45 CFR § 180 compliance
F · 50
This hospital published little 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
2,935
Insurances with rates
0
CPT / HCPCS codes
399
Source MRF
Most expensive procedures (gross)
62362
—
BAC PUMP INSERTION
Gross
$61,094
NEULASTA 6 MG/0.6ML
—
NEULASTA 6 MG/0.6ML
Gross
$20,437
ACTIVASE 50 MG
—
ACTIVASE 50 MG
Gross
$15,659
75984
—
PEG PLACEMENT
Gross
$7,222
FORTEO 600 MCG/2.4ML
—
FORTEO 600 MCG/2.4ML
Gross
$6,804
XIGRIS 20 MG
—
XIGRIS 20 MG
Gross
$6,660
NPLATE 250 MCG
—
NPLATE 250 MCG
Gross
$6,215
GAMMAGARD 10 GM/100M
—
GAMMAGARD 10 GM/100M
Gross
$5,972
ZOLADEX 10.8 MGIMPL
—
ZOLADEX 10.8 MGIMPL
Gross
$5,956
P9050 BL
—
GRANULOCYTES PHER EU
Gross
$5,315
HYCAMTIN 4 MG
—
HYCAMTIN 4 MG
Gross
$5,224
78811
—
PET SCAN LTD HEAD
Gross
$4,966
78608
—
PET BRAIN METABOLIC
Gross
$4,966
78459
—
PET MYOCARD METABOLI
Gross
$4,966
78492
—
PET MYOCARD REST/STR
Gross
$4,966
78812
—
PET SCAN-SKULL-THIGH
Gross
$4,966
J0885
—
PROCRIT 40000 UN/ML
Gross
$4,939
NATRECOR 1.5 MG
—
NATRECOR 1.5 MG
Gross
$4,623
MIACALCIN 200 UN/ML
—
MIACALCIN 200 UN/ML
Gross
$4,431
HUMULIN R 500UNIT/ML
—
HUMULIN R 500UNIT/ML
Gross
$4,358
71250
—
CT THORAX W/O
Gross
$4,159
ZYVOX 100 MG/5MLSUSR
—
ZYVOX 100 MG/5MLSUSR
Gross
$4,082
72192
—
CT PELVIS W/O
Gross
$4,023
70450
—
CT BRAIN/HEAD WO
Gross
$3,901
74150
—
CT ABDOMEN W/O
Gross
$3,851
43246
—
EGD W/PEG TUBE PLCMT
Gross
$3,838
RITUXAN 10 MG/MLCONC
—
RITUXAN 10 MG/MLCONC
Gross
$3,293
36000
—
MIDLINE CATH INSERT
Gross
$3,268
36584
—
SURG REPL PICC CATH
Gross
$3,219
DIGIBIND 38 MG
—
DIGIBIND 38 MG
Gross
$2,912
BOTOX 100 UN
—
BOTOX 100 UN
Gross
$2,597
REFLUDAN 50 MG
—
REFLUDAN 50 MG
Gross
$2,584
43239
—
SURG-EGD W/BIOPSY
Gross
$2,540
43235
—
EGD DIAGNOSTIC
Gross
$2,540
TLSO TRIPLANAR CONTR
—
TLSO TRIPLANAR CONTR
Gross
$2,537
P9052 BL
—
PLA HLA MAT LEU RD E
Gross
$2,468
ZOVIRAX 5 %CR
—
ZOVIRAX 5 %CR
Gross
$2,261
P9037 BL
—
PLAT/PHER/LEU/RED EU
Gross
$2,247
ATROVENT HFA 17MCG/A
—
ATROVENT HFA 17MCG/A
Gross
$2,136
DIURIL IV 500MG
—
DIURIL IV 500MG
Gross
$2,079
P9053 BL
—
PPLR CMV NEG IRR EU
Gross
$2,069
AFO ANKLE SOL CUS FB
—
AFO ANKLE SOL CUS FB
Gross
$1,990
AZOPT 1 %
—
AZOPT 1 %
Gross
$1,979
REBIF 44 MCG/0.5ML
—
REBIF 44 MCG/0.5ML
Gross
$1,935
BYETTA 5 MCGPEN5MCG/
—
BYETTA 5 MCGPEN5MCG/
Gross
$1,898
BYETTA 10 MCGPEN10MC
—
BYETTA 10 MCGPEN10MC
Gross
$1,898
SAMSCA 15 MGTB
—
SAMSCA 15 MGTB
Gross
$1,875
70553
—
MRI BRAIN WO/W CONTR
Gross
$1,868
72156
—
MR SPINE CERV WO/W
Gross
$1,868
72157
—
MR SPINE THORA WO/W
Gross
$1,868
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 62362 | BAC PUMP INSERTION | $61,094 | — | — | — | 0 |
| NEULASTA 6 MG/0.6ML | NEULASTA 6 MG/0.6ML | $20,437 | — | — | — | 0 |
| ACTIVASE 50 MG | ACTIVASE 50 MG | $15,659 | — | — | — | 0 |
| 75984 | PEG PLACEMENT | $7,222 | — | — | — | 0 |
| FORTEO 600 MCG/2.4ML | FORTEO 600 MCG/2.4ML | $6,804 | — | — | — | 0 |
| XIGRIS 20 MG | XIGRIS 20 MG | $6,660 | — | — | — | 0 |
| NPLATE 250 MCG | NPLATE 250 MCG | $6,215 | — | — | — | 0 |
| GAMMAGARD 10 GM/100M | GAMMAGARD 10 GM/100M | $5,972 | — | — | — | 0 |
| ZOLADEX 10.8 MGIMPL | ZOLADEX 10.8 MGIMPL | $5,956 | — | — | — | 0 |
| P9050 BL | GRANULOCYTES PHