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
5,202
Insurances with rates
0
CPT / HCPCS codes
687
Source MRF
Most expensive procedures (gross)
AVONEX 30MCG/VIAL
—
AVONEX 30MCG/VIAL
Gross
$34,587
RITUXAN 10MG/ML CONC
—
RITUXAN 10MG/ML CONC
Gross
$22,549
LUPRON DEPOT 30MCG
—
LUPRON DEPOT 30MCG
Gross
$19,971
HOU ROOM AND BED
—
HOU ROOM AND BED
Gross
$15,730
R&B
—
R&B
Gross
$14,762
R&B LEVEL 1
—
R&B LEVEL 1
Gross
$13,310
R&B SEMI PVT GENERIC
—
R&B SEMI PVT GENERIC
Gross
$13,310
R&B PRIVATE LEVEL 2
—
R&B PRIVATE LEVEL 2
Gross
$13,310
CALCIMAR
—
CALCIMAR
Gross
$12,975
DIGIBIND 38MG INJ
—
DIGIBIND 38MG INJ
Gross
$11,922
OCTREOTIDE 10MG DEPO
—
OCTREOTIDE 10MG DEPO
Gross
$11,425
PET SCN SKL BS TO TH
—
PET SCN SKL BS TO TH
Gross
$10,593
BARIUM SWALLOW W/VID
—
BARIUM SWALLOW W/VID
Gross
$10,497
84132
—
IVIG 10% 20GM INJ
Gross
$9,470
OPEN TRACHEOSTOMY
—
OPEN TRACHEOSTOMY
Gross
$9,206
INVEGA(PALIPERIDONE)
—
INVEGA(PALIPERIDONE)
Gross
$8,977
PERMCATH INSERT
—
PERMCATH INSERT
Gross
$8,711
CT THORAX W/CONTRAST
—
CT THORAX W/CONTRAST
Gross
$8,277
WHITE CELL EXCHANGE
—
WHITE CELL EXCHANGE
Gross
$8,032
RED CELL EXCHANGE
—
RED CELL EXCHANGE
Gross
$8,032
PLATELET CYTAPHERESI
—
PLATELET CYTAPHERESI
Gross
$8,032
CT ABD & PELVIS W
—
CT ABD & PELVIS W
Gross
$7,610
CT ABD/PELVIS W/CONT
—
CT ABD/PELVIS W/CONT
Gross
$7,610
PLASMA EXCHANGE
—
PLASMA EXCHANGE
Gross
$7,609
GRANULOCYTES PHER EU
—
GRANULOCYTES PHER EU
Gross
$6,431
RT-OXYGEN 24 HOURS
—
RT-OXYGEN 24 HOURS
Gross
$6,305
MRI UP EXT W W/O
—
MRI UP EXT W W/O
Gross
$5,937
TACLONEX OINT 60GM
—
TACLONEX OINT 60GM
Gross
$5,383
R&B LEVEL 3
—
R&B LEVEL 3
Gross
$5,308
ROOM & BOARD
—
ROOM & BOARD
Gross
$5,308
PIC LINE INSER <5YRS
—
PIC LINE INSER <5YRS
Gross
$5,166
HEP C GENOTYPE
—
HEP C GENOTYPE
Gross
$5,151
MRI BRAIN W AND W/O
—
MRI BRAIN W AND W/O
Gross
$4,786
MRI SPINE
—
MRI SPINE
Gross
$4,666
GASTRO-INTS SVS
—
GASTRO-INTS SVS
Gross
$4,563
TRANSTRACHEAL(PERC)
—
TRANSTRACHEAL(PERC)
Gross
$4,394
GAMMAGARD 10GM/100ML
—
GAMMAGARD 10GM/100ML
Gross
$4,283
BRONCHOSCOPY
—
BRONCHOSCOPY
Gross
$4,269
DILAUDID 15MG/NS30ML
—
DILAUDID 15MG/NS30ML
Gross
$4,200
PIC LINE INSER >5YRS
—
PIC LINE INSER >5YRS
Gross
$4,001
PIC LINE > 5 YRS
—
PIC LINE > 5 YRS
Gross
$4,001
MRI LW EXT WO LT
—
MRI LW EXT WO LT
Gross
$3,899
MRI LW EXT W/O RT
—
MRI LW EXT W/O RT
Gross
$3,899
MRI LW EXT W/O BI
—
MRI LW EXT W/O BI
Gross
$3,899
CT SFT TSU NECK W
—
CT SFT TSU NECK W
Gross
$3,805
HEMODIALYSIS
—
HEMODIALYSIS
Gross
$3,679
LENALIDOMIDE 25 MG
—
LENALIDOMIDE 25 MG
Gross
$3,662
IR CENT VEN CATH
—
IR CENT VEN CATH
Gross
$3,631
PYRIMETHAMINE 25MG T
—
PYRIMETHAMINE 25MG T
Gross
$3,600
US EXT VEIN DUP COMP
—
US EXT VEIN DUP COMP
Gross
$3,591
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| AVONEX 30MCG/VIAL | AVONEX 30MCG/VIAL | $34,587 | — | $0 | $32,857 | 0 |
| RITUXAN 10MG/ML CONC | RITUXAN 10MG/ML CONC | $22,549 | — | — | — | 0 |
| LUPRON DEPOT 30MCG | LUPRON DEPOT 30MCG | $19,971 | — | — | — | 0 |
| HOU ROOM AND BED | HOU ROOM AND BED | $15,730 | — | $0 | $14,944 | 0 |
| R&B | R&B | $14,762 | — | $1,700 | $2,400 | 0 |
