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
3,673
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
NF-Atorvastatin Calcium Oral Tablet 20MG
—
NF-Atorvastatin Calcium Oral Tablet 20MG
Gross
$3,417,542
NF-Phenytoin Oral Tablet, Chewable 50MG
—
NF-Phenytoin Oral Tablet, Chewable 50MG
Gross
$243,840
NF-Mucinex DM Oral Tab ER 30MG-600MG
—
NF-Mucinex DM Oral Tab ER 30MG-600MG
Gross
$202,370
ALTEPLASE (ACTIVASE) 100MG VIAL
—
ALTEPLASE (ACTIVASE) 100MG VIAL
Gross
$33,544
TENECTEPLASE (TNKase) 50MG INJ
—
TENECTEPLASE (TNKase) 50MG INJ
Gross
$19,576
NF-Pro-Stat Sugar Free AWC Oral Liquid
—
NF-Pro-Stat Sugar Free AWC Oral Liquid
Gross
$16,133
OCTREOTIDE (SANDOSTATIN) 10MG
—
OCTREOTIDE (SANDOSTATIN) 10MG
Gross
$10,500
CROTALIDAE POLYVALENT INJ
—
CROTALIDAE POLYVALENT INJ
Gross
$9,272
DALBAVANCIN (DALVANCE) 500MG INJ
—
DALBAVANCIN (DALVANCE) 500MG INJ
Gross
$5,800
REMICADE INJ 100MG
—
REMICADE INJ 100MG
Gross
$4,249
EXTERNAL FIXATION MANDIBLE FRACTURE, OPE
—
EXTERNAL FIXATION MANDIBLE FRACTURE, OPE
Gross
$4,000
EXTERNAL FIXATION, MANDIBLE FRACTURE, OP
—
EXTERNAL FIXATION, MANDIBLE FRACTURE, OP
Gross
$3,961
NF-Isosource 1.5 Cal Liquid
—
NF-Isosource 1.5 Cal Liquid
Gross
$3,549
CALDWELL LUC
—
CALDWELL LUC
Gross
$3,500
EXC THROMBSD HEMORHD EXTE
—
EXC THROMBSD HEMORHD EXTE
Gross
$3,235
CT BILATERAL LE RNFFS W CONT
—
CT BILATERAL LE RNFFS W CONT
Gross
$2,415
ALVEOPLASTY - HOSPITAL
—
ALVEOPLASTY - HOSPITAL
Gross
$1,997
EXCISION LESION, MOUTH, W/O REPAIR
—
EXCISION LESION, MOUTH, W/O REPAIR
Gross
$1,997
EXCISION LESION MOUTH, W/ REPAIR, SIMPLE
—
EXCISION LESION MOUTH, W/ REPAIR, SIMPLE
Gross
$1,997
EXCSION LESION, MOUTH W/ REPAIR,COMPLEX
—
EXCSION LESION, MOUTH W/ REPAIR,COMPLEX
Gross
$1,997
EXCISE/REPAIR MOUTH LESION, SIMPLE
—
EXCISE/REPAIR MOUTH LESION, SIMPLE
Gross
$1,997
EXICSION BENIGN LIP LESION, .5cm
—
EXICSION BENIGN LIP LESION, .5cm
Gross
$1,997
REMOVAL MANDIBULAR LINGUAL TORI
—
REMOVAL MANDIBULAR LINGUAL TORI
Gross
$1,997
EXCISION CYST MANDIBLE BY ENUCLEATION
—
EXCISION CYST MANDIBLE BY ENUCLEATION
Gross
$1,997
MANDIBLE, CLOSED REDUCTION
—
MANDIBLE, CLOSED REDUCTION
Gross
$1,850
CT ABDOMEN WWO CONTRAST
—
CT ABDOMEN WWO CONTRAST
Gross
$1,825
CT CHEST WWO CONTRAST
—
CT CHEST WWO CONTRAST
Gross
$1,825
CT HEAD WWO CONTRAST
—
CT HEAD WWO CONTRAST
Gross
$1,825
CT PELVIS WWO CONTRAST
—
CT PELVIS WWO CONTRAST
Gross
$1,825
CT SOFT TISSUE NECK WWO CON
—
CT SOFT TISSUE NECK WWO CON
Gross
$1,825
US ECHO 2-D/MMODE
—
US ECHO 2-D/MMODE
Gross
$1,725
US ECHO COMPLETE
—
US ECHO COMPLETE
Gross
$1,725
BONE EA ADDL 20 SQ CM
—
BONE EA ADDL 20 SQ CM
Gross
$1,679
DEBRID SUBC MUSC BONE
—
