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
8,924
Insurances with rates
22
CPT / HCPCS codes
895
Most expensive procedures (gross)
66794-0157-01
$4,097
PM baclofen 40 mg/20 mL Intra-THECal Soln
Gross
$4,097
84999
$3,524
BioTheranostics Three 6420010.
Gross
$3,524
58281-0563-01
$3,494
PM baclofen 40 mg/20 mL Intra-THECal Soln
Gross
$3,494
70257-0563-01
$3,494
PM baclofen 40 mg/20 mL Intra-THECal Soln
Gross
$3,494
67457-0564-20
$2,858
PM baclofen 40 mg/20 mL Intra-THECal Soln
Gross
$2,858
00023-1145-01
$2,407
onabotulinumtoxinA 100 units INJ Soln
Gross
$2,407
61958-2901-02
$2,347
remdesivir 100 mg INJ Soln
Gross
$2,347
81229
$2,297
Interrogation of genomic regions, etc 6220003
Gross
$2,297
128
$2,254
ROOM/BED: Semiprivate
Gross
$2,254
59148-0020-50
$1,923
tolvaptan 15 mg tab
Gross
$1,923
61958-2901-02A
$1,923
remdesivir 100 mg INJ Soln (from pharmacy)
Gross
$1,923
00597-0024-02
$1,863
ipratropium-albuterol (20 mcg-100 mcg)/inh, 4G inhaler (120 dose)
Gross
$1,863
93975
$1,790
US Art/Vein Abd/Pelvic Complete - Vas
Gross
$1,790
60505-4704-00
$1,740
tolvaptan 15 mg tab
Gross
$1,740
49884-0768-54
$1,731
tolvaptan 15 mg tab
Gross
$1,731
31722-0868-03
$1,731
tolvaptan 15 mg tab
Gross
$1,731
90935
$1,694
IP Dialysis Hemo
Gross
$1,694
63323-0371-19
$1,647
DAPTOmycin 500 mg INJ
Gross
$1,647
16729-0435-05
$1,647
DAPTOmycin 500 mg INJ
Gross
$1,647
31722-0102-10
$1,647
DAPTOmycin 500 mg INJ
Gross
$1,647
60505-6229-04
$1,647
DAPTOmycin 500 mg INJ
Gross
$1,647
71839-0107-01
$1,647
DAPTOmycin 500 mg INJ
Gross
$1,647
70377-0093-91
$1,645
DAPTOmycin 500 mg INJ
Gross
$1,645
00456-2700-10
$1,536
cefTAZidime-avibactam 2.5 G (2G-0.5G) INJ Soln
Gross
$1,536
16714-0892-01
$1,527
DAPTOmycin 500 mg INJ
Gross
$1,527
72603-0152-01
$1,527
DAPTOmycin 500 mg INJ
Gross
$1,527
00268-0247-05
$1,464
histamine 5 mg/5 mL (base) INJ Soln
Gross
$1,464
00456-2700-10A
$1,463
cefTAZidime-avibactam 2.5 G (2G-0.5G) INJ Soln (from pharmacy)
Gross
$1,463
60793-0701-10
$1,364
penicillin G benzathine 1,200,000 units/2 mL INJ Susp
Gross
$1,364
00006-3823-10
$1,297
caspofungin 70 mg INJ Soln
Gross
$1,297
75809
$1,278
XR Shuntogram
Gross
$1,278
00430-3754-14
$1,275
estradiol (0.1 mg/G), 42.5 G vaginal cream
Gross
$1,275
00006-3822-10
$1,249
caspofungin 50 mg INJ Soln
Gross
$1,249
63323-0356-10
$1,246
caspofungin 50 mg INJ Soln
Gross
$1,246
00168-0825-15
$1,229
acyclovir 5%, 15 G oint
Gross
$1,229
00378-8700-06
$1,229
acyclovir 5%, 15 G oint
Gross
$1,229
13668-0515-01
$1,229
acyclovir 5%, 15 G oint
Gross
$1,229
65162-0835-94
$1,229
