45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
6,781
Insurances with rates
4
CPT / HCPCS codes
0
Most expensive procedures (gross)
4401603
$25,741
ACTIVASE 50MG SOLR
Gross
$42,902
4401603
$25,741
ACTIVASE 50MG SOLR
Gross
$42,902
3610112
$12,257
BRONCH W/MARKERS
Gross
$20,429
3610112
$12,257
BRONCH W/MARKERS
Gross
$20,429
4401229
$9,261
REMODULIN 10MG/ML IN
Gross
$15,435
4401229
$9,261
REMODULIN 10MG/ML IN
Gross
$15,435
4401497
$8,944
DALVANCE 500MG VIAL
Gross
$14,906
4401497
$8,944
DALVANCE 500MG VIAL
Gross
$14,906
4401601
$7,450
PRIVIGEN 10% 10GM SO
Gross
$12,417
4401601
$7,450
PRIVIGEN 10% 10GM SO
Gross
$12,417
3610011
$6,300
PEG TUBE PLACEMENT
Gross
$10,500
3610011
$6,300
PEG TUBE PLACEMENT
Gross
$10,500
4401502
$6,082
MYCOPHENOLATE SUSP
Gross
$10,137
4401502
$6,082
MYCOPHENOLATE SUSP
Gross
$10,137
3610104
$5,663
TESIO CATH PLCMNT
Gross
$9,439
3610104
$5,663
TESIO CATH PLCMNT
Gross
$9,439
4720765
$4,961
KYPHOPAK TRAY
Gross
$8,269
4720765
$4,961
KYPHOPAK TRAY
Gross
$8,269
4900404
$3,294
US BIOPSY BREAST 1ST
Gross
$5,491
4900404
$3,294
US BIOPSY BREAST 1ST
Gross
$5,491
4401665
$3,120
REMDESIVIR 100MG/VIA
Gross
$5,200
4401665
$3,120
REMDESIVIR 100MG/VIA
Gross
$5,200
3610111
$3,116
LUNG BIOPSY
Gross
$5,194
3610111
$3,116
LUNG BIOPSY
Gross
$5,194
4401580
$3,106
NEUPOGEN 480 MGC/0.8
Gross
$5,176
4401580
$3,106
NEUPOGEN 480 MGC/0.8
Gross
$5,176
4401285
$3,093
REBIF 44 MCG/0.5ML
Gross
$5,155
4401285
$3,093
REBIF 44 MCG/0.5ML
Gross
$5,155
4720621
$3,043
VERTEBRAL BALLOON SY
Gross
$5,072
4720621
$3,043
VERTEBRAL BALLOON SY
Gross
$5,072
4720639
$2,911
KYPHO 15/2 BEVEL TIP
Gross
$4,851
4720639
$2,911
KYPHO 15/2 BEVEL TIP
Gross
$4,851
4410539
$2,806
SAMSCA 30MG
Gross
$4,677
4410539
$2,806
SAMSCA 30MG
Gross
$4,677
4401197
$2,520
GLASSIA 1GM/50ML
Gross
$4,200
4401197
$2,520
GLASSIA 1GM/50ML
Gross
$4,200
4400714
$2,363
TOLVAPTAN15MGTAB
Gross
$3,938
4400714
$2,363
TOLVAPTAN15MGTAB
Gross
$3,938
3610013
$2,286
PERCUTANEOUS LYSIS
Gross
$3,811
3610013
$2,286
PERCUTANEOUS LYSIS
Gross
$3,811
4990065
$2,268
CPAP TITRATION
Gross
$3,780
4990065
$2,268
CPAP TITRATION
Gross
$3,780
4401578
$2,265
ATOVAQUONE 750MG SUS
Gross
$3,774
4401578
$2,265
ATOVAQUONE 750MG SUS
Gross
$3,774
4401467
$2,212
RITUXAN 100MG/10ML
Gross
$3,687
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
4990063
$2,205
MULTI SLEEP LATENCY
Gross
$3,675
4990064
$2,205
ATTND COMP SLEEP
Gross
$3,675
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4401603 | ACTIVASE 50MG SOLR | $42,902 | $25,741 | — | — | 0 |
| 4401603 | ACTIVASE 50MG SOLR | $42,902 | $25,741 | — | — | 1 |
| 3610112 | BRONCH W/MARKERS | $20,429 | $12,257 | — | — | 0 |
| 3610112 | BRONCH W/MARKERS | $20,429 | $12,257 | — | — | 3 |
| 4401229 | REMODULIN 10MG/ML IN | $15,435 | $9,261 | — | — | 0 |
| 4401229 | REMODULIN 10MG/ML IN | $15,435 | $9,261 | — | — | 1 |
