45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,451
Insurances with rates
15
CPT / HCPCS codes
11
Most expensive procedures (gross)
1500751
—
ENBREL 25 MG KIT
Gross
$12,000
1500076
—
ACYCLOVIR OINTMENT 5% 5 gram
Gross
$4,000
1502141
—
SALMETEROL/FLUTICASONE DISKUS 500/50
Gross
$2,550
1502069
—
SALMETEROL/FLUTICASONE DISKUS 250/50
Gross
$1,950
1502104
—
SPIRIVA 18 MCG CP-HANDIHALER
Gross
$1,935
1500889
—
SERVENT DISKUS 50 MC
Gross
$1,830
1500802
—
SALMETEROL/FLUTICASONE DISKUS 100/50
Gross
$1,550
1500534
—
KETOROLAC TROMH 0.4% EYE DROP(ACULAR LS)
Gross
$1,330
1500252
—
GLUCAGON 1 MG EMERGENCY KIT 1 ea
Gross
$1,325
1520099
—
ECONAZOLE 1% 85 GM
Gross
$1,290
SW
$750
SWING PRIVATE
Gross
$1,150
1502151
—
QVAR 80 MCG ORAL INHALER
Gross
$1,080
1502147
—
CIPRODEX OTIC SUSPENSION
Gross
$1,075
1500266
—
TOBRADEX OINT 3.5 GR
Gross
$1,050
1507971
—
BREO ELLIPTA 100-25 MCG INH
Gross
$1,000
1500193
—
CARAFATE 1 GM/10 ML SUSP 10 mL
Gross
$945
1501199
—
PREVNAR 13 SYRINGE 1 ea, 0.5 mL
Gross
$895
1500243
—
DUREZOL 0.05% EYE DROPS
Gross
$850
1501109
—
SYMBICORT 160-4.5 MC
Gross
$780
1500551
—
BRIMONIDINE 0.15% 5ML
Gross
$775
1500319
—
NITROGLYCERIN 400 MCG SPRAY 1 ea, 4.1 g
Gross
$750
100005
—
BLOOD (PLATELETS)
Gross
$650
1501357
—
INVANZ 1 GM VIAL
Gross
$634
1500249
—
FLUOROURACIL 5% CREAM 1 ea, 40 g
Gross
$625
1500111
—
NEOMY/POLY B/HYDROCORT SUSP OPTHAL 7.5
Gross
$550
1500339
—
HYDROCORTISONE 2.5% RECTAL CREAM 30 g
Gross
$500
1500107
—
BACITRACIN OPHTH OINTMENT 3.5G
Gross
$490
1500241
—
FLUOCINOLONE 0.01% SOLUTION 1 ea, 60 mL
Gross
$425
1500144
—
PILOCARPINE HCL 1 %
Gross
$400
1500145
—
PILOCARPINE HCL 2 %
Gross
$400
1509218
—
FLOVENT HFA 220 MCG INHALER
Gross
$350
1508191
—
NOVOLOG 100 UNIT/ML VIAL
Gross
$310
1500224
—
MOMETASONE NASAL SPR
Gross
$300
1507920
—
ALREX 0.2% EYE DROPS 5ml
Gross
$300
1502113
—
XOPENEX HFA 45 MCG INHALER
Gross
$290
1512200
—
BRIMONIDINE 0.2% EYE DROPS
Gross
$267
1510338
—
PROCTOFOAM-HC 1%-1% FOAM 1 ea, 10 g
Gross
$265
1500240
—
FONDAPARINUX 2.5 MG/0.5 ML SYRINGE
Gross
$260
1510308
—
LUMIGAN 0.01% EYE DROPS
Gross
$250
100004
—
BLOOD (PACKED CELLS)
Gross
$250
200004
—
ADDITIONAL OBSERVATION HOURS
Gross
$250
1502195
—
AZOPT 1% EYE DROPS
Gross
$240
100006
—
BLOOD(RADI PACK CELL
Gross
$240
1509444
—
RESTASIS 0.05% EYE EMULSION
Gross
$235
1501072
—
TERCONAZOLE 0.4% CREAM VAGINAL
Gross
$225
1501481
—
PODOFILOX 0.5% TOPICAL SOLN
Gross
$225
1508334
—
TRIFLURIDINE OPTH 1% EYE DROPS
Gross
$225
100009
—
FETAL STUDY-COMPLETE UNDER 14WEEKS 76801
Gross
$225
1502025
—
LINCOMYCIN 300 MG/ML VIAL
Gross
$200
1501203
—
PNEUMOVAX 23 SYRINGE 1 ea, 0.5 mL
Gross
$188
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1500751 | ENBREL 25 MG KIT | $12,000 | — | — | — | 3 |
| 1500076 | ACYCLOVIR OINTMENT 5% 5 gram | $4,000 | — | — | — | 5 |
| 1502141 | SALMETEROL/FLUTICASONE DISKUS 500/50 | $2,550 | — | — | — | 5 |
| 1502069 | SALMETEROL/FLUTICASONE DISKUS 250/50 | $1,950 | — | — | — | 5 |
| 1502104 | SPIRIVA 18 MCG CP-HANDIHALER | $1,935 | — | — | — | 5 |
