45 CFR § 180 compliance
C · 70
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
3,216
Insurances with rates
27
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
2509251
$9,220
SANDOSTATIN LAR 30MG DEPOT
Gross
$23,049
2510626
$7,854
ORITAVANCIN DISPHOS 400 MG INJ
Gross
$19,636
2513512
$7,789
ORBACTIV 1200 MG INJ
Gross
$19,472
2500119
$7,488
ACTIVASE 100 MG VIAL
Gross
$18,721
2506971
$6,754
NEULASTA 6 MG PREFILLED SYRING
Gross
$16,884
2525001
$4,638
RYANODEX 250MG
Gross
$11,594
2703513
$4,118
HIP SYSTEM **
Gross
$10,296
2510449
$4,048
TNKASE KIT - SINGLE USE 50 MG
Gross
$10,119
2508828
$4,045
RETAVASE INJ 20 UNITS*
Gross
$10,113
2504713
$3,994
CAPSAICIN SKIN CLEANSER
Gross
$9,984
2507509
$3,377
ORITAVANCIN 1,200 MG VIAL
Gross
$8,442
2508831
$3,142
RETAVASE W/EKG PANEL
Gross
$7,856
2510009
$3,139
CIMZIA 400 MG
Gross
$7,848
2503015
$2,617
DIGIBIND 40 MG/4 CC INJ.*
Gross
$6,542
2701722
$2,598
TECTOSET IM PLANT
Gross
$6,495
2509252
$2,341
SANDOSTATIN LAR 20MG DEPOT
Gross
$5,853
2502439
$2,211
CROFAB VIAL 1 GRAM
Gross
$5,527
2500767
$1,844
ARANESP 1 MCG
Gross
$4,611
2501558
$1,826
CALCIUM DISODIUM VERSENATE
Gross
$4,566
2510057
$1,820
DENOSUMAB 120 MG
Gross
$4,550
2510337
$1,819
RETACRIT 40,000 UNIT VIAL
Gross
$4,547
2508611
$1,729
PROTHOMBIN KCENTRA 500 UNIT
Gross
$4,322
2506773
$1,716
KYLEENA 19.5 IUD
Gross
$4,289
2701723
$1,711
FHL FLEXOR HALLUCIS LONGUS IMP
Gross
$4,278
2703305
$1,699
PREM PLUS STAPLER CEEA 28MM
Gross
$4,248
2600300
$1,658
COPPER IUD
Gross
$4,145
2504712
$1,637
HYALURONATE SODIUM 88 MG/4ML
Gross
$4,093
3001056
$1,624
BRCA1 AND BRCA2, COMPREHENSIVE
Gross
$4,061
2505911
$1,498
LUPRON 22.5 MG DEPOT INJ.
Gross
$3,744
2503697
$1,406
EPOGEN 20,000 UNITS INJ
Gross
$3,514
2508399
$1,372
PRIVIGEN 20 GRAM VIAL
Gross
$3,430
2500042
$1,364
ACTEMRA 400 MG
Gross
$3,411
2704124
$1,337
DBX PUTTY 5CC 038050
Gross
$3,342
2505327
$1,331
KEVZARA
Gross
$3,327
2510091
$1,307
DALVANCE 500 MG IV
Gross
$3,268
1100010
$1,290
ICU ROOM CHARGE-REV CODE 200
Gross
$3,225
2703514
$1,264
HIP SYSTEM 12/14 **
Gross
$3,161
2703200
$1,258
PREM PLUS CEEA STAPLER 31MM
Gross
$3,144
2504151
$1,059
FULPHILA INJ 6 MG
Gross
$2,647
2701105
$990
PHYSIOMESH 6X6 ETHICON
Gross
$2,474
2508787
$980
RECLAST 5 MG INJECTION PREMIX
Gross
$2,449
2600299
$972
PARAGUARD IUD
Gross
$2,431
2508609
$955
PROTHROMBIN COMPLEX KCENTRA
Gross
$2,388
2509852
$951
SYNVISC ONE PREFILLED 48MG OUT
Gross
$2,377
1100206
$934
PRIVATE ROOM W/TELEMETRY MS/OB
Gross
$2,334
2506793
$919
NATRECOR 1.5 MG INJ.