acyclovir 5%, 15 G oint
Gross
$1,229
68462-0746-17
$1,229
acyclovir 5%, 15 G oint
Gross
$1,229
P9052
$1,211
PLATELETS HLA-M L/R UNIT 6822000
Gross
$1,211
00469-3051-30
$1,177
amphotericin B liposomal 50 mg IV Emulsion
Gross
$1,177
00169-7065-15
$1,138
glucagon recombinant 1 mg INJ
Gross
$1,138
49502-0500-02
$1,125
EPINEPHrine 0.3 mg/0.3 mL Auto-INJ
Gross
$1,125
P9037
$1,124
PLATELETS PHERESIS LR IRR EACH 6819037
Gross
$1,124
50484-0010-30
$1,118
collagenase (250 units/G), 30 G oint
Gross
$1,118
00093-3541-43
$1,106
estradiol (0.1 mg/G), 42.5 G vaginal cream
Gross
$1,106
00078-0876-01
$1,102
tobramycin-dexAMETH (0.3-0.1%), 3.5 G Oph Oint
Gross
$1,102
00093-5986-27
$1,069
EPINEPHrine 0.3 mg/0.3 mL Auto-INJ
Gross
$1,069
47781-0104-44
$1,047
estradiol (0.1 mg/G), 42.5 G vaginal cream
Gross
$1,047
00548-5850-00
$1,035
glucagon recombinant 1 mg INJ
Gross
$1,035
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 66794-0157-01 | PM baclofen 40 mg/20 mL Intra-THECal Soln | $4,097 | $4,097 | — | — | 4 |
| 84999 | BioTheranostics Three 6420010. | $3,524 | $3,524 | — | — | 4 |
| 58281-0563-01 | PM baclofen 40 mg/20 mL Intra-THECal Soln | $3,494 | $3,494 | — | — | 4 |
| 70257-0563-01 | PM baclofen 40 mg/20 mL Intra-THECal Soln | $3,494 | $3,494 | — | — | 4 |
| 67457-0564-20 | PM baclofen 40 mg/20 mL Intra-THECal Soln | $2,858 | $2,858 | — | — | 4 |
| 00023-1145-01 | onabotulinumtoxinA 100 units INJ Soln | $2,407 | $2,407 | — | — | 4 |
| 61958-2901-02 | remdesivir 100 mg INJ Soln | $2,347 | $2,347 | — | — | 4 |
| 81229 | Interrogation of genomic regions, etc 6220003 | $2,297 | $2,297 | — | — | 4 |
| 128 | ROOM/BED: Semiprivate | $2,254 | $2,254 | — | — | 4 |
| 59148-0020-50 | tolvaptan 15 mg tab | $1,923 | $1,923 | — | — | 4 |
| 61958-2901-02A | remdesivir 100 mg INJ Soln (from pharmacy) | $1,923 | $1,923 | — | — | 4 |
| 00597-0024-02 | ipratropium-albuterol (20 mcg-100 mcg)/inh, 4G inhaler (120 dose) | $1,863 | $1,863 | — | — | 4 |
| 93975 | US Art/Vein Abd/Pelvic Complete - Vas | $1,790 | $1,790 | — | — | 4 |
| 60505-4704-00 | tolvaptan 15 mg tab | $1,740 | $1,740 | — | — | 4 |
| 49884-0768-54 | tolvaptan 15 mg tab | $1,731 | $1,731 | — | — | 4 |
| 31722-0868-03 | tolvaptan 15 mg tab | $1,731 | $1,731 | — | — | 4 |
| 90935 | IP Dialysis Hemo | $1,694 | $1,694 | — | — | 4 |
| 63323-0371-19 | DAPTOmycin 500 mg INJ | $1,647 | $1,647 | — | — | 4 |
| 16729-0435-05 | DAPTOmycin 500 mg INJ | $1,647 | $1,647 | — | — | 4 |
| 31722-0102-10 | DAPTOmycin 500 mg INJ | $1,647 | $1,647 | — | — | 4 |