| 1500889 | SERVENT DISKUS 50 MC | $1,830 | — | — | — | 5 |
| 1500802 | SALMETEROL/FLUTICASONE DISKUS 100/50 | $1,550 | — | — | — | 5 |
| 1500534 | KETOROLAC TROMH 0.4% EYE DROP(ACULAR LS) | $1,330 | — | — | — | 5 |
| 1500252 | GLUCAGON 1 MG EMERGENCY KIT 1 ea | $1,325 | — | — | — | 14 |
| 1520099 | ECONAZOLE 1% 85 GM | $1,290 | — | — | — | 5 |
| SW | SWING PRIVATE | $1,150 | $750 | — | — | 16 |
| 1502151 | QVAR 80 MCG ORAL INHALER | $1,080 | — | — | — | 5 |
| 1502147 | CIPRODEX OTIC SUSPENSION | $1,075 | — | — | — | 5 |
| 1500266 | TOBRADEX OINT 3.5 GR | $1,050 | — | — | — | 5 |
| 1507971 | BREO ELLIPTA 100-25 MCG INH | $1,000 | — | — | — | 5 |
| 1500193 | CARAFATE 1 GM/10 ML SUSP 10 mL | $945 | — | — | — | 5 |
| 1501199 | PREVNAR 13 SYRINGE 1 ea, 0.5 mL | $895 | — | — | — | 4 |
| 1500243 | DUREZOL 0.05% EYE DROPS | $850 | — | — | — | 5 |
| 1501109 | SYMBICORT 160-4.5 MC | $780 | — | — | — | 5 |
| 1500551 | BRIMONIDINE 0.15% 5ML | $775 | — | — | — | 5 |
| 1500319 | NITROGLYCERIN 400 MCG SPRAY 1 ea, 4.1 g | $750 | — | — | — | 5 |
| 100005 | BLOOD (PLATELETS) | $650 | — | — | — | 15 |
| 1501357 | INVANZ 1 GM VIAL | $634 | — | — | — | 3 |
| 1500249 | FLUOROURACIL 5% CREAM 1 ea, 40 g | $625 | — | — | — | 5 |
| 1500111 | NEOMY/POLY B/HYDROCORT SUSP OPTHAL 7.5 | $550 | — | — | — | 5 |
| 1500339 | HYDROCORTISONE 2.5% RECTAL CREAM 30 g | $500 | — | — | — | 5 |
| 1500107 | BACITRACIN OPHTH OINTMENT 3.5G | $490 | — | — | — | 5 |
| 1500241 | FLUOCINOLONE 0.01% SOLUTION 1 ea, 60 mL | $425 | — | — | — | 5 |
| 1500144 | PILOCARPINE HCL 1 % | $400 | — | — | — | 5 |
| 1500145 | PILOCARPINE HCL 2 % | $400 | — | — | — | 5 |
| 1509218 | FLOVENT HFA 220 MCG INHALER | $350 | — | — | — | 5 |
| 1508191 | NOVOLOG 100 UNIT/ML VIAL | $310 | — | — | — | 3 |
| 1500224 | MOMETASONE NASAL SPR | $300 | — | — | — | 5 |
| 1507920 | ALREX 0.2% EYE DROPS 5ml | $300 | — | — | — | 5 |
| 1502113 | XOPENEX HFA 45 MCG INHALER | $290 | — | — | — | 5 |
| 1512200 | BRIMONIDINE 0.2% EYE DROPS | $267 | — | — | — | 5 |
| 1510338 | PROCTOFOAM-HC 1%-1% FOAM 1 ea, 10 g | $265 | — | — | — | 5 |
| 1500240 | FONDAPARINUX 2.5 MG/0.5 ML SYRINGE | $260 | — | — | — | 3 |
| 1510308 | LUMIGAN 0.01% EYE DROPS | $250 | — | — | — | 5 |
| 100004 | BLOOD (PACKED CELLS) | $250 | — | — | — | 15 |
| 200004 | ADDITIONAL OBSERVATION HOURS | $250 | — | — | — | 16 |
| 1502195 | AZOPT 1% EYE DROPS | $240 | — | — | — | 5 |
| 100006 | BLOOD(RADI PACK CELL | $240 | — | — | — | 10 |
| 1509444 | RESTASIS 0.05% EYE EMULSION | $235 | — | — | — | 5 |
| 1501072 | TERCONAZOLE 0.4% CREAM VAGINAL | $225 | — | — | — | 5 |
| 1501481 | PODOFILOX 0.5% TOPICAL SOLN | $225 | — | — | — | 5 |
| 1508334 | TRIFLURIDINE OPTH 1% EYE DROPS | $225 | — | — | — | 5 |
| 100009 | FETAL STUDY-COMPLETE UNDER 14WEEKS 76801 | $225 | — | — | — | 15 |
| 1502025 | LINCOMYCIN 300 MG/ML VIAL | $200 | — | — | — | 3 |
| 1501203 | PNEUMOVAX 23 SYRINGE 1 ea, 0.5 mL | $188 | — | — | — | 5 |
Showing top 50 of 2,451 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.