEL
Gross
$1,217
75650093
$438
OHH INTERMED LEVEL NOBILL
Gross
$1,217
73032476
$409
SPRAVATO 56MG KIT NASAL SPRAY
Gross
$1,137
75584573
$377
ECTA CONSLT LVL 4 OPT
Gross
$1,046
75594952
$377
ECTA CONSLT LVL 4 OPT-TM
Gross
$1,046
75584532
$365
ECTA CONSLT INP/OBS LVL 5
Gross
$1,015
75650127
$355
OHH INTERMED LVL W/O CARE MGT
Gross
$986
73002990
$346
PREDNISOLONE-GENT OPH OINT
Gross
$962
73021933
$341
IVERMECTIN LOTION, 0.5%%
Gross
$947
73033441
$338
EPIPEN 0.3MG INJ
Gross
$938
73043911
$338
EPIPEN JR 0.15MG INJ
Gross
$938
75559955
$333
ECTA KETAMINE INFUSION
Gross
$926
71790521
$331
PHD TST EVAL NUBHVL 1ST HR
Gross
$919
71711121
$331
PHD TST NUBHVL 1ST HR TM
Gross
$919
73023921
$319
PILOCARPINE 1% OPH
Gross
$887
70493655
$314
HEP C GENOTYPING
Gross
$871
73067464
$308
XALATAN OPH. SOL. 0.005%
Gross
$855
73056236
$308
METROGEL TOP GEL
Gross
$854
73069908
$307
CORTISPORIN OTIC SUS
Gross
$853
73005241
$302
RISPERDAL 1MG/ML 1LQ
Gross
$838
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 73027377 | DANTROLENE 250 MG INJ | $17,551 | $6,318 | — | — | 5 |
| 73032468 | SPRAVATO 84MG KIT NASAL SPRAY | $6,621 | $2,383 | — | — | 5 |
| 63090096 | PEDS BH SPEC MON ROOM | $5,693 | $2,049 | — | — | 1 |
| 86400827 | 1 SOUTH SP MONITORING RM CHG | $5,693 | $2,049 | — | — | 1 |
| 64090095 | ADULT BH SPEC MON ROOM | $5,445 | $1,960 | — | — | 1 |
| 73002008 | ARIPIPRAZOLE ORAL SOLN 150ML | $5,300 | $1,908 | — | — | 5 |
| 63090013 | PEDS BH ROOM | $4,503 | $1,621 | — | — | 1 |
| 86400835 | 1 SOUTH SEMI PVT RATE | $4,503 | $1,621 | — | — | 1 |
| 64090012 | ADULT BH ROOM | $3,520 | $1,267 | — | — | 1 |
| 63090054 | MISC ROOM CHARGE | $3,206 | $1,154 | — | — | 1 |
| 61099990 | MISC ROOM RATE | $2,977 | $1,072 | — | — | 1 |
| 73008021 | COMBIVENT RESPIMAT CFC FREE | $2,851 | $1,026 | — | — | 5 |
| 63099980 | MISC ROOM CHARGE | $2,752 | $991 | — | — | 1 |
| 66099987 | MISC ROOM CHARGE | $2,752 | $991 | — | — | 1 |
| 61099982 | MISC ROOM RATE | $2,650 | $954 | — | — | 1 |
| 61099974 | MISC ROOM RATE | $2,481 | $893 | — | — | 1 |
| 73038788 | WIXELA INHUB 200MCG-50MCG/INH | $2,245 | $808 | — | — | 5 |
| 88400627 | GER THERAP SPNL PNCT DRAIN CSF | $2,145 | $772 | — | — | 5 |
| 73005001 | PROLIXIN 5/1 LIQ 118 | $1,883 | $678 | — | — | 5 |
| 75584466 | ECTA ECT AND RECOVERY ROOM | $1,867 | $672 | — | — | 5 |
| 73050551 | IPRATROPIUM 17MCG/INHALER | $1,841 | $663 | — | — | 5 |
| 73038762 | WIXELA INHUB 100MCG-50MCG/INH | $1,807 | $651 | — | — | 5 |
| 73033383 | GLUCAGON 3MG INTRANASAL POWDER | $1,685 | $607 | — | — | 5 |
| 73904872 | ADOP ANTHEM DAILY CHARGE TM | $1,604 | $577 | — | — | 5 |
| 88400619 | GER SPINAL PUNCT LUMB DIAGNSTC | $1,533 | $552 | — | — | 5 |
| 75584581 | ECTA CONSLT LVL 5 OPT | $1,462 | $526 | — | — | 4 |
| 75594960 | ECTA CONSLT LVL 5 OPT-TM | $1,462 | $526 | — | — | 5 |
| 73027542 | CIPRODEX OTIC SUSP | $1,345 | $484 | — | — | 5 |
| 73034621 | DULERA 100/5MCG INH | $1,265 | $455 | — | — | 5 |
| 73034597 | DULERA 200/5MCG INH | $1,265 | $455 | — | — | 5 |
| 75650069 | OHH INTERMED LEVEL | $1,217 | $438 | — | — | 4 |
| 75650093 | OHH INTERMED LEVEL NOBILL | $1,217 | $438 | — | — | 4 |
| 73032476 | SPRAVATO 56MG KIT NASAL SPRAY | $1,137 | $409 | — | — | 5 |
| 75584573 | ECTA CONSLT LVL 4 OPT | $1,046 | $377 | — | — | 4 |
| 75594952 | ECTA CONSLT LVL 4 OPT-TM | $1,046 | $377 | — | — | 5 |
| 75584532 | ECTA CONSLT INP/OBS LVL 5 | $1,015 | $365 | — | — | 5 |
| 75650127 | OHH INTERMED LVL W/O CARE MGT | $986 | $355 | — | — | 4 |
| 73002990 | PREDNISOLONE-GENT OPH OINT | $962 | $346 | — | — | 5 |
| 73021933 | IVERMECTIN LOTION, 0.5%% | $947 | $341 | — | — | 5 |
| 73033441 | EPIPEN 0.3MG INJ | $938 | $338 | — | — | 5 |
| 73043911 | EPIPEN JR 0.15MG INJ | $938 | $338 | — | — | 5 |
| 75559955 | ECTA KETAMINE INFUSION | $926 | $333 | — | — | 5 |
| 71790521 | PHD TST EVAL NUBHVL 1ST HR | $919 | $331 | — | — | 5 |
| 71711121 | PHD TST NUBHVL 1ST HR TM | $919 | $331 | — | — | 5 |
| 73023921 | PILOCARPINE 1% OPH | $887 | $319 | — | — | 5 |
| 70493655 | HEP C GENOTYPING | $871 | $314 | — | — | 5 |
| 73067464 | XALATAN OPH. SOL. 0.005% | $855 | $308 | — | — | 5 |
| 73056236 | METROGEL TOP GEL | $854 | $308 | — | — | 5 |
| 73069908 | CORTISPORIN OTIC SUS | $853 | $307 | — | — | 5 |
| 73005241 | RISPERDAL 1MG/ML 1LQ | $838 | $302 | — | — | 5 |
Showing top 50 of 21,103 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.