45 CFR § 180 compliance
D · 65
This hospital published part 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
3,423
Insurances with rates
2
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4401603
$25,741
ACTIVASE 50MG SOLR
Gross
$42,902
3610112
$12,257
BRONCH W/MARKERS
Gross
$20,429
4401229
$9,261
REMODULIN 10MG/ML IN
Gross
$15,435
4401497
$8,944
DALVANCE 500MG VIAL
Gross
$14,906
4401601
$7,450
PRIVIGEN 10% 10GM SO
Gross
$12,417
3610011
$6,300
PEG TUBE PLACEMENT
Gross
$10,500
4401502
$6,082
MYCOPHENOLATE SUSP
Gross
$10,137
3610104
$5,663
TESIO CATH PLCMNT
Gross
$9,439
4720765
$4,961
KYPHOPAK TRAY
Gross
$8,269
4900404
$3,294
US BIOPSY BREAST 1ST
Gross
$5,491
4401665
$3,120
REMDESIVIR 100MG/VIA
Gross
$5,200
3610111
$3,116
LUNG BIOPSY
Gross
$5,194
4401580
$3,106
NEUPOGEN 480 MGC/0.8
Gross
$5,176
4401285
$3,093
REBIF 44 MCG/0.5ML
Gross
$5,155
4720621
$3,043
VERTEBRAL BALLOON SY
Gross
$5,072
4720639
$2,911
KYPHO 15/2 BEVEL TIP
Gross
$4,851
4410539
$2,806
SAMSCA 30MG
Gross
$4,677
4401197
$2,520
GLASSIA 1GM/50ML
Gross
$4,200
4400714
$2,363
TOLVAPTAN15MGTAB
Gross
$3,938
3610013
$2,286
PERCUTANEOUS LYSIS
Gross
$3,811
4990065
$2,268
CPAP TITRATION
Gross
$3,780
4401578
$2,265
ATOVAQUONE 750MG SUS
Gross
$3,774
4401467
$2,212
RITUXAN 100MG/10ML
Gross
$3,687
4990063
$2,205
MULTI SLEEP LATENCY
Gross
$3,675
4990064
$2,205
ATTND COMP SLEEP
Gross
$3,675
4401430
$2,038
LUMIGAN 0.01% SOLN
Gross
$3,397
4401650
$2,010
FLOVENT HFA 220MCG/A
Gross
$3,350
3610012
$1,827
MYELOGRAPHY INJ/C1C2
Gross
$3,045
3610007
$1,733
TRIGGER PT INJ/3+GRO
Gross
$2,888
4401672
$1,730
QUILLIVANT XR 25MG/5
Gross
$2,883
3610073
$1,724
PLEURAL DRN W INSERT
Gross
$2,873
3610082
$1,694
THOR/CERV MBB
Gross
$2,823
3610085
$1,694
LUM/SAC/FACET MBB
Gross
$2,823
3610096
$1,694
SACROILIAC JOINT INJ
Gross
$2,823
4401436
$1,692
CRESMBA 372MG SOLR
Gross
$2,820
3610005
$1,667
INS PICC>5YRS WOPORT
Gross
$2,778
3610057
$1,667
INS PICC>5YRS WOPORT
Gross
$2,778
4990043
$1,667
INS PICC WO SUBPT>5Y
Gross
$2,778
4900405
$1,647
US BIOPSY BREAST 2ND
Gross
$2,745
3610014
$1,609
INJ EPIDURAL BLD/CLO
Gross
$2,682
3610078
$1,594
PICC LINE REMOVAL
Gross
$2,657
4401351
$1,587
BREVIBLOC PREMIX
Gross
$2,645
3610064
$1,581
SACROILIAC JOINT INJ
Gross
$2,636
4520033
$1,575
EXTUBATION
Gross
$2,625
4401641
$1,540
NATROBA TOPICAL SUSP
Gross
$2,567
3610036
$1,499
INJ EPI CERV/THOR SG
Gross
$2,499
3610006
$1,418
TRIGGER PT INJ/1-2GR
Gross
$2,363
3610038
$1,395
INJ EPI LUMB/SAC SGL
Gross
$2,325
4401527
$1,370
AMBISOME 50MG
Gross
$2,283
4401621
$1,281
ASCORBIC ACID 500MG/
Gross
$2,136
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4401603 | ACTIVASE 50MG SOLR | $42,902 | $25,741 | — | — | 0 |
| 3610112 | BRONCH W/MARKERS | $20,429 | $12,257 | — | — | 0 |
| 4401229 | REMODULIN 10MG/ML IN | $15,435 | $9,261 | — | — | 0 |
| 4401497 | DALVANCE 500MG VIAL | $14,906 | $8,944 | — | — | 0 |
| 4401601 | PRIVIGEN 10% 10GM SO | $12,417 | $7,450 | — | — | 0 |
