45 CFR § 180 compliance
D · 65
This hospital published part 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
3,222
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
25010-710-15
$23,168
TRIENTINE HCL 250 MG PO CAPS
Gross
$23,641
0003-0852-22
$20,535
DASATINIB 100 MG PO TABS
Gross
$20,954
50242-085-27
$10,426
ALTEPLASE 100 MG IV SOLR
Gross
$10,639
0187-3554-10
$8,648
FLUCYTOSINE 250 MG PO CAPS
Gross
$8,825
59075-730-15
$7,350
NATALIZUMAB 300 MG/15ML IV CONC
Gross
$7,500
70720-723-10
$7,122
ZICONOTIDE ACETATE 500 MCG/20ML IT SOLN
Gross
$7,267
44206-439-40
$5,587
PRIVIGEN 40 GM/400ML IV SOLN
Gross
$5,701
59627-002-05
$5,323
INTERFERON BETA-1A 30 MCG/0.5ML IM PSKT
Gross
$5,431
71369-020-10
$5,042
AVATROMBOPAG MALEATE 20 MG PO TABS
Gross
$5,145
61958-1201-1
$4,977
ELVITEG-COBIC-EMTRICIT-TENOFDF 150-150-200-300 MG PO TABS
Gross
$5,079
61958-1901-1
$4,745
ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS
Gross
$4,842
61958-2501-1
$4,745
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$4,842
61958-2501-3
$4,745
BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS
Gross
$4,842
0006-3076-04
$4,706
LETERMOVIR 480 MG PO TABS
Gross
$4,802
0006-3075-04
$4,706
LETERMOVIR 240 MG PO TABS
Gross
$4,802
66302-467-60
$4,693
TADALAFIL (PAH) 20 MG PO TABS
Gross
$4,789
0074-4339-02
$4,101
ADALIMUMAB 40 MG/0.8ML SC AJKT
Gross
$4,184
50458-564-01
$4,017
PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY
Gross
$4,099
65649-303-02
$3,898
RIFAXIMIN 550 MG PO TABS
Gross
$3,977
65649-303-03
$3,898
RIFAXIMIN 550 MG PO TABS
Gross
$3,977
0406-1130-52
$3,526
FENTANYL CITRATE POWD
Gross
$3,598
0004-0350-09
$3,519
PEGINTERFERON ALFA-2A 180 MCG/ML SC SOLN
Gross
$3,591
53436-168-30
$3,376
PATIROMER SORBITEX CALCIUM 16.8 G PO PACK
Gross
$3,445
55513-221-01
$3,372
ROMIPLOSTIM 250 MCG SC SOLR
Gross
$3,441
71776-005-15
$3,369
NATAMYCIN 5 % OP SUSP
Gross
$3,438
70121-2495-1
$3,363
BACLOFEN 40 MG/20ML IT SOLN
Gross
$3,432
0074-6799-22
$3,348
LOPINAVIR-RITONAVIR 200-50 MG PO TABS
Gross
$3,416
52054-550-28
$3,344
ALBENDAZOLE 200 MG PO TABS
Gross
$3,413
0591-3561-15
$3,289
VANCOMYCIN HCL 250 MG PO CAPS
Gross
$3,356
68546-229-56
$3,260
RASAGILINE MESYLATE 1 MG PO TABS
Gross
$3,326
0469-0320-14
$3,254
ISAVUCONAZONIUM SULFATE 186 MG PO CAPS
Gross
$3,320
0078-0341-61
$3,225
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$3,291
0310-0720-10
$3,169
FULVESTRANT 250 MG/5ML IM SOSY
Gross
$3,233
50458-307-11
$3,164
RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER
Gross
$3,228
44087-0044-3
$3,150
INTERFERON BETA-1A 44 MCG/0.5ML SC SOSY
Gross
$3,215
0003-1614-12
$3,140
