45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,560
Insurances with rates
10
CPT / HCPCS codes
0
Most expensive procedures (gross)
47027225
—
EMICIZUMAB (HEMLIBRA) 105 MG/0.7 ML VIAL
Gross
$38,085
47027307
—
INTERFERON BETA-1A 30 MCG/0.5 ML PEN KIT
Gross
$25,914
47027515
—
IXEKIZUMAB 80 MG/ML INJECTION
Gross
$21,785
47027570
—
ADALIMUMAB 40 MG/0.4 ML PEN INJECTOR
Gross
$10,384
47027578
—
USTEKINUMAB-KFCE 90 MG/ML SYRINGE
Gross
$9,000
47011752
—
LEUPROLIDE ACETATE DEPOT 7.5 MG KIT
Gross
$6,439
47027486
—
DUPILUMAB 300 MG/2 ML SYRINGE
Gross
$6,290
47011736
—
LEUPROLIDE ACETATE DEPOT 3.75 MG KIT
Gross
$5,404
47027560
—
DALBAVANCIN HCL 500 MG VIAL
Gross
$5,338
47027333
—
BACLOFEN 2,000 MCG/ML SYR (INTRATHECAL)
Gross
$3,325
47002788
—
CALCITONIN,SALMON,SYNTHETIC 400 UNIT/2 ML VIAL
Gross
$3,000
47027513
—
CABOZANTINIB S-MALATE 60 MG TABLET
Gross
$2,631
47027398
—
TREPROSTINIL 6 MCG/INHALATION (1.74MG/2.9 ML) NE
Gross
$2,513
47026393
—
GRANISETRON 3.1MG/24 HR PATCH
Gross
$2,484
47027547
—
PALBOCICLIB 125 MG TABLET
Gross
$2,423
47000386
—
ACYCLOVIR SODIUM 500 MG VIAL
Gross
$2,400
47014093
—
miFEPRIStone 300 MG TABLET
Gross
$2,169
47026300
—
EVEROLIMUS 10 MG TABLET
Gross
$2,051
12000001
—
Room and Board
Gross
$2,050
47024781
—
NITROGLYCERIN 0.4% *RECTAL* OINTMENT
Gross
$1,923
47027338
—
OSIMERTINIB MESYLATE 40 MG TABLET
Gross
$1,764
47026024
—
OSIMERTINIB MESYLATE 80 MG TABLET
Gross
$1,764
47027469
—
TOLVAPTAN 15 MG TABLET
Gross
$1,686
47023106
—
TOLVAPTAN 30 MG TABLET
Gross
$1,619
47027359
—
GLATIRAMER ACETATE 40 MG/ML SYRINGE
Gross
$1,573
47008506
—
FILGRASTIM 480 MCG/1.6 ML VIAL
Gross
$1,504
15401356
—
DOPPLER ECHOCARDIOGRAPHY
Gross
$1,492
47016835
—
PHENTOLAMINE MESYLATE 5 MG VIAL
Gross
$1,470
47008930
—
FLUTICASONE PROPIONATE 220 MCG/PUFF 12 GM HFA IN
Gross
$1,455
47008018
—
ESTROGENS,CONJUGATED VAGINAL CR (PREMARIN)
Gross
$1,420
47026831
—
DARBEPOETIN ALFA 60 MCG/0.3 ML SYRINGE
Gross
$1,394
47000688
—
AMBRISENTAN 10 MG TABLET
Gross
$1,375
47027495
—
EPOETIN ALFA-EPBX 40,000 UNIT/ML VIAL
Gross
$1,357
47025354
—
MACITENTAN 10 MG TABLET
Gross
$1,296
47013356
—
METHADONE HCL 10 MG/ML PCA
Gross
$1,261
45050181
—
CATH BD MIDCATH 20GA (3F)X20CM
Gross
$1,250
15401250
—
MR ABDOMEN W CON
Gross
$1,247
47027484
—
cefTAZidime/AVIBACTAM 2.5 GM VIAL
Gross
$1,247
47004624
—
CLOBETASOL PROPIONATE 0.05% OINTMENT
Gross
$1,246
47000351
—
ACYCLOVIR 5% OINTMENT
Gross
$1,197
47027021
—
SELEXIPAG 800 MCG TABLET
Gross
$1,194
47027458
—
ISAVUCONAZONIUM SULFATE 372 MG VIAL
Gross
$1,184
47027459
—
FLUOROURACIL 5% CREAM
Gross
$1,155
15401219
—
CT ABDOMEN PELVIS WO/W CON
Gross
$1,132
47002397
—
BRINZOLAMIDE 1% OPHTH SUSP 10 ML BOTTLE
Gross
$1,099
47010667
—
IMATINIB MESYLATE 400 MG TABLET
Gross
$1,094
47025028
—
BROMFENAC SODIUM 0.07% OPHTH DROPS 3 ML BOTTLE
Gross
$1,087
47027418
—
ESTRADIOL 0.01% VAGINAL CREAM
Gross
$1,077
15401355
—
BONE/JOINT IMAGING. WHOLE BODY
Gross
$1,060
47026059
—
BECLOMETHASONE DIPROPIONATE 80 MCG/PUFF 10.6 GM
Gross
$1,056
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 47027225 | EMICIZUMAB (HEMLIBRA) 105 MG/0.7 ML VIAL | $38,085 | — | — | — | 0 |
| 47027307 | INTERFERON BETA-1A 30 MCG/0.5 ML PEN KIT | $25,914 | — | — | — | 0 |
| 47027515 | IXEKIZUMAB 80 MG/ML INJECTION | $21,785 | — | — | — | 0 |
| 47027570 | ADALIMUMAB 40 MG/0.4 ML PEN INJECTOR | $10,384 | — | — | — | 0 |