| R&B LEVEL 1 | R&B LEVEL 1 | $13,310 | — | — | — | 0 |
| R&B SEMI PVT GENERIC | R&B SEMI PVT GENERIC | $13,310 | — | $0 | — | 0 |
| R&B PRIVATE LEVEL 2 | R&B PRIVATE LEVEL 2 | $13,310 | — | $0 | $12,645 | 0 |
| CALCIMAR | CALCIMAR | $12,975 | — | — | — | 0 |
| DIGIBIND 38MG INJ | DIGIBIND 38MG INJ | $11,922 | — | — | — | 0 |
| OCTREOTIDE 10MG DEPO | OCTREOTIDE 10MG DEPO | $11,425 | — | — | — | 0 |
| PET SCN SKL BS TO TH | PET SCN SKL BS TO TH | $10,593 | — | — | — | 0 |
| BARIUM SWALLOW W/VID | BARIUM SWALLOW W/VID | $10,497 | — | — | — | 0 |
| 84132 | IVIG 10% 20GM INJ | $9,470 | — | $0 | $8,997 | 0 |
| OPEN TRACHEOSTOMY | OPEN TRACHEOSTOMY | $9,206 | — | — | — | 0 |
| INVEGA(PALIPERIDONE) | INVEGA(PALIPERIDONE) | $8,977 | — | — | — | 0 |
| PERMCATH INSERT | PERMCATH INSERT | $8,711 | — | — | — | 0 |
| CT THORAX W/CONTRAST | CT THORAX W/CONTRAST | $8,277 | — | — | — | 0 |
| WHITE CELL EXCHANGE | WHITE CELL EXCHANGE | $8,032 | — | — | — | 0 |
| RED CELL EXCHANGE | RED CELL EXCHANGE | $8,032 | — | — | — | 0 |
| PLATELET CYTAPHERESI | PLATELET CYTAPHERESI | $8,032 | — | — | — | 0 |
| CT ABD & PELVIS W | CT ABD & PELVIS W | $7,610 | — | — | — | 0 |
| CT ABD/PELVIS W/CONT | CT ABD/PELVIS W/CONT | $7,610 | — | — | — | 0 |
| PLASMA EXCHANGE | PLASMA EXCHANGE | $7,609 | — | — | — | 0 |
| GRANULOCYTES PHER EU | GRANULOCYTES PHER EU | $6,431 | — | — | — | 0 |
| RT-OXYGEN 24 HOURS | RT-OXYGEN 24 HOURS | $6,305 | — | — | — | 0 |
| MRI UP EXT W W/O | MRI UP EXT W W/O | $5,937 | — | — | — | 0 |
| TACLONEX OINT 60GM | TACLONEX OINT 60GM | $5,383 | — | — | — | 0 |
| R&B LEVEL 3 | R&B LEVEL 3 | $5,308 | — | $0 | — | 0 |
| ROOM & BOARD | ROOM & BOARD | $5,308 | — | $0 | $5,043 | 0 |
| PIC LINE INSER <5YRS | PIC LINE INSER <5YRS | $5,166 | — | — | — | 0 |
| HEP C GENOTYPE | HEP C GENOTYPE | $5,151 | — | — | — | 0 |
| MRI BRAIN W AND W/O | MRI BRAIN W AND W/O | $4,786 | — | — | — | 0 |
| MRI SPINE | MRI SPINE | $4,666 | — | — | — | 0 |
| GASTRO-INTS SVS | GASTRO-INTS SVS | $4,563 | — | — | — | 0 |
| TRANSTRACHEAL(PERC) | TRANSTRACHEAL(PERC) | $4,394 | — | — | — | 0 |
| GAMMAGARD 10GM/100ML | GAMMAGARD 10GM/100ML | $4,283 | — | — | — | 0 |
| BRONCHOSCOPY | BRONCHOSCOPY | $4,269 | — | — | — | 0 |
| DILAUDID 15MG/NS30ML | DILAUDID 15MG/NS30ML | $4,200 | — | — | — | 0 |
| PIC LINE INSER >5YRS | PIC LINE INSER >5YRS | $4,001 | — | — | — | 0 |
| PIC LINE > 5 YRS | PIC LINE > 5 YRS | $4,001 | — | — | — | 0 |
| MRI LW EXT WO LT | MRI LW EXT WO LT | $3,899 | — | — | — | 0 |
| MRI LW EXT W/O RT | MRI LW EXT W/O RT | $3,899 | — | — | — | 0 |
| MRI LW EXT W/O BI | MRI LW EXT W/O BI | $3,899 | — | — | — | 0 |
| CT SFT TSU NECK W | CT SFT TSU NECK W | $3,805 | — | — | — | 0 |
| HEMODIALYSIS | HEMODIALYSIS | $3,679 | — | — | — | 0 |
| LENALIDOMIDE 25 MG | LENALIDOMIDE 25 MG | $3,662 | — | — | — | 0 |
| IR CENT VEN CATH | IR CENT VEN CATH | $3,631 | — | — | — | 0 |
| PYRIMETHAMINE 25MG T | PYRIMETHAMINE 25MG T | $3,600 | — | — | — | 0 |
| US EXT VEIN DUP COMP | US EXT VEIN DUP COMP | $3,591 | — | — | — | 0 |
Showing top 50 of 5,202 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.