Gross
$2,298
2511938
$900
ZOVIRAX 5% CREAM (5 GRAM TUBE)
Gross
$2,250
2703578
$896
TIROD **
Gross
$2,240
2508478
$887
PROLIA PREFILLED 60 MG (OUTPT)
Gross
$2,217
2501545
$882
CALCIMAR 200U/CC INJ
Gross
$2,204
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2509251 | SANDOSTATIN LAR 30MG DEPOT | $23,049 | $9,220 | — | — | 30 |
| 2510626 | ORITAVANCIN DISPHOS 400 MG INJ | $19,636 | $7,854 | — | — | 29 |
| 2513512 | ORBACTIV 1200 MG INJ | $19,472 | $7,789 | — | — | 29 |
| 2500119 | ACTIVASE 100 MG VIAL | $18,721 | $7,488 | — | — | 30 |
| 2506971 | NEULASTA 6 MG PREFILLED SYRING | $16,884 | $6,754 | — | — | 29 |
| 2525001 | RYANODEX 250MG | $11,594 | $4,638 | — | — | 29 |
| 2703513 | HIP SYSTEM ** | $10,296 | $4,118 | — | — | 29 |
| 2510449 | TNKASE KIT - SINGLE USE 50 MG | $10,119 | $4,048 | — | — | 31 |
| 2508828 | RETAVASE INJ 20 UNITS* | $10,113 | $4,045 | — | — | 30 |
| 2504713 | CAPSAICIN SKIN CLEANSER | $9,984 | $3,994 | — | — | 29 |
| 2507509 | ORITAVANCIN 1,200 MG VIAL | $8,442 | $3,377 | — | — | 30 |
| 2508831 | RETAVASE W/EKG PANEL | $7,856 | $3,142 | — | — | 30 |
| 2510009 | CIMZIA 400 MG | $7,848 | $3,139 | — | — | 29 |
| 2503015 | DIGIBIND 40 MG/4 CC INJ.* | $6,542 | $2,617 | — | — | 30 |
| 2701722 | TECTOSET IM PLANT | $6,495 | $2,598 | — | — | 27 |
| 2509252 | SANDOSTATIN LAR 20MG DEPOT | $5,853 | $2,341 | — | — | 30 |
| 2502439 | CROFAB VIAL 1 GRAM | $5,527 | $2,211 | — | — | 30 |
| 2500767 | ARANESP 1 MCG | $4,611 | $1,844 | — | — | 30 |
| 2501558 | CALCIUM DISODIUM VERSENATE | $4,566 | $1,826 | — | — | 30 |
| 2510057 | DENOSUMAB 120 MG | $4,550 | $1,820 | — | — | 31 |
| 2510337 | RETACRIT 40,000 UNIT VIAL | $4,547 | $1,819 | — | — | 31 |
| 2508611 | PROTHOMBIN KCENTRA 500 UNIT | $4,322 | $1,729 | — | — | 29 |
| 2506773 | KYLEENA 19.5 IUD | $4,289 | $1,716 | — | — | 25 |
| 2701723 | FHL FLEXOR HALLUCIS LONGUS IMP | $4,278 | $1,711 | — | — | 29 |
| 2703305 | PREM PLUS STAPLER CEEA 28MM | $4,248 | $1,699 | — | — | 29 |
| 2600300 | COPPER IUD | $4,145 | $1,658 | — | — | 25 |
| 2504712 | HYALURONATE SODIUM 88 MG/4ML | $4,093 | $1,637 | — | — | 29 |
| 3001056 | BRCA1 AND BRCA2, COMPREHENSIVE | $4,061 | $1,624 | — | — | 29 |
| 2505911 | LUPRON 22.5 MG DEPOT INJ. | $3,744 | $1,498 | — | — | 30 |
| 2503697 | EPOGEN 20,000 UNITS INJ | $3,514 | $1,406 | — | — | 30 |
| 2508399 | PRIVIGEN 20 GRAM VIAL | $3,430 | $1,372 | — | — | 30 |
| 2500042 | ACTEMRA 400 MG | $3,411 | $1,364 | — | — | 30 |
| 2704124 | DBX PUTTY 5CC 038050 | $3,342 | $1,337 | — | — | 29 |
| 2505327 | KEVZARA | $3,327 | $1,331 | — | — | 29 |
| 2510091 | DALVANCE 500 MG IV | $3,268 | $1,307 | — | — | 29 |
| 1100010 | ICU ROOM CHARGE-REV CODE 200 | $3,225 | $1,290 | — | — | 23 |
| 2703514 | HIP SYSTEM 12/14 ** | $3,161 | $1,264 | — | — | 29 |
| 2703200 | PREM PLUS CEEA STAPLER 31MM | $3,144 | $1,258 | — | — | 29 |
| 2504151 | FULPHILA INJ 6 MG | $2,647 | $1,059 | — | — | 29 |
| 2701105 | PHYSIOMESH 6X6 ETHICON | $2,474 | $990 | — | — | 29 |
| 2508787 | RECLAST 5 MG INJECTION PREMIX | $2,449 | $980 | — | — | 25 |
| 2600299 | PARAGUARD IUD | $2,431 | $972 | — | — | 25 |
| 2508609 | PROTHROMBIN COMPLEX KCENTRA | $2,388 | $955 | — | — | 29 |
| 2509852 | SYNVISC ONE PREFILLED 48MG OUT | $2,377 | $951 | — | — | 30 |
| 1100206 | PRIVATE ROOM W/TELEMETRY MS/OB | $2,334 | $934 | — | — | 22 |
| 2506793 | NATRECOR 1.5 MG INJ. | $2,298 | $919 | — | — | 26 |
| 2511938 | ZOVIRAX 5% CREAM (5 GRAM TUBE) | $2,250 | $900 | — | — | 29 |
| 2703578 | TIROD ** | $2,240 | $896 | — | — | 29 |
| 2508478 | PROLIA PREFILLED 60 MG (OUTPT) | $2,217 | $887 | — | — | 31 |
| 2501545 | CALCIMAR 200U/CC INJ | $2,204 | $882 | — | — | 29 |
Showing top 50 of 3,216 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.