45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,008
Insurances with rates
0
CPT / HCPCS codes
219
Most expensive procedures (gross)
43598.326.75
$9,963
CIPROFLOXACIN HCL-DEXAMETHASON
Gross
$9,963
0074.4339.02
$7,692
ADALIMUMAB 40MG-0.8ML PEN KIT
Gross
$7,692
0024.5915.02
$4,062
DUPILIMAB 300 MG-2 ML
Gross
$4,062
55513.006.01
$3,715
DARBEPOETIN ALFA 200 MCG-ML
Gross
$3,715
55513.710.01
$3,354
DENOSUMAB 60 MG-ML
Gross
$3,354
0169.4772.12
$2,246
SEMAGLUTIDE 2 MG-0.75 ML MULTI
Gross
$2,246
55513.005.04
$1,288
DARBEPOETIN ALFA IN ALBUMN SOL
Gross
$1,288
66993.135.97
$886
FLUTICASONE-VILANTEROL 100-25M
Gross
$886
90935
$883
TANDEM ROUTINE HEMODIALYSIS
Gross
$883
62270
$830
LUMBER PUNCTURE
Gross
$830
0173.0873.10
$829
UMECLIDINIUM BROMIDE INHALER 6
Gross
$829
0169.4524.14
$809
SEMAGLUTIDE 2.4 MG-0.75 ML PEN
Gross
$809
65162.835.94
$797
ACYCLOVIR 5% OINTMENT 15 GM TU
Gross
$797
0078.0855.26
$740
CIPROFLOXACIN-HYDROCORTISONE 0
Gross
$740
68462.310.65
$724
CALCIPOTRIENE 0.005% OINTMENT
Gross
$724
42291.076.60
$688
CLOBETASOL [RPPION
Gross
$688
55513.003.04
$677
DARBEPOETIN ALFA-ALBUMIN SOLN
Gross
$677
120
$677
120 SEMI-PRIVATE ROOM & BOARD
Gross
$677
11980.174.10
$642
PREDNISOLONE ACETATE 0.12% OPT
Gross
$642
50484.010.30
$638
COLLAGENASE TOPICAL OINTMENT
Gross
$638
80725.610.25
$634
CHLORAMBUCIL 2MG TAB
Gross
$634
51672.3020.9
$633
LIDOCAINE 5% OINTMENT 35.44 GM
Gross
$633
66993.002.10
$630
ESTRADIOL .1MG-GM VAGINAL CREA
Gross
$630
0713.0637.37
$614
METRONODAZOLE 0.75% TOPICAL
Gross
$614
0002.1457.80
$614
TIRZEPATIDE 15 MG-0.5 ML PEN
Gross
$614
0002.1471.80
$614
TIRZEPATIDE 10 MG-0.5 ML PEN
Gross
$614
0002.1495.80
$614
TIRZEPATIDE 5 MG-0.5 ML PEN
Gross
$614
0078.0876.01
$611
TOBRAMYCIN-DEXAMETHASONE OPHTH
Gross
$611
68682.652.20
$607
DIAZEPM 10 MG RECTAL GEL
Gross
$607
72511.750.01
$602
EVOLOCUMAB 140 MG-ML SYRINGE
Gross
$602
69784.610.25
$577
CHLORAMBUCIL 2MG TAB
Gross
$577
90867
$572
Tcranial magn stim tx plan
Gross
$572
0005.2000.01
$568
PNEUMOCOCCAL 20 CONJ-DIP 0.5
Gross
$568
52015.080.01
$564
FIDAXOMICIN 200 MG TABLET
Gross
$564
0002.8031.01
$562
GLUCAGON HUMAN RECOMB 1MG KIT
Gross
$562
0173.0869.10
$553
UMECLIDINIUM 62.5 MCG-VILANTER
Gross
$553
0002.1433.80
$547
DULAGLUTIDE 0.75 MG
Gross
$547
0002.1434.80
$529
DULAGLUTIDE 1.5 MG
Gross
$529
69238.1532.3
$512
CLOBETASOL PROPIONATE 0.05%
Gross
$512
66993.136.97
$500
FLUTICASONE-VILANTEROL 200-25M
Gross
$500
16714.782.02
$496
CLOBETASOL PROPIONATE 0.05%
Gross
$496
0173.0874.10
$485
FLUTICASONE FUROATE 100MCG INH
Gross
$485
90869
$479
Tcran magn stim redetemine
Gross
$479
51672.4061.4
$478
HYDROCORTISONE
Gross
$478
55513.002.04
$448
DARBEPOETIN ALFA IN ALBUMN SOL
Gross
$448
87631
$428
Influenza Type A and B RSV RNA
Gross
$428
58160.823.11
$425
ZOSTER-VACCINE RECOMBINANT
Gross
$425
60505.593.04
$419
TRAVOPROST 0.004% OPTH SOL2.5
Gross
$419
50242.041.64
$403
ALTEPLASE 2 MG-VIAL
Gross
$403
96116
$377
Neuro Cognitive Testing
Gross
$377
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43598.326.75 | CIPROFLOXACIN HCL-DEXAMETHASON | $9,963 | $9,963 | — | — | 0 |
| 0074.4339.02 | ADALIMUMAB 40MG-0.8ML PEN KIT | $7,692 | $7,692 | — | — | 0 |
| 0024.5915.02 | DUPILIMAB 300 MG-2 ML | $4,062 | $4,062 | — | — | 0 |
| 55513.006.01 | DARBEPOETIN ALFA 200 MCG-ML | $3,715 | $3,715 | — | — | 0 |
| 55513.710.01 | DENOSUMAB 60 MG-ML | $3,354 | $3,354 | — | — | 0 |