| 4401497 | DALVANCE 500MG VIAL | $14,906 | $8,944 | — | — | 0 |
| 4401497 | DALVANCE 500MG VIAL | $14,906 | $8,944 | — | — | 2 |
| 4401601 | PRIVIGEN 10% 10GM SO | $12,417 | $7,450 | — | — | 0 |
| 4401601 | PRIVIGEN 10% 10GM SO | $12,417 | $7,450 | — | — | 1 |
| 3610011 | PEG TUBE PLACEMENT | $10,500 | $6,300 | — | — | 0 |
| 3610011 | PEG TUBE PLACEMENT | $10,500 | $6,300 | — | — | 3 |
| 4401502 | MYCOPHENOLATE SUSP | $10,137 | $6,082 | — | — | 0 |
| 4401502 | MYCOPHENOLATE SUSP | $10,137 | $6,082 | — | — | 1 |
| 3610104 | TESIO CATH PLCMNT | $9,439 | $5,663 | — | — | 0 |
| 3610104 | TESIO CATH PLCMNT | $9,439 | $5,663 | — | — | 3 |
| 4720765 | KYPHOPAK TRAY | $8,269 | $4,961 | — | — | 1 |
| 4720765 | KYPHOPAK TRAY | $8,269 | $4,961 | — | — | 1 |
| 4900404 | US BIOPSY BREAST 1ST | $5,491 | $3,294 | — | — | 1 |
| 4900404 | US BIOPSY BREAST 1ST | $5,491 | $3,294 | — | — | 3 |
| 4401665 | REMDESIVIR 100MG/VIA | $5,200 | $3,120 | — | — | 1 |
| 4401665 | REMDESIVIR 100MG/VIA | $5,200 | $3,120 | — | — | 2 |
| 3610111 | LUNG BIOPSY | $5,194 | $3,116 | — | — | 1 |
| 3610111 | LUNG BIOPSY | $5,194 | $3,116 | — | — | 4 |
| 4401580 | NEUPOGEN 480 MGC/0.8 | $5,176 | $3,106 | — | — | 1 |
| 4401580 | NEUPOGEN 480 MGC/0.8 | $5,176 | $3,106 | — | — | 2 |
| 4401285 | REBIF 44 MCG/0.5ML | $5,155 | $3,093 | — | — | 1 |
| 4401285 | REBIF 44 MCG/0.5ML | $5,155 | $3,093 | — | — | 2 |
| 4720621 | VERTEBRAL BALLOON SY | $5,072 | $3,043 | — | — | 1 |
| 4720621 | VERTEBRAL BALLOON SY | $5,072 | $3,043 | — | — | 2 |
| 4720639 | KYPHO 15/2 BEVEL TIP | $4,851 | $2,911 | — | — | 1 |
| 4720639 | KYPHO 15/2 BEVEL TIP | $4,851 | $2,911 | — | — | 2 |
| 4410539 | SAMSCA 30MG | $4,677 | $2,806 | — | — | 1 |
| 4410539 | SAMSCA 30MG | $4,677 | $2,806 | — | — | 2 |
| 4401197 | GLASSIA 1GM/50ML | $4,200 | $2,520 | — | — | 1 |
| 4401197 | GLASSIA 1GM/50ML | $4,200 | $2,520 | — | — | 2 |
| 4400714 | TOLVAPTAN15MGTAB | $3,938 | $2,363 | — | — | 1 |
| 4400714 | TOLVAPTAN15MGTAB | $3,938 | $2,363 | — | — | 2 |
| 3610013 | PERCUTANEOUS LYSIS | $3,811 | $2,286 | — | — | 1 |
| 3610013 | PERCUTANEOUS LYSIS | $3,811 | $2,286 | — | — | 4 |
| 4990065 | CPAP TITRATION | $3,780 | $2,268 | — | — | 2 |
| 4990065 | CPAP TITRATION | $3,780 | $2,268 | — | — | 4 |
| 4401578 | ATOVAQUONE 750MG SUS | $3,774 | $2,265 | — | — | 1 |
| 4401578 | ATOVAQUONE 750MG SUS | $3,774 | $2,265 | — | — | 2 |
| 4401467 | RITUXAN 100MG/10ML | $3,687 | $2,212 | — | — | 1 |
| 4401467 | RITUXAN 100MG/10ML | $3,687 | $2,212 | — | — | 2 |
| 4990063 | MULTI SLEEP LATENCY | $3,675 | $2,205 | — | — | 1 |
| 4990064 | ATTND COMP SLEEP | $3,675 | $2,205 | — | — | 2 |
| 4990063 | MULTI SLEEP LATENCY | $3,675 | $2,205 | — | — | 4 |
| 4990064 | ATTND COMP SLEEP | $3,675 | $2,205 | — | — | 4 |
Showing top 50 of 6,781 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.