ENTECAVIR 0.05 MG/ML PO SOLN
Gross
$3,204
38779-0388-9
$3,138
BACLOFEN POWD
Gross
$3,202
15054-0500-1
$3,132
ABOBOTULINUMTOXINA 500 UNITS IM SOLR
Gross
$3,196
62135-842-60
$3,102
SULFADIAZINE 500 MG PO TABS
Gross
$3,165
63459-104-50
$3,095
RITUXIMAB-ABBS 500 MG/50ML IV SOLN
Gross
$3,158
636
$3,050
HC EPIFIX GRAFT SOFT TISSUE 2X2CM ALLOGRAFT_436771
Gross
$3,113
0002-4115-33
$3,048
OLANZAPINE 5 MG PO TABS
Gross
$3,110
68135-020-01
$3,047
GALSULFASE 1 MG/ML IV SOLN
Gross
$3,109
0597-0046-60
$2,988
NEVIRAPINE 200 MG PO TABS
Gross
$3,049
0071-1015-68
$2,977
PREGABALIN 100 MG PO CAPS
Gross
$3,038
0054-0449-49
$2,945
POSACONAZOLE 40 MG/ML PO SUSP
Gross
$3,005
52015-080-01
$2,870
FIDAXOMICIN 200 MG PO TABS
Gross
$2,929
18860-720-10
$2,852
ZICONOTIDE ACETATE 100 MCG/ML IT SOLN
Gross
$2,910
0173-0595-00
$2,849
LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS
Gross
$2,907
50484-010-90
$2,770
COLLAGENASE 250 UNIT/GM EX OINT
Gross
$2,826
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25010-710-15 | TRIENTINE HCL 250 MG PO CAPS | $23,641 | $23,168 | — | — | 0 |
| 0003-0852-22 | DASATINIB 100 MG PO TABS | $20,954 | $20,535 | — | — | 0 |
| 50242-085-27 | ALTEPLASE 100 MG IV SOLR | $10,639 | $10,426 | — | — | 0 |
| 0187-3554-10 | FLUCYTOSINE 250 MG PO CAPS | $8,825 | $8,648 | — | — | 0 |
| 59075-730-15 | NATALIZUMAB 300 MG/15ML IV CONC | $7,500 | $7,350 | — | — | 0 |
| 70720-723-10 | ZICONOTIDE ACETATE 500 MCG/20ML IT SOLN | $7,267 | $7,122 | — | — | 0 |
| 44206-439-40 | PRIVIGEN 40 GM/400ML IV SOLN | $5,701 | $5,587 | — | — | 0 |
| 59627-002-05 | INTERFERON BETA-1A 30 MCG/0.5ML IM PSKT | $5,431 | $5,323 | — | — | 0 |
| 71369-020-10 | AVATROMBOPAG MALEATE 20 MG PO TABS | $5,145 | $5,042 | — | — | 0 |
| 61958-1201-1 | ELVITEG-COBIC-EMTRICIT-TENOFDF 150-150-200-300 MG PO TABS | $5,079 | $4,977 | — | — | 0 |
| 61958-1901-1 | ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS | $4,842 | $4,745 | — | — | 0 |
| 61958-2501-1 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $4,842 | $4,745 | — | — | 0 |
| 61958-2501-3 | BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS | $4,842 | $4,745 | — | — | 0 |
| 0006-3076-04 | LETERMOVIR 480 MG PO TABS | $4,802 | $4,706 | — | — | 0 |
| 0006-3075-04 | LETERMOVIR 240 MG PO TABS | $4,802 | $4,706 | — | — | 0 |
| 66302-467-60 | TADALAFIL (PAH) 20 MG PO TABS | $4,789 | $4,693 | — | — | 0 |
| 0074-4339-02 | ADALIMUMAB 40 MG/0.8ML SC AJKT | $4,184 | $4,101 | — | — | 0 |
| 50458-564-01 | PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY | $4,099 | $4,017 | — | — | 0 |
| 65649-303-02 | RIFAXIMIN 550 MG PO TABS | $3,977 | $3,898 | — | — | 0 |