| 60505-6229-04 | DAPTOmycin 500 mg INJ | $1,647 | $1,647 | — | — | 4 |
| 71839-0107-01 | DAPTOmycin 500 mg INJ | $1,647 | $1,647 | — | — | 4 |
| 70377-0093-91 | DAPTOmycin 500 mg INJ | $1,645 | $1,645 | — | — | 4 |
| 00456-2700-10 | cefTAZidime-avibactam 2.5 G (2G-0.5G) INJ Soln | $1,536 | $1,536 | — | — | 4 |
| 16714-0892-01 | DAPTOmycin 500 mg INJ | $1,527 | $1,527 | — | — | 4 |
| 72603-0152-01 | DAPTOmycin 500 mg INJ | $1,527 | $1,527 | — | — | 4 |
| 00268-0247-05 | histamine 5 mg/5 mL (base) INJ Soln | $1,464 | $1,464 | — | — | 4 |
| 00456-2700-10A | cefTAZidime-avibactam 2.5 G (2G-0.5G) INJ Soln (from pharmacy) | $1,463 | $1,463 | — | — | 4 |
| 60793-0701-10 | penicillin G benzathine 1,200,000 units/2 mL INJ Susp | $1,364 | $1,364 | — | — | 4 |
| 00006-3823-10 | caspofungin 70 mg INJ Soln | $1,297 | $1,297 | — | — | 4 |
| 75809 | XR Shuntogram | $1,278 | $1,278 | — | — | 4 |
| 00430-3754-14 | estradiol (0.1 mg/G), 42.5 G vaginal cream | $1,275 | $1,275 | — | — | 4 |
| 00006-3822-10 | caspofungin 50 mg INJ Soln | $1,249 | $1,249 | — | — | 4 |
| 63323-0356-10 | caspofungin 50 mg INJ Soln | $1,246 | $1,246 | — | — | 4 |
| 00168-0825-15 | acyclovir 5%, 15 G oint | $1,229 | $1,229 | — | — | 4 |
| 00378-8700-06 | acyclovir 5%, 15 G oint | $1,229 | $1,229 | — | — | 4 |
| 13668-0515-01 | acyclovir 5%, 15 G oint | $1,229 | $1,229 | — | — | 4 |
| 65162-0835-94 | acyclovir 5%, 15 G oint | $1,229 | $1,229 | — | — | 4 |
| 68462-0746-17 | acyclovir 5%, 15 G oint | $1,229 | $1,229 | — | — | 4 |
| P9052 | PLATELETS HLA-M L/R UNIT 6822000 | $1,211 | $1,211 | — | — | 4 |
| 00469-3051-30 | amphotericin B liposomal 50 mg IV Emulsion | $1,177 | $1,177 | — | — | 4 |
| 00169-7065-15 | glucagon recombinant 1 mg INJ | $1,138 | $1,138 | — | — | 4 |
| 49502-0500-02 | EPINEPHrine 0.3 mg/0.3 mL Auto-INJ | $1,125 | $1,125 | — | — | 4 |
| P9037 | PLATELETS PHERESIS LR IRR EACH 6819037 | $1,124 | $1,124 | — | — | 4 |
| 50484-0010-30 | collagenase (250 units/G), 30 G oint | $1,118 | $1,118 | — | — | 4 |
| 00093-3541-43 | estradiol (0.1 mg/G), 42.5 G vaginal cream | $1,106 | $1,106 | — | — | 4 |
| 00078-0876-01 | tobramycin-dexAMETH (0.3-0.1%), 3.5 G Oph Oint | $1,102 | $1,102 | — | — | 4 |
| 00093-5986-27 | EPINEPHrine 0.3 mg/0.3 mL Auto-INJ | $1,069 | $1,069 | — | — | 4 |
| 47781-0104-44 | estradiol (0.1 mg/G), 42.5 G vaginal cream | $1,047 | $1,047 | — | — | 4 |
| 00548-5850-00 | glucagon recombinant 1 mg INJ | $1,035 | $1,035 | — | — | 4 |
Showing top 50 of 8,924 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.