DEBRID SUBC MUSC BONE
Gross
$1,679
CT ABD PEL WWO CONTRAST
—
CT ABD PEL WWO CONTRAST
Gross
$1,600
CT ABD PEL W CONTRAST
—
CT ABD PEL W CONTRAST
Gross
$1,596
CT ABDOMEN W CONTRAST
—
CT ABDOMEN W CONTRAST
Gross
$1,596
CT CHEST W CONTRAST
—
CT CHEST W CONTRAST
Gross
$1,596
CT HEAD W CONTRAST
—
CT HEAD W CONTRAST
Gross
$1,596
CT LIVER W CONT
—
CT LIVER W CONT
Gross
$1,596
CT PANCREAS W CONTRAST
—
CT PANCREAS W CONTRAST
Gross
$1,596
CT PELVIS W CONTRAST
—
CT PELVIS W CONTRAST
Gross
$1,596
CT RENAL W CONTRAST
—
CT RENAL W CONTRAST
Gross
$1,596
CT SOFT TISSUE NECK W CONTR
—
CT SOFT TISSUE NECK W CONTR
Gross
$1,596
BRONCHOSCOPY
—
BRONCHOSCOPY
Gross
$1,500
CT CTA ABDOMEN
—
CT CTA ABDOMEN
Gross
$1,495
CT CTA BRAIN
—
CT CTA BRAIN
Gross
$1,495
CT CTA CAROTID NECK
—
CT CTA CAROTID NECK
Gross
$1,495
CT CTA CHEST
—
CT CTA CHEST
Gross
$1,495
CT PULMONARY EMBOLIS W CONTR
—
CT PULMONARY EMBOLIS W CONTR
Gross
$1,495
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| NF-Atorvastatin Calcium Oral Tablet 20MG | NF-Atorvastatin Calcium Oral Tablet 20MG | $3,417,542 | — | — | — | 0 |
| NF-Phenytoin Oral Tablet, Chewable 50MG | NF-Phenytoin Oral Tablet, Chewable 50MG | $243,840 | — | — | — | 0 |
| NF-Mucinex DM Oral Tab ER 30MG-600MG | NF-Mucinex DM Oral Tab ER 30MG-600MG | $202,370 | — | — | — | 0 |
| ALTEPLASE (ACTIVASE) 100MG VIAL | ALTEPLASE (ACTIVASE) 100MG VIAL | $33,544 | — | — | — | 0 |
| TENECTEPLASE (TNKase) 50MG INJ | TENECTEPLASE (TNKase) 50MG INJ | $19,576 | — | — | — | 0 |
| NF-Pro-Stat Sugar Free AWC Oral Liquid | NF-Pro-Stat Sugar Free AWC Oral Liquid | $16,133 | — | — | — | 0 |
| OCTREOTIDE (SANDOSTATIN) 10MG | OCTREOTIDE (SANDOSTATIN) 10MG | $10,500 | — | — | — | 0 |
| CROTALIDAE POLYVALENT INJ | CROTALIDAE POLYVALENT INJ | $9,272 | — | — | — | 0 |
| DALBAVANCIN (DALVANCE) 500MG INJ | DALBAVANCIN (DALVANCE) 500MG INJ | $5,800 | — | — | — | 0 |
| REMICADE INJ 100MG | REMICADE INJ 100MG | $4,249 | — | — | — | 0 |
| EXTERNAL FIXATION MANDIBLE FRACTURE, OPE | EXTERNAL FIXATION MANDIBLE FRACTURE, OPE | $4,000 | — | — | — | 0 |
| EXTERNAL FIXATION, MANDIBLE FRACTURE, OP | EXTERNAL FIXATION, MANDIBLE FRACTURE, OP | $3,961 | — | — | — | 0 |
| NF-Isosource 1.5 Cal Liquid | NF-Isosource 1.5 Cal Liquid | $3,549 | — | — | — | 0 |
| CALDWELL LUC | CALDWELL LUC | $3,500 | — | — | — | 0 |
| EXC THROMBSD HEMORHD EXTE | EXC THROMBSD HEMORHD EXTE | $3,235 | — | — | — | 0 |
| CT BILATERAL LE RNFFS W CONT | CT BILATERAL LE RNFFS W CONT | $2,415 | — | — | — | 0 |
| ALVEOPLASTY - HOSPITAL | ALVEOPLASTY - HOSPITAL | $1,997 | — | — | — | 0 |
| EXCISION LESION, MOUTH, W/O REPAIR | EXCISION LESION, MOUTH, W/O REPAIR | $1,997 | — | — | — | 0 |
