45 CFR § 180 compliance
B · 85
This hospital published most 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
4,142
Insurances with rates
21
CPT / HCPCS codes
59
Source MRF
Most expensive procedures (gross)
12290000001
$56.55
XR Exam 14
Gross
—
3282
$1.3
Sodium Chloride 30ml vial WRX
Gross
—
496
$48.1
DepoMedrol 80mg inj WRX
Gross
—
2476
$0.65
Lidocaine 1% 10ml vial WRX
Gross
—
586
$84.5
Procainamide 1gm/2ml vial WRX
Gross
—
5438
$1.95
Albuterol HFA 90 mcg/inh (Ventolin) Chg
Gross
—
2322
$202
Pentamadine 300mg vial Inh. WRX
Gross
—
703
$32.5
Compazine 25mg supp. WRX
Gross
—
2116
$1.95
Diphenhydramine 25mg cap WRX
Gross
—
13020864850
$11.05
86485 POC Candida Skin Test
Gross
—
3429
$32.5
Absolute Alcohol 98% WRX
Gross
—
2128
$1.95
Acetaminophen 325mg tab WRX
Gross
—
2121
$1.95
Acetaminophen 500mg tab (25) WRX
Gross
—
1024
$5.2
Acetylcysteine 20% bottle 30ml WRX
Gross
—
969
$47.45
Aero Chamber WRX
Gross
—
1483
$1.95
Albuterol 0.083% sol 3 ml WRX
Gross
—
1297
$48.1
Alcaine 0.5% sol 15ml WRX
Gross
—
4059
$172
Alphagan P 1% 3ml WRX
Gross
—
1007
$1.95
Ammonia Inhalant WRX
Gross
—
8888042411
$42.9
Amvisc 0.8 ML WCS
Gross
—
1712
$1.95
Aspirin 325mg tab WRX
Gross
—
2762
$35.1
Atropisol 1% 1ml WRX
Gross
—
2986
$24.7
BSS 15 ml WRX
Gross
—
5288
$2.6
Benoxinate-Fluorescein Op 0.25%/0.4% ERX
Gross
—
2378
$1.95
Bisacodyl 5mg tab WRX
Gross
—
5573
$1.3
Brimonidine 0.1% WRX
Gross
—
5574
$1.3
Brimonidine 0.15% WRX
Gross
—
5032
$3.9
Budesonide-formoterol 80/4.5 mcg/inh Chg
Gross
—
5033
$4.55
Budesonide-formoterol 160/4.5mcg/inh Chg
Gross
—
3223
$10.4
Bupivacaine 0.75% 30ml vial WRX
Gross
—
2551
$14.95
Bupivacaine-Epi 0.25% 1-200K WRX
Gross
—
1388
$42.9
Candida skin test WRX
Gross
—
1137
$4.55
Cetacaine Spray 56ml WRX
Gross
—
1646
$14.95
Ciprofloxacin 500mg tab WRX
Gross
—
1824
$1.95
Clonidine 0.1mg tab WRX
Gross
—
2629
$214
Cocaine 4% sol WRX
Gross
—
2929
$34.45
Cyclogel 1% 2ml WRX
Gross
—
4272
$0.65
Cyclopentolate Ophth 1% Sol ERX
Gross
—
1554
$3.25
Cytotec 200 mcg WRX
Gross
—
944
$8.45
Diamox 250mg tab WRX
Gross
—
1479
$5.85
DuoNeb Solution 3 ml WRX
Gross
—
279
$0.65
Epinephrine 1mg/ml 1ml WRX
Gross
—
2938
$11.05
Eye stream soln 120ml WRX
Gross
—
1482
$2.6
Fleet enema WRX
Gross
—
5742
$70.2
Fluorescein-prop Oph 0.25%-0.5% Rx
Gross
—
2899
$31.85
Fluorescite 25% amps 2ml WRX
Gross
—
5138
$1.95
Flurbiprofen Ophth 0.03% Sol ERX
Gross
—
1182
$65
Fluress 5ml WRX
Gross
—
5051
$1.3
Fluticasone 110 mcg/inh Chg
Gross
—
5052
$1.3
Fluticasone 220 mcg/inh Chg
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 12290000001 | XR Exam 14 | — | $56.55 | $0 | $87 | 13 |
| 3282 | Sodium Chloride 30ml vial WRX | — | $1.3 | $0 | $2 | 13 |
| 496 | DepoMedrol 80mg inj WRX | — | $48.1 | $0 | $74 | 14 |
| 2476 | Lidocaine 1% 10ml vial WRX | — | $0.65 | $0 | $1 | 14 |
| 586 | Procainamide 1gm/2ml vial WRX | — | $84.5 | $0 | $509 | 14 |
| 5438 | Albuterol HFA 90 mcg/inh (Ventolin) Chg | — | $1.95 | $0 | $3 | 14 |
| 2322 | Pentamadine 300mg vial Inh. WRX | — | $202 | $0 | $310 | 14 |