| 47027578 | USTEKINUMAB-KFCE 90 MG/ML SYRINGE | $9,000 | — | — | — | 0 |
| 47011752 | LEUPROLIDE ACETATE DEPOT 7.5 MG KIT | $6,439 | — | — | — | 0 |
| 47027486 | DUPILUMAB 300 MG/2 ML SYRINGE | $6,290 | — | — | — | 0 |
| 47011736 | LEUPROLIDE ACETATE DEPOT 3.75 MG KIT | $5,404 | — | — | — | 0 |
| 47027560 | DALBAVANCIN HCL 500 MG VIAL | $5,338 | — | — | — | 0 |
| 47027333 | BACLOFEN 2,000 MCG/ML SYR (INTRATHECAL) | $3,325 | — | — | — | 0 |
| 47002788 | CALCITONIN,SALMON,SYNTHETIC 400 UNIT/2 ML VIAL | $3,000 | — | — | — | 0 |
| 47027513 | CABOZANTINIB S-MALATE 60 MG TABLET | $2,631 | — | — | — | 0 |
| 47027398 | TREPROSTINIL 6 MCG/INHALATION (1.74MG/2.9 ML) NE | $2,513 | — | — | — | 0 |
| 47026393 | GRANISETRON 3.1MG/24 HR PATCH | $2,484 | — | — | — | 0 |
| 47027547 | PALBOCICLIB 125 MG TABLET | $2,423 | — | — | — | 0 |
| 47000386 | ACYCLOVIR SODIUM 500 MG VIAL | $2,400 | — | — | — | 0 |
| 47014093 | miFEPRIStone 300 MG TABLET | $2,169 | — | — | — | 0 |
| 47026300 | EVEROLIMUS 10 MG TABLET | $2,051 | — | — | — | 0 |
| 12000001 | Room and Board | $2,050 | — | — | — | 45 |
| 47024781 | NITROGLYCERIN 0.4% *RECTAL* OINTMENT | $1,923 | — | — | — | 0 |
| 47027338 | OSIMERTINIB MESYLATE 40 MG TABLET | $1,764 | — | — | — | 0 |
| 47026024 | OSIMERTINIB MESYLATE 80 MG TABLET | $1,764 | — | — | — | 0 |
| 47027469 | TOLVAPTAN 15 MG TABLET | $1,686 | — | — | — | 0 |
| 47023106 | TOLVAPTAN 30 MG TABLET | $1,619 | — | — | — | 0 |
| 47027359 | GLATIRAMER ACETATE 40 MG/ML SYRINGE | $1,573 | — | — | — | 0 |
| 47008506 | FILGRASTIM 480 MCG/1.6 ML VIAL | $1,504 | — | — | — | 0 |
| 15401356 | DOPPLER ECHOCARDIOGRAPHY | $1,492 | — | — | — | 0 |
| 47016835 | PHENTOLAMINE MESYLATE 5 MG VIAL | $1,470 | — | — | — | 0 |
| 47008930 | FLUTICASONE PROPIONATE 220 MCG/PUFF 12 GM HFA IN | $1,455 | — | — | — | 0 |
| 47008018 | ESTROGENS,CONJUGATED VAGINAL CR (PREMARIN) | $1,420 | — | — | — | 0 |
| 47026831 | DARBEPOETIN ALFA 60 MCG/0.3 ML SYRINGE | $1,394 | — | — | — | 0 |
| 47000688 | AMBRISENTAN 10 MG TABLET | $1,375 | — | — | — | 0 |
| 47027495 | EPOETIN ALFA-EPBX 40,000 UNIT/ML VIAL | $1,357 | — | — | — | 0 |
| 47025354 | MACITENTAN 10 MG TABLET | $1,296 | — | — | — | 0 |
| 47013356 | METHADONE HCL 10 MG/ML PCA | $1,261 | — | — | — | 0 |
| 45050181 | CATH BD MIDCATH 20GA (3F)X20CM | $1,250 | — | — | — | 0 |
| 15401250 | MR ABDOMEN W CON | $1,247 | — | — | — | 0 |
| 47027484 | cefTAZidime/AVIBACTAM 2.5 GM VIAL | $1,247 | — | — | — | 0 |
| 47004624 | CLOBETASOL PROPIONATE 0.05% OINTMENT | $1,246 | — | — | — | 0 |
| 47000351 | ACYCLOVIR 5% OINTMENT | $1,197 | — | — | — | 0 |
| 47027021 | SELEXIPAG 800 MCG TABLET | $1,194 | — | — | — | 0 |
| 47027458 | ISAVUCONAZONIUM SULFATE 372 MG VIAL | $1,184 | — | — | — | 0 |
| 47027459 | FLUOROURACIL 5% CREAM | $1,155 | — | — | — | 0 |
| 15401219 | CT ABDOMEN PELVIS WO/W CON | $1,132 | — | — | — | 0 |
| 47002397 | BRINZOLAMIDE 1% OPHTH SUSP 10 ML BOTTLE | $1,099 | — | — | — | 0 |
| 47010667 | IMATINIB MESYLATE 400 MG TABLET | $1,094 | — | — | — | 0 |
| 47025028 | BROMFENAC SODIUM 0.07% OPHTH DROPS 3 ML BOTTLE | $1,087 | — | — | — | 0 |
| 47027418 | ESTRADIOL 0.01% VAGINAL CREAM | $1,077 | — | — | — | 0 |
| 15401355 | BONE/JOINT IMAGING. WHOLE BODY | $1,060 | — | — | — | 0 |
| 47026059 | BECLOMETHASONE DIPROPIONATE 80 MCG/PUFF 10.6 GM | $1,056 | — | — | — | 0 |
Showing top 50 of 2,560 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.