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
65,647
Insurances with rates
6
CPT / HCPCS codes
0
Most expensive procedures (gross)
99999100457
—
MELOXICAM 7.5 MG PO SPLIT TABS
Gross
$218,900
6909787067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$106,712
6909790667
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$80,321
7628272067
—
LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN
Gross
$37,775
74012411
—
ADALIMUMAB 80 MG/0.8ML SC AJKT
Gross
$35,809
480925908
—
OCTREOTIDE ACETATE 20 MG IM KIT
Gross
$26,313
4202315701
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$22,800
6931570150
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$22,800
4202315799
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$22,800
6745729750
—
ETHACRYNATE SODIUM 50 MG IV SOLR
Gross
$22,800
99999100465
—
HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR
Gross
$19,155
4612238672
—
FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP
Gross
$12,650
350
—
CT ABD WO/W CONTRAST
Gross
$12,205
8200915022
—
ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT
Gross
$11,250
37006603
—
ROWASA 4 G RE KIT
Gross
$10,670
6131432720
—
ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ
Gross
$9,865
1672925105
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$9,600
6050560960
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$9,600
6800157241
—
BENDAMUSTINE HCL 100 MG IV SOLR
Gross
$9,600
99999100442
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$9,396
9999101596
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$9,396
4202320501
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$9,393
340
—
NM BONE SCAN-3 PHASE
Gross
$9,250
6050560504
—
BORTEZOMIB 3.5 MG IJ SOLR
Gross
$9,137
6822006603
—
ROWASA 4 G RE KIT
Gross
$8,668
483
—
ECHOCARD 2D W/DOPP W/COL FLOW
Gross
$8,001
4359805111
—
CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN
Gross
$7,984
59705902
—
ADALIMUMAB 40 MG/0.8ML SC PSKT
Gross
$7,892
120
—
ROOM & BOARD
Gross
$7,760
110
—
ROOM & BOARD
Gross
$7,760
213
—
ROOM & BOARD
Gross
$7,760
801
—
HEMODIALYSIS, ONE EVALUATION
Gross
$7,479
201
—
ROOM & BOARD ICU
Gross
$7,380
203
—
ROOM & BOARD ICU
Gross
$7,380
209
—
ROOM & BOARD HIGH OBSERVATION
Gross
$7,380
210
—
ROOM & BOARD HIGH OBSERVATION
Gross
$7,380
480145308
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$7,007
480973501
—
RISPERIDONE MICROSPHERES ER 50 MG IM SRER
Gross
$7,007
6362988211
—
LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT
Gross
$6,895
610
—
MRI ABDOMEN W/O CONTRAST
Gross
$6,860
2758901
—
BEBTELOVIMAB 175 MG/2ML IV SOLN
Gross
$6,300
4778165289
—
TERIPARATIDE 620 MCG/2.48ML SC SOPN
Gross
$5,988
6745725610
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
1672927503
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
7043602582
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
781315895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
781915895
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
1672927567
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
781315894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
781915894
—
BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR
Gross
$5,686
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 99999100457 | MELOXICAM 7.5 MG PO SPLIT TABS | $218,900 | — | — | — | 0 |
| 6909787067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $106,712 | — | — | — | 0 |
| 6909790667 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $80,321 | — | — | — | 0 |
| 7628272067 | LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN | $37,775 | — | — | — | 0 |
| 74012411 | ADALIMUMAB 80 MG/0.8ML SC AJKT | $35,809 | — | — | — | 0 |
| 480925908 | OCTREOTIDE ACETATE 20 MG IM KIT | $26,313 | — | — | — | 0 |
| 4202315701 | ETHACRYNATE SODIUM 50 MG IV SOLR | $22,800 | — | — | — | 0 |
| 6931570150 | ETHACRYNATE SODIUM 50 MG IV SOLR | $22,800 | — | — | — | 0 |
| 4202315799 | ETHACRYNATE SODIUM 50 MG IV SOLR | $22,800 | — | — | — | 0 |
| 6745729750 | ETHACRYNATE SODIUM 50 MG IV SOLR | $22,800 | — | — | — | 0 |
| 99999100465 | HYDROCOD POLST-CPM POLST ER 10-8 MG/5ML PO LQCR | $19,155 | — | — | — | 0 |
| 4612238672 | FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP | $12,650 | — | — | — | 0 |
| 350 | CT ABD WO/W CONTRAST | $12,205 | — | — | — | 0 |
| 8200915022 | ADALIMUMAB-ADBM (2 SYRINGE) 40 MG/0.8ML SC PSKT | $11,250 | — | — | — | 0 |
| 37006603 | ROWASA 4 G RE KIT | $10,670 | — | — | — | 0 |
| 6131432720 | ADALIMUMAB-ADAZ 40 MG/0.4ML SC SOAJ | $9,865 | — | — | — | 0 |
| 1672925105 | BENDAMUSTINE HCL 100 MG IV SOLR | $9,600 | — | — | — | 0 |
| 6050560960 | BENDAMUSTINE HCL 100 MG IV SOLR | $9,600 | — | — | — | 0 |
| 6800157241 | BENDAMUSTINE HCL 100 MG IV SOLR | $9,600 | — | — | — | 0 |
| 99999100442 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $9,396 | — | — | — | 0 |
| 9999101596 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $9,396 | — | — | — | 0 |
| 4202320501 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $9,393 | — | — | — | 0 |
| 340 | NM BONE SCAN-3 PHASE | $9,250 | — | — | — | 0 |
| 6050560504 | BORTEZOMIB 3.5 MG IJ SOLR | $9,137 | — | — | — | 0 |
| 6822006603 | ROWASA 4 G RE KIT | $8,668 | — | — | — | 0 |
| 483 | ECHOCARD 2D W/DOPP W/COL FLOW | $8,001 | — | — | — | 0 |
| 4359805111 | CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $7,984 | — | — | — | 0 |
| 59705902 | ADALIMUMAB 40 MG/0.8ML SC PSKT | $7,892 | — | — | — | 0 |
| 120 | ROOM & BOARD | $7,760 | — | — | — | 0 |
| 110 | ROOM & BOARD | $7,760 | — | — | — | 0 |
| 213 | ROOM & BOARD | $7,760 | — | — | — | 0 |
| 801 | HEMODIALYSIS, ONE EVALUATION | $7,479 | — | — | — | 0 |
| 201 | ROOM & BOARD ICU | $7,380 | — | — | — | 0 |
| 203 | ROOM & BOARD ICU | $7,380 | — | — | — | 0 |
| 209 | ROOM & BOARD HIGH OBSERVATION | $7,380 | — | — | — | 0 |
| 210 | ROOM & BOARD HIGH OBSERVATION | $7,380 | — | — | — | 0 |
| 480145308 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $7,007 | — | — | — | 0 |
| 480973501 | RISPERIDONE MICROSPHERES ER 50 MG IM SRER | $7,007 | — | — | — | 0 |
| 6362988211 | LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT | $6,895 | — | — | — | 0 |
| 610 | MRI ABDOMEN W/O CONTRAST | $6,860 | — | — | — | 0 |
| 2758901 | BEBTELOVIMAB 175 MG/2ML IV SOLN | $6,300 | — | — | — | 0 |
| 4778165289 | TERIPARATIDE 620 MCG/2.48ML SC SOPN | $5,988 | — | — | — | 0 |
| 6745725610 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 1672927503 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 7043602582 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 781315895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 781915895 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 1672927567 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 781315894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
| 781915894 | BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR | $5,686 | — | — | — | 0 |
Showing top 50 of 65,647 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.