| 3610011 | PEG TUBE PLACEMENT | $10,500 | $6,300 | — | — | 0 |
| 4401502 | MYCOPHENOLATE SUSP | $10,137 | $6,082 | — | — | 0 |
| 3610104 | TESIO CATH PLCMNT | $9,439 | $5,663 | — | — | 0 |
| 4720765 | KYPHOPAK TRAY | $8,269 | $4,961 | — | — | 1 |
| 4900404 | US BIOPSY BREAST 1ST | $5,491 | $3,294 | — | — | 1 |
| 4401665 | REMDESIVIR 100MG/VIA | $5,200 | $3,120 | — | — | 1 |
| 3610111 | LUNG BIOPSY | $5,194 | $3,116 | — | — | 0 |
| 4401580 | NEUPOGEN 480 MGC/0.8 | $5,176 | $3,106 | — | — | 1 |
| 4401285 | REBIF 44 MCG/0.5ML | $5,155 | $3,093 | — | — | 1 |
| 4720621 | VERTEBRAL BALLOON SY | $5,072 | $3,043 | — | — | 1 |
| 4720639 | KYPHO 15/2 BEVEL TIP | $4,851 | $2,911 | — | — | 1 |
| 4410539 | SAMSCA 30MG | $4,677 | $2,806 | — | — | 1 |
| 4401197 | GLASSIA 1GM/50ML | $4,200 | $2,520 | — | — | 1 |
| 4400714 | TOLVAPTAN15MGTAB | $3,938 | $2,363 | — | — | 0 |
| 3610013 | PERCUTANEOUS LYSIS | $3,811 | $2,286 | — | — | 0 |
| 4990065 | CPAP TITRATION | $3,780 | $2,268 | — | — | 2 |
| 4401578 | ATOVAQUONE 750MG SUS | $3,774 | $2,265 | — | — | 1 |
| 4401467 | RITUXAN 100MG/10ML | $3,687 | $2,212 | — | — | 1 |
| 4990063 | MULTI SLEEP LATENCY | $3,675 | $2,205 | — | — | 1 |
| 4990064 | ATTND COMP SLEEP | $3,675 | $2,205 | — | — | 2 |
| 4401430 | LUMIGAN 0.01% SOLN | $3,397 | $2,038 | — | — | 1 |
| 4401650 | FLOVENT HFA 220MCG/A | $3,350 | $2,010 | — | — | 1 |
| 3610012 | MYELOGRAPHY INJ/C1C2 | $3,045 | $1,827 | — | — | 0 |
| 3610007 | TRIGGER PT INJ/3+GRO | $2,888 | $1,733 | — | — | 0 |
| 4401672 | QUILLIVANT XR 25MG/5 | $2,883 | $1,730 | — | — | 1 |
| 3610073 | PLEURAL DRN W INSERT | $2,873 | $1,724 | — | — | 0 |
| 3610082 | THOR/CERV MBB | $2,823 | $1,694 | — | — | 0 |
| 3610085 | LUM/SAC/FACET MBB | $2,823 | $1,694 | — | — | 0 |
| 3610096 | SACROILIAC JOINT INJ | $2,823 | $1,694 | — | — | 0 |
| 4401436 | CRESMBA 372MG SOLR | $2,820 | $1,692 | — | — | 1 |
| 3610005 | INS PICC>5YRS WOPORT | $2,778 | $1,667 | — | — | 0 |
| 3610057 | INS PICC>5YRS WOPORT | $2,778 | $1,667 | — | — | 0 |
| 4990043 | INS PICC WO SUBPT>5Y | $2,778 | $1,667 | — | — | 0 |
| 4900405 | US BIOPSY BREAST 2ND | $2,745 | $1,647 | — | — | 0 |
| 3610014 | INJ EPIDURAL BLD/CLO | $2,682 | $1,609 | — | — | 0 |
| 3610078 | PICC LINE REMOVAL | $2,657 | $1,594 | — | — | 0 |
| 4401351 | BREVIBLOC PREMIX | $2,645 | $1,587 | — | — | 0 |
| 3610064 | SACROILIAC JOINT INJ | $2,636 | $1,581 | — | — | 0 |
| 4520033 | EXTUBATION | $2,625 | $1,575 | — | — | 0 |
| 4401641 | NATROBA TOPICAL SUSP | $2,567 | $1,540 | — | — | 0 |
| 3610036 | INJ EPI CERV/THOR SG | $2,499 | $1,499 | — | — | 0 |
| 3610006 | TRIGGER PT INJ/1-2GR | $2,363 | $1,418 | — | — | 0 |
| 3610038 | INJ EPI LUMB/SAC SGL | $2,325 | $1,395 | — | — | 0 |
| 4401527 | AMBISOME 50MG | $2,283 | $1,370 | — | — | 0 |
| 4401621 | ASCORBIC ACID 500MG/ | $2,136 | $1,281 | — | — | 0 |
Showing top 50 of 3,423 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.