| 0169.4772.12 | SEMAGLUTIDE 2 MG-0.75 ML MULTI | $2,246 | $2,246 | — | — | 0 |
| 55513.005.04 | DARBEPOETIN ALFA IN ALBUMN SOL | $1,288 | $1,288 | — | — | 0 |
| 66993.135.97 | FLUTICASONE-VILANTEROL 100-25M | $886 | $886 | — | — | 0 |
| 90935 | TANDEM ROUTINE HEMODIALYSIS | $883 | $883 | — | — | 0 |
| 62270 | LUMBER PUNCTURE | $830 | $830 | — | — | 0 |
| 0173.0873.10 | UMECLIDINIUM BROMIDE INHALER 6 | $829 | $829 | — | — | 0 |
| 0169.4524.14 | SEMAGLUTIDE 2.4 MG-0.75 ML PEN | $809 | $809 | — | — | 0 |
| 65162.835.94 | ACYCLOVIR 5% OINTMENT 15 GM TU | $797 | $797 | — | — | 0 |
| 0078.0855.26 | CIPROFLOXACIN-HYDROCORTISONE 0 | $740 | $740 | — | — | 0 |
| 68462.310.65 | CALCIPOTRIENE 0.005% OINTMENT | $724 | $724 | — | — | 0 |
| 42291.076.60 | CLOBETASOL [RPPION | $688 | $688 | — | — | 0 |
| 55513.003.04 | DARBEPOETIN ALFA-ALBUMIN SOLN | $677 | $677 | — | — | 0 |
| 120 | 120 SEMI-PRIVATE ROOM & BOARD | $677 | $677 | — | — | 0 |
| 11980.174.10 | PREDNISOLONE ACETATE 0.12% OPT | $642 | $642 | — | — | 0 |
| 50484.010.30 | COLLAGENASE TOPICAL OINTMENT | $638 | $638 | — | — | 0 |
| 80725.610.25 | CHLORAMBUCIL 2MG TAB | $634 | $634 | — | — | 0 |
| 51672.3020.9 | LIDOCAINE 5% OINTMENT 35.44 GM | $633 | $633 | — | — | 0 |
| 66993.002.10 | ESTRADIOL .1MG-GM VAGINAL CREA | $630 | $630 | — | — | 0 |
| 0713.0637.37 | METRONODAZOLE 0.75% TOPICAL | $614 | $614 | — | — | 0 |
| 0002.1457.80 | TIRZEPATIDE 15 MG-0.5 ML PEN | $614 | $614 | — | — | 0 |
| 0002.1471.80 | TIRZEPATIDE 10 MG-0.5 ML PEN | $614 | $614 | — | — | 0 |
| 0002.1495.80 | TIRZEPATIDE 5 MG-0.5 ML PEN | $614 | $614 | — | — | 0 |
| 0078.0876.01 | TOBRAMYCIN-DEXAMETHASONE OPHTH | $611 | $611 | — | — | 0 |
| 68682.652.20 | DIAZEPM 10 MG RECTAL GEL | $607 | $607 | — | — | 0 |
| 72511.750.01 | EVOLOCUMAB 140 MG-ML SYRINGE | $602 | $602 | — | — | 0 |
| 69784.610.25 | CHLORAMBUCIL 2MG TAB | $577 | $577 | — | — | 0 |
| 90867 | Tcranial magn stim tx plan | $572 | $572 | — | — | 0 |
| 0005.2000.01 | PNEUMOCOCCAL 20 CONJ-DIP 0.5 | $568 | $568 | — | — | 0 |
| 52015.080.01 | FIDAXOMICIN 200 MG TABLET | $564 | $564 | — | — | 0 |
| 0002.8031.01 | GLUCAGON HUMAN RECOMB 1MG KIT | $562 | $562 | — | — | 0 |
| 0173.0869.10 | UMECLIDINIUM 62.5 MCG-VILANTER | $553 | $553 | — | — | 0 |
| 0002.1433.80 | DULAGLUTIDE 0.75 MG | $547 | $547 | — | — | 0 |
| 0002.1434.80 | DULAGLUTIDE 1.5 MG | $529 | $529 | — | — | 0 |
| 69238.1532.3 | CLOBETASOL PROPIONATE 0.05% | $512 | $512 | — | — | 0 |
| 66993.136.97 | FLUTICASONE-VILANTEROL 200-25M | $500 | $500 | — | — | 0 |
| 16714.782.02 | CLOBETASOL PROPIONATE 0.05% | $496 | $496 | — | — | 0 |
| 0173.0874.10 | FLUTICASONE FUROATE 100MCG INH | $485 | $485 | — | — | 0 |
| 90869 | Tcran magn stim redetemine | $479 | $479 | — | — | 0 |
| 51672.4061.4 | HYDROCORTISONE | $478 | $478 | — | — | 0 |
| 55513.002.04 | DARBEPOETIN ALFA IN ALBUMN SOL | $448 | $448 | — | — | 0 |
| 87631 | Influenza Type A and B RSV RNA | $428 | $428 | — | — | 0 |
| 58160.823.11 | ZOSTER-VACCINE RECOMBINANT | $425 | $425 | — | — | 0 |
| 60505.593.04 | TRAVOPROST 0.004% OPTH SOL2.5 | $419 | $419 | — | — | 0 |
| 50242.041.64 | ALTEPLASE 2 MG-VIAL | $403 | $403 | — | — | 0 |
| 96116 | Neuro Cognitive Testing | $377 | $377 | — | — | 0 |
Showing top 50 of 1,008 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.