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
93
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
500000.0000
—
Polymyxin b 500000 units inj
Gross
$500,000
50000.0000
—
Bacitracin 50000 units inj
Gross
$50,000
40000.0000
—
Retacrit (epoetin-epbx) 40000 units/ml
Gross
$40,000
25000.0000
—
Heparin 25000units/0.45%ns 500ml dwell
Gross
$25,000
12500.0000
—
Heparin 12500units/0.45%ns 250ml premx
Gross
$12,500
10000.0000
—
Epoetin (procrit) 10000 unit vial
Gross
$10,000
6000.0000
—
Acetylcysteine (acetadote) 6000mg/30ml
Gross
$6,000
5000.0000
—
Thrombin-5 (topical) vial 5000un
Gross
$5,000
3000.0000
—
Ascorbic acid 3000mg/100ml***
Gross
$3,000
2500.0000
—
Fentanyl 2500mcg/ns 200ml***do not use!
Gross
$2,500
2000.0000
—
Ampicillin 2gm vial
Gross
$2,000
1875.0000
—
Tecentriq hybreza (atezolizumab) sq
Gross
$1,875
1800.0000
—
Darzalex faspro 1800mg-30000units
Gross
$1,800
1680.0000
—
Atezolizumab (tecentriq) 1680mg/ns 222ml
Gross
$1,680
1200.0000
—
Tobramycin 1200mg/30ml vial
Gross
$1,200
1000.0000
—
Plenamine 15% solution 1000ml
Gross
$1,000
900.0000
—
Obinutuzumab (gazyva) 900mg/250ml ns***
Gross
$900
840.0000
—
Atezolizumab (tecentriq) 840mg jw
Gross
$840
800.0000
—
Metaxalone (skelaxin) 800mg tab
Gross
$800
750.0000
—
Cefuroxime (zinacef) 750mg vial
Gross
$750
600.0000
—
Gabapentin (neurontin) 600mg tab
Gross
$600
550.0000
—
Rifaximin (xifaxan) 550mg tab
Gross
$550
546.0000
—
Paliperidone palmitate 546mg/1.75ml
Gross
$546
510.0000
—
Ferumoxytol (feraheme) 510mg non-esrd
Gross
$510
500.0000
—
Sodium chloride 3% : 500ml
Gross
$500
480.0000
—
Filgrastim-sndz(zarxio) 480mcg/0.8ml
Gross
$480
420.0000
—
Pertuzumab (perjeta)
Gross
$420
400.0000
—
Amox/clav: 400mg/5ml 100ml susp
Gross
$400
360.0000
—
Amiodarone (nexterone)360mg/200ml premix
Gross
$360
350.0000
—
Th/er carisp 4pk (soma) tab 350mg
Gross
$350
300.0000
—
Rabies immune glob 300 iu/ml
Gross
$300
296.0000
—
Magnesium citrate oral liq 296ml
Gross
$296
284.0000
—
Inclisiran (leqvio) 284mg/1.5ml
Gross
$284
250.0000
—
D10w (dextrose 10%) 250ml
Gross
$250
240.0000
—
Nivolumab/relatlimab-rmbw 240mg/80mg
Gross
$240
237.0000
—
Diph/lido/maa (first mouthwash blm)237ml
Gross
$237
234.0000
—
Paliperidone (invega susten) 234mg/1.5ml
Gross
$234
210.0000
—
Ferric citrate (auryxia) 210mg kdrx
Gross
$210
200.0000
—
Ciprofloxacin 200mg/d5w 100ml***
Gross
$200
180.0000
—
Sacituzumab govitecan-hziy(trodelvy)
Gross
$180
150.0000
—
Sodium chloride 0.9% 150ml
Gross
$150
145.0000
—
Linaclotide (linzess) 145mcg cap
Gross
$145
140.0000
—
Polatuzumab vedotin 140mg (polivy)
Gross
$140
133.0000
—
Exparel (bupivacaine liposom) 133mg/10ml
Gross
$133
125.0000
—
Cefprozil (cefzil) susp: 125mg/5ml 100ml
Gross
$125
120.0000
—
Sodium chloride 23.4% 30ml inj
Gross
$120
100.0000
—
Insulin r drip premix 100un/100ml ns
Gross
$100
80.0000
—
Depo-medrol (methylpred) 80mg/ml
Gross
$80
75.0000
—
Fentanyl (duragesic) 75mcg patch
Gross
$75
65.0000
—
Phenobarbital 65mg/ml vial
Gross
$65
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 500000.0000 | Polymyxin b 500000 units inj | $500,000 | — | — | — | 0 |
| 50000.0000 | Bacitracin 50000 units inj | $50,000 | — | — | — | 0 |
| 40000.0000 | Retacrit (epoetin-epbx) 40000 units/ml | $40,000 | — | — | — | 0 |
| 25000.0000 | Heparin 25000units/0.45%ns 500ml dwell | $25,000 | — | — | — | 0 |
| 12500.0000 | Heparin 12500units/0.45%ns 250ml premx | $12,500 | — | — | — | 0 |