| 703 | Compazine 25mg supp. WRX | — | $32.5 | $0 | $75.2 | 14 |
| 2116 | Diphenhydramine 25mg cap WRX | — | $1.95 | $0 | $3 | 14 |
| 13020864850 | 86485 POC Candida Skin Test | — | $11.05 | $0 | $76.8 | 14 |
| 3429 | Absolute Alcohol 98% WRX | — | $32.5 | $0 | $77.6 | 14 |
| 2128 | Acetaminophen 325mg tab WRX | — | $1.95 | $0 | $78.4 | 14 |
| 2121 | Acetaminophen 500mg tab (25) WRX | — | $1.95 | $0 | $79.2 | 14 |
| 1024 | Acetylcysteine 20% bottle 30ml WRX | — | $5.2 | $0 | $80 | 14 |
| 969 | Aero Chamber WRX | — | $47.45 | $0 | $80.8 | 14 |
| 1483 | Albuterol 0.083% sol 3 ml WRX | — | $1.95 | $0 | $81.6 | 14 |
| 1297 | Alcaine 0.5% sol 15ml WRX | — | $48.1 | $0 | $82.4 | 14 |
| 4059 | Alphagan P 1% 3ml WRX | — | $172 | $0 | $264 | 14 |
| 1007 | Ammonia Inhalant WRX | — | $1.95 | $0 | $84 | 14 |
| 8888042411 | Amvisc 0.8 ML WCS | — | $42.9 | $0 | $84.8 | 14 |
| 1712 | Aspirin 325mg tab WRX | — | $1.95 | $0 | $85.6 | 14 |
| 2762 | Atropisol 1% 1ml WRX | — | $35.1 | $0 | $86.4 | 14 |
| 2986 | BSS 15 ml WRX | — | $24.7 | $0 | $87.2 | 14 |
| 5288 | Benoxinate-Fluorescein Op 0.25%/0.4% ERX | — | $2.6 | $0 | $88 | 14 |
| 2378 | Bisacodyl 5mg tab WRX | — | $1.95 | $0 | $88.8 | 14 |
| 5573 | Brimonidine 0.1% WRX | — | $1.3 | $0 | $89.6 | 14 |
| 5574 | Brimonidine 0.15% WRX | — | $1.3 | $0 | $90.4 | 14 |
| 5032 | Budesonide-formoterol 80/4.5 mcg/inh Chg | — | $3.9 | $0 | $92 | 14 |
| 5033 | Budesonide-formoterol 160/4.5mcg/inh Chg | — | $4.55 | $0 | $92.8 | 14 |
| 3223 | Bupivacaine 0.75% 30ml vial WRX | — | $10.4 | $0 | $93.6 | 14 |
| 2551 | Bupivacaine-Epi 0.25% 1-200K WRX | — | $14.95 | $0 | $94.4 | 14 |
| 1388 | Candida skin test WRX | — | $42.9 | $0 | $95.2 | 14 |
| 1137 | Cetacaine Spray 56ml WRX | — | $4.55 | $0 | $96 | 14 |
| 1646 | Ciprofloxacin 500mg tab WRX | — | $14.95 | $0 | $96.8 | 14 |
| 1824 | Clonidine 0.1mg tab WRX | — | $1.95 | $0 | $97.6 | 14 |
| 2629 | Cocaine 4% sol WRX | — | $214 | $0 | $329 | 14 |
| 2929 | Cyclogel 1% 2ml WRX | — | $34.45 | $0 | $99.2 | 14 |
| 4272 | Cyclopentolate Ophth 1% Sol ERX | — | $0.65 | $0 | $100 | 14 |
| 1554 | Cytotec 200 mcg WRX | — | $3.25 | $0 | $101 | 14 |
| 944 | Diamox 250mg tab WRX | — | $8.45 | $0 | $102 | 14 |
| 1479 | DuoNeb Solution 3 ml WRX | — | $5.85 | $0 | $103 | 14 |
| 279 | Epinephrine 1mg/ml 1ml WRX | — | $0.65 | $0 | $104 | 14 |
| 2938 | Eye stream soln 120ml WRX | — | $11.05 | $0 | $105 | 14 |
| 1482 | Fleet enema WRX | — | $2.6 | $0 | $106 | 14 |
| 5742 | Fluorescein-prop Oph 0.25%-0.5% Rx | — | $70.2 | $0 | $108 | 14 |
| 2899 | Fluorescite 25% amps 2ml WRX | — | $31.85 | $0 | $107 | 14 |
| 5138 | Flurbiprofen Ophth 0.03% Sol ERX | — | $1.95 | $0 | $108 | 14 |
| 1182 | Fluress 5ml WRX | — | $65 | $0 | $109 | 14 |
| 5051 | Fluticasone 110 mcg/inh Chg | — | $1.3 | $0 | $110 | 14 |
| 5052 | Fluticasone 220 mcg/inh Chg | — | $1.3 | $0 | $110 | 14 |
Showing top 50 of 4,142 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.