| 65649-303-03 | RIFAXIMIN 550 MG PO TABS | $3,977 | $3,898 | — | — | 0 |
| 0406-1130-52 | FENTANYL CITRATE POWD | $3,598 | $3,526 | — | — | 0 |
| 0004-0350-09 | PEGINTERFERON ALFA-2A 180 MCG/ML SC SOLN | $3,591 | $3,519 | — | — | 0 |
| 53436-168-30 | PATIROMER SORBITEX CALCIUM 16.8 G PO PACK | $3,445 | $3,376 | — | — | 0 |
| 55513-221-01 | ROMIPLOSTIM 250 MCG SC SOLR | $3,441 | $3,372 | — | — | 0 |
| 71776-005-15 | NATAMYCIN 5 % OP SUSP | $3,438 | $3,369 | — | — | 0 |
| 70121-2495-1 | BACLOFEN 40 MG/20ML IT SOLN | $3,432 | $3,363 | — | — | 0 |
| 0074-6799-22 | LOPINAVIR-RITONAVIR 200-50 MG PO TABS | $3,416 | $3,348 | — | — | 0 |
| 52054-550-28 | ALBENDAZOLE 200 MG PO TABS | $3,413 | $3,344 | — | — | 0 |
| 0591-3561-15 | VANCOMYCIN HCL 250 MG PO CAPS | $3,356 | $3,289 | — | — | 0 |
| 68546-229-56 | RASAGILINE MESYLATE 1 MG PO TABS | $3,326 | $3,260 | — | — | 0 |
| 0469-0320-14 | ISAVUCONAZONIUM SULFATE 186 MG PO CAPS | $3,320 | $3,254 | — | — | 0 |
| 0078-0341-61 | OCTREOTIDE ACETATE 20 MG IM KIT | $3,291 | $3,225 | — | — | 0 |
| 0310-0720-10 | FULVESTRANT 250 MG/5ML IM SOSY | $3,233 | $3,169 | — | — | 0 |
| 50458-307-11 | RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER | $3,228 | $3,164 | — | — | 0 |
| 44087-0044-3 | INTERFERON BETA-1A 44 MCG/0.5ML SC SOSY | $3,215 | $3,150 | — | — | 0 |
| 0003-1614-12 | ENTECAVIR 0.05 MG/ML PO SOLN | $3,204 | $3,140 | — | — | 0 |
| 38779-0388-9 | BACLOFEN POWD | $3,202 | $3,138 | — | — | 0 |
| 15054-0500-1 | ABOBOTULINUMTOXINA 500 UNITS IM SOLR | $3,196 | $3,132 | — | — | 0 |
| 62135-842-60 | SULFADIAZINE 500 MG PO TABS | $3,165 | $3,102 | — | — | 0 |
| 63459-104-50 | RITUXIMAB-ABBS 500 MG/50ML IV SOLN | $3,158 | $3,095 | — | — | 0 |
| 636 | HC EPIFIX GRAFT SOFT TISSUE 2X2CM ALLOGRAFT_436771 | $3,113 | $3,050 | — | — | 0 |
| 0002-4115-33 | OLANZAPINE 5 MG PO TABS | $3,110 | $3,048 | — | — | 0 |
| 68135-020-01 | GALSULFASE 1 MG/ML IV SOLN | $3,109 | $3,047 | — | — | 0 |
| 0597-0046-60 | NEVIRAPINE 200 MG PO TABS | $3,049 | $2,988 | — | — | 0 |
| 0071-1015-68 | PREGABALIN 100 MG PO CAPS | $3,038 | $2,977 | — | — | 0 |
| 0054-0449-49 | POSACONAZOLE 40 MG/ML PO SUSP | $3,005 | $2,945 | — | — | 0 |
| 52015-080-01 | FIDAXOMICIN 200 MG PO TABS | $2,929 | $2,870 | — | — | 0 |
| 18860-720-10 | ZICONOTIDE ACETATE 100 MCG/ML IT SOLN | $2,910 | $2,852 | — | — | 0 |
| 0173-0595-00 | LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS | $2,907 | $2,849 | — | — | 0 |
| 50484-010-90 | COLLAGENASE 250 UNIT/GM EX OINT | $2,826 | $2,770 | — | — | 0 |
Showing top 50 of 3,222 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.