| 10000.0000 | Epoetin (procrit) 10000 unit vial | $10,000 | — | — | — | 0 |
| 6000.0000 | Acetylcysteine (acetadote) 6000mg/30ml | $6,000 | — | — | — | 0 |
| 5000.0000 | Thrombin-5 (topical) vial 5000un | $5,000 | — | — | — | 0 |
| 3000.0000 | Ascorbic acid 3000mg/100ml*** | $3,000 | — | — | — | 0 |
| 2500.0000 | Fentanyl 2500mcg/ns 200ml***do not use! | $2,500 | — | — | — | 0 |
| 2000.0000 | Ampicillin 2gm vial | $2,000 | — | — | — | 0 |
| 1875.0000 | Tecentriq hybreza (atezolizumab) sq | $1,875 | — | — | — | 0 |
| 1800.0000 | Darzalex faspro 1800mg-30000units | $1,800 | — | — | — | 0 |
| 1680.0000 | Atezolizumab (tecentriq) 1680mg/ns 222ml | $1,680 | — | — | — | 0 |
| 1200.0000 | Tobramycin 1200mg/30ml vial | $1,200 | — | — | — | 0 |
| 1000.0000 | Plenamine 15% solution 1000ml | $1,000 | — | — | — | 0 |
| 900.0000 | Obinutuzumab (gazyva) 900mg/250ml ns*** | $900 | — | — | — | 0 |
| 840.0000 | Atezolizumab (tecentriq) 840mg jw | $840 | — | — | — | 0 |
| 800.0000 | Metaxalone (skelaxin) 800mg tab | $800 | — | — | — | 0 |
| 750.0000 | Cefuroxime (zinacef) 750mg vial | $750 | — | — | — | 0 |
| 600.0000 | Gabapentin (neurontin) 600mg tab | $600 | — | — | — | 0 |
| 550.0000 | Rifaximin (xifaxan) 550mg tab | $550 | — | — | — | 0 |
| 546.0000 | Paliperidone palmitate 546mg/1.75ml | $546 | — | — | — | 0 |
| 510.0000 | Ferumoxytol (feraheme) 510mg non-esrd | $510 | — | — | — | 0 |
| 500.0000 | Sodium chloride 3% : 500ml | $500 | — | — | — | 0 |
| 480.0000 | Filgrastim-sndz(zarxio) 480mcg/0.8ml | $480 | — | — | — | 0 |
| 420.0000 | Pertuzumab (perjeta) | $420 | — | — | — | 0 |
| 400.0000 | Amox/clav: 400mg/5ml 100ml susp | $400 | — | — | — | 0 |
| 360.0000 | Amiodarone (nexterone)360mg/200ml premix | $360 | — | — | — | 0 |
| 350.0000 | Th/er carisp 4pk (soma) tab 350mg | $350 | — | — | — | 0 |
| 300.0000 | Rabies immune glob 300 iu/ml | $300 | — | — | — | 0 |
| 296.0000 | Magnesium citrate oral liq 296ml | $296 | — | — | — | 0 |
| 284.0000 | Inclisiran (leqvio) 284mg/1.5ml | $284 | — | — | — | 0 |
| 250.0000 | D10w (dextrose 10%) 250ml | $250 | — | — | — | 0 |
| 240.0000 | Nivolumab/relatlimab-rmbw 240mg/80mg | $240 | — | — | — | 0 |
| 237.0000 | Diph/lido/maa (first mouthwash blm)237ml | $237 | — | — | — | 0 |
| 234.0000 | Paliperidone (invega susten) 234mg/1.5ml | $234 | — | — | — | 0 |
| 210.0000 | Ferric citrate (auryxia) 210mg kdrx | $210 | — | — | — | 0 |
| 200.0000 | Ciprofloxacin 200mg/d5w 100ml*** | $200 | — | — | — | 0 |
| 180.0000 | Sacituzumab govitecan-hziy(trodelvy) | $180 | — | — | — | 0 |
| 150.0000 | Sodium chloride 0.9% 150ml | $150 | — | — | — | 0 |
| 145.0000 | Linaclotide (linzess) 145mcg cap | $145 | — | — | — | 0 |
| 140.0000 | Polatuzumab vedotin 140mg (polivy) | $140 | — | — | — | 0 |
| 133.0000 | Exparel (bupivacaine liposom) 133mg/10ml | $133 | — | — | — | 0 |
| 125.0000 | Cefprozil (cefzil) susp: 125mg/5ml 100ml | $125 | — | — | — | 0 |
| 120.0000 | Sodium chloride 23.4% 30ml inj | $120 | — | — | — | 0 |
| 100.0000 | Insulin r drip premix 100un/100ml ns | $100 | — | — | — | 0 |
| 80.0000 | Depo-medrol (methylpred) 80mg/ml | $80 | — | — | — | 0 |
| 75.0000 | Fentanyl (duragesic) 75mcg patch | $75 | — | — | — | 0 |
| 65.0000 | Phenobarbital 65mg/ml vial | $65 | — | — | — | 0 |
Showing top 50 of 93 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.