45 CFR § 180 compliance
F · 50
This hospital published little 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
66,474
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
99999100457
—
MELOXICAM 7.5 MG PO SPLIT TABS
Gross
$175,125
6909787067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$85,390
6909790667
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$64,277
5789444001
—
USTEKINUMAB 45 MG/0.5ML SC SOSY
Gross
$35,003
5789444101
—
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$35,003
7628272067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$30,240
0074012411
—
ADALIMUMAB 80 MG/0.8ML SC AJKT
Gross
$28,668
0480925908
—
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$21,071
4202315701
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,261
6745729750
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,261
6931570150
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,261
0480925708
—
OCTREOTIDE ACETATE 10 MG IM KIT
Gross
$16,087
99999100465
—
HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR
Gross
$15,329
4612238672
—
FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP
Gross
$12,650
260
—
ELITEK 7.5MG SOLR
Gross
$12,545
8200915022
—
ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT
Gross
$9,021
0037006603
—
ROWASA 4 G RE KIT
Gross
$8,968
0093110616
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$8,499
6050561880
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$8,499
6699349528
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$8,499
6131432720
—
ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ
Gross
$7,912
7006983601
—
BORTEZOMIB 3.5 MG IJ SOLR
Gross
$7,715
1672925105
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,701
6800157241
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,701
6050560504
—
BORTEZOMIB 3.5 MG IJ SOLR
Gross
$7,330
8461248101
—
ADALIMUMAB-ATTO 80 MG/0.8ML SC SOAJ
Gross
$7,215
615
—
MRI ANGIO, HEAD; WO/W CONTRAST
Gross
$7,131
6822006603
—
ROWASA 4 G RE KIT
Gross
$6,940
740
—
POLYSOM ATTENDED 1-3
Gross
$6,484
4359805111
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$6,408
059705902
—
ADALIMUMAB 40 MG/0.8ML SC PSKT
Gross
$6,334
0480145308
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$5,626
0480973501
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$5,626
6362988211
—
LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT
Gross
$5,536
5428812322
—
MANNITOL POWD
Gross
$5,387
4778165289
—
TERIPARATIDE 560 MCG/2.24ML SC SOPN
Gross
$5,324
0002758901
—
BEBTELOVIMAB 175 MG/2ML IV SOLN
Gross
$5,061
110
—
ROOM & BOARD
Gross
$4,885
120
—
ROOM & BOARD
Gross
$4,885
191
—
ROOM & BOARD
Gross
$4,885
194
—
ROOM & BOARD
Gross
$4,885
213
—
ROOM & BOARD
Gross
$4,885
0781315894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
0781315895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
0781915894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
0781915895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
1672927503
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
1672927567
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
6745725600
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
6745725610
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,570
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 99999100457 | MELOXICAM 7.5 MG PO SPLIT TABS | $175,125 | — | — | — | 0 |
| 6909787067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $85,390 | — | — | — | 0 |
| 6909790667 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $64,277 | — | — | — | 0 |
| 5789444001 | USTEKINUMAB 45 MG/0.5ML SC SOSY | $35,003 | — | — | — | 0 |
| 5789444101 | USTEKINUMAB 90 MG/ML SC SOSY | $35,003 | — | — | — | 0 |
| 7628272067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $30,240 | — | — | — | 0 |
| 0074012411 | ADALIMUMAB 80 MG/0.8ML SC AJKT | $28,668 | — | — | — | 0 |
| 0480925908 | OCTREOTIDE ACETATE 20 MG IM KIT | $21,071 | — | — | — | 0 |
| 4202315701 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,261 | — | — | — | 0 |
| 6745729750 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,261 | — | — | — | 0 |
| 6931570150 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,261 | — | — | — | 0 |
| 0480925708 | OCTREOTIDE ACETATE 10 MG IM KIT | $16,087 | — | — | — | 0 |
| 99999100465 | HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR | $15,329 | — | — | — | 0 |
| 4612238672 | FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP | $12,650 | — | — | — | 0 |
| 260 | ELITEK 7.5MG SOLR | $12,545 | — | — | — | 0 |
| 8200915022 | ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT | $9,021 | — | — | — | 0 |
| 0037006603 | ROWASA 4 G RE KIT | $8,968 | — | — | — | 0 |
| 0093110616 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $8,499 | — | — | — | 0 |
| 6050561880 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $8,499 | — | — | — | 0 |
| 6699349528 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $8,499 | — | — | — | 0 |
| 6131432720 | ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ | $7,912 | — | — | — | 0 |
| 7006983601 | BORTEZOMIB 3.5 MG IJ SOLR | $7,715 | — | — | — | 0 |
| 1672925105 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,701 | — | — | — | 0 |
| 6800157241 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,701 | — | — | — | 0 |
| 6050560504 | BORTEZOMIB 3.5 MG IJ SOLR | $7,330 | — | — | — | 0 |
| 8461248101 | ADALIMUMAB-ATTO 80 MG/0.8ML SC SOAJ | $7,215 | — | — | — | 0 |
| 615 | MRI ANGIO, HEAD; WO/W CONTRAST | $7,131 | — | — | — | 0 |
| 6822006603 | ROWASA 4 G RE KIT | $6,940 | — | — | — | 0 |
| 740 | POLYSOM ATTENDED 1-3 | $6,484 | — | — | — | 0 |
| 4359805111 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $6,408 | — | — | — | 0 |
| 059705902 | ADALIMUMAB 40 MG/0.8ML SC PSKT | $6,334 | — | — | — | 0 |
| 0480145308 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $5,626 | — | — | — | 0 |
| 0480973501 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $5,626 | — | — | — | 0 |
| 6362988211 | LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT | $5,536 | — | — | — | 0 |
| 5428812322 | MANNITOL POWD | $5,387 | — | — | — | 0 |
| 4778165289 | TERIPARATIDE 560 MCG/2.24ML SC SOPN | $5,324 | — | — | — | 0 |
| 0002758901 | BEBTELOVIMAB 175 MG/2ML IV SOLN | $5,061 | — | — | — | 0 |
| 110 | ROOM & BOARD | $4,885 | — | — | — | 0 |
| 120 | ROOM & BOARD | $4,885 | — | — | — | 0 |
| 191 | ROOM & BOARD | $4,885 | — | — | — | 0 |
| 194 | ROOM & BOARD | $4,885 | — | — | — | 0 |
| 213 | ROOM & BOARD | $4,885 | — | — | — | 0 |
| 0781315894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 0781315895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 0781915894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 0781915895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 1672927503 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 1672927567 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 6745725600 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
| 6745725610 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,570 | — | — | — | 0 |
Showing top 50 of 66,474 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.