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
65,645
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
99999100457
—
MELOXICAM 7.5 MG PO SPLIT TABS
Gross
$175,120
6909787067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$85,370
6909790667
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$64,257
7628272067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$30,220
74012411
—
ADALIMUMAB 80 MG/0.8ML SC AJKT
Gross
$28,647
480925908
—
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$21,050
4202315701
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
6745729750
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
6931570150
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
4202315799
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$18,240
99999100465
—
HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR
Gross
$15,324
4612238672
—
FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP
Gross
$10,120
610
—
MRI ABDOMEN W/O CONTRAST
Gross
$9,030
8200915022
—
ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT
Gross
$9,000
37006603
—
ROWASA 4 G RE KIT
Gross
$8,536
6131432720
—
ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ
Gross
$7,892
1672925105
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,680
6800157241
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,680
6050560960
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$7,680
99999100442
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$7,517
9999101596
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$7,517
4202320501
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$7,514
6050560504
—
BORTEZOMIB 3.5 MG IJ SOLR
Gross
$7,310
6822006603
—
ROWASA 4 G RE KIT
Gross
$6,934
4359805111
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$6,387
59705902
—
ADALIMUMAB 40 MG/0.8ML SC PSKT
Gross
$6,313
120
—
ROOM & BOARD
Gross
$5,677
110
—
ROOM & BOARD
Gross
$5,677
213
—
ROOM & BOARD
Gross
$5,677
480973501
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$5,605
480145308
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$5,605
6362988211
—
LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT
Gross
$5,516
483
—
ECHOCARD 2D W/DOPP W/COL FLOW
Gross
$5,318
350
—
CT ABD WO/W CONTRAST
Gross
$5,054
2758901
—
BEBTELOVIMAB 175 MG/2ML IV SOLN
Gross
$5,040
4778165289
—
TERIPARATIDE 620 MCG/2.48ML SC SOPN
Gross
$4,790
6745725600
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
781915894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
781315894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
1672927503
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
781315895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
1672927567
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
781915895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
7043602580
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
7043602582
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
6745725610
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$4,549
480973401
—
RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER
Gross
$4,204
480134208
—
RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER
Gross
$4,204
320
—
INSERT PICC W/O IMAGING
Gross
$4,094
7260357801
—
AMPICILLIN SODIUM 10 G IV SOLR
Gross
$4,021
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 99999100457 | MELOXICAM 7.5 MG PO SPLIT TABS | $175,120 | — | — | — | 0 |
| 6909787067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $85,370 | — | — | — | 0 |
| 6909790667 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $64,257 | — | — | — | 0 |
| 7628272067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $30,220 | — | — | — | 0 |
| 74012411 | ADALIMUMAB 80 MG/0.8ML SC AJKT | $28,647 | — | — | — | 0 |
| 480925908 | OCTREOTIDE ACETATE 20 MG IM KIT | $21,050 | — | — | — | 0 |
| 4202315701 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 6745729750 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 6931570150 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 4202315799 | ETHACRYNATE SODIUM 50 MG IV SOLR | $18,240 | — | — | — | 0 |
| 99999100465 | HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR | $15,324 | — | — | — | 0 |
| 4612238672 | FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP | $10,120 | — | — | — | 0 |
| 610 | MRI ABDOMEN W/O CONTRAST | $9,030 | — | — | — | 0 |
| 8200915022 | ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT | $9,000 | — | — | — | 0 |
| 37006603 | ROWASA 4 G RE KIT | $8,536 | — | — | — | 0 |
| 6131432720 | ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ | $7,892 | — | — | — | 0 |
| 1672925105 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,680 | — | — | — | 0 |
| 6800157241 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,680 | — | — | — | 0 |
| 6050560960 | BENDAMUSTINE HCL 100 MG IV SOLR | $7,680 | — | — | — | 0 |
| 99999100442 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $7,517 | — | — | — | 0 |
| 9999101596 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $7,517 | — | — | — | 0 |
| 4202320501 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $7,514 | — | — | — | 0 |
| 6050560504 | BORTEZOMIB 3.5 MG IJ SOLR | $7,310 | — | — | — | 0 |
| 6822006603 | ROWASA 4 G RE KIT | $6,934 | — | — | — | 0 |
| 4359805111 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $6,387 | — | — | — | 0 |
| 59705902 | ADALIMUMAB 40 MG/0.8ML SC PSKT | $6,313 | — | — | — | 0 |
| 120 | ROOM & BOARD | $5,677 | — | — | — | 0 |
| 110 | ROOM & BOARD | $5,677 | — | — | — | 0 |
| 213 | ROOM & BOARD | $5,677 | — | — | — | 0 |
| 480973501 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $5,605 | — | — | — | 0 |
| 480145308 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $5,605 | — | — | — | 0 |
| 6362988211 | LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT | $5,516 | — | — | — | 0 |
| 483 | ECHOCARD 2D W/DOPP W/COL FLOW | $5,318 | — | — | — | 0 |
| 350 | CT ABD WO/W CONTRAST | $5,054 | — | — | — | 0 |
| 2758901 | BEBTELOVIMAB 175 MG/2ML IV SOLN | $5,040 | — | — | — | 0 |
| 4778165289 | TERIPARATIDE 620 MCG/2.48ML SC SOPN | $4,790 | — | — | — | 0 |
| 6745725600 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 781915894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 781315894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 1672927503 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 781315895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 1672927567 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 781915895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 7043602580 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 7043602582 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 6745725610 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $4,549 | — | — | — | 0 |
| 480973401 | RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER | $4,204 | — | — | — | 0 |
| 480134208 | RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER | $4,204 | — | — | — | 0 |
| 320 | INSERT PICC W/O IMAGING | $4,094 | — | — | — | 0 |
| 7260357801 | AMPICILLIN SODIUM 10 G IV SOLR | $4,021 | — | — | — | 0 |
Showing top 50 of 65,645 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.