| EXCISION LESION MOUTH, W/ REPAIR, SIMPLE | EXCISION LESION MOUTH, W/ REPAIR, SIMPLE | $1,997 | — | — | — | 0 |
| EXCSION LESION, MOUTH W/ REPAIR,COMPLEX | EXCSION LESION, MOUTH W/ REPAIR,COMPLEX | $1,997 | — | — | — | 0 |
| EXCISE/REPAIR MOUTH LESION, SIMPLE | EXCISE/REPAIR MOUTH LESION, SIMPLE | $1,997 | — | — | — | 0 |
| EXICSION BENIGN LIP LESION, .5cm | EXICSION BENIGN LIP LESION, .5cm | $1,997 | — | — | — | 0 |
| REMOVAL MANDIBULAR LINGUAL TORI | REMOVAL MANDIBULAR LINGUAL TORI | $1,997 | — | — | — | 0 |
| EXCISION CYST MANDIBLE BY ENUCLEATION | EXCISION CYST MANDIBLE BY ENUCLEATION | $1,997 | — | — | — | 0 |
| MANDIBLE, CLOSED REDUCTION | MANDIBLE, CLOSED REDUCTION | $1,850 | — | — | — | 0 |
| CT ABDOMEN WWO CONTRAST | CT ABDOMEN WWO CONTRAST | $1,825 | — | — | — | 0 |
| CT CHEST WWO CONTRAST | CT CHEST WWO CONTRAST | $1,825 | — | — | — | 0 |
| CT HEAD WWO CONTRAST | CT HEAD WWO CONTRAST | $1,825 | — | — | — | 0 |
| CT PELVIS WWO CONTRAST | CT PELVIS WWO CONTRAST | $1,825 | — | — | — | 0 |
| CT SOFT TISSUE NECK WWO CON | CT SOFT TISSUE NECK WWO CON | $1,825 | — | — | — | 0 |
| US ECHO 2-D/MMODE | US ECHO 2-D/MMODE | $1,725 | — | — | — | 0 |
| US ECHO COMPLETE | US ECHO COMPLETE | $1,725 | — | — | — | 0 |
| BONE EA ADDL 20 SQ CM | BONE EA ADDL 20 SQ CM | $1,679 | — | — | — | 0 |
| DEBRID SUBC MUSC BONE | DEBRID SUBC MUSC BONE | $1,679 | — | — | — | 0 |
| CT ABD PEL WWO CONTRAST | CT ABD PEL WWO CONTRAST | $1,600 | — | — | — | 0 |
| CT ABD PEL W CONTRAST | CT ABD PEL W CONTRAST | $1,596 | — | — | — | 0 |
| CT ABDOMEN W CONTRAST | CT ABDOMEN W CONTRAST | $1,596 | — | — | — | 0 |
| CT CHEST W CONTRAST | CT CHEST W CONTRAST | $1,596 | — | — | — | 0 |
| CT HEAD W CONTRAST | CT HEAD W CONTRAST | $1,596 | — | — | — | 0 |
| CT LIVER W CONT | CT LIVER W CONT | $1,596 | — | — | — | 0 |
| CT PANCREAS W CONTRAST | CT PANCREAS W CONTRAST | $1,596 | — | — | — | 0 |
| CT PELVIS W CONTRAST | CT PELVIS W CONTRAST | $1,596 | — | — | — | 0 |
| CT RENAL W CONTRAST | CT RENAL W CONTRAST | $1,596 | — | — | — | 0 |
| CT SOFT TISSUE NECK W CONTR | CT SOFT TISSUE NECK W CONTR | $1,596 | — | — | — | 0 |
| BRONCHOSCOPY | BRONCHOSCOPY | $1,500 | — | — | — | 0 |
| CT CTA ABDOMEN | CT CTA ABDOMEN | $1,495 | — | — | — | 0 |
| CT CTA BRAIN | CT CTA BRAIN | $1,495 | — | — | — | 0 |
| CT CTA CAROTID NECK | CT CTA CAROTID NECK | $1,495 | — | — | — | 0 |
| CT CTA CHEST | CT CTA CHEST | $1,495 | — | — | — | 0 |
| CT PULMONARY EMBOLIS W CONTR | CT PULMONARY EMBOLIS W CONTR | $1,495 | — | — | — | 0 |
Showing top 50 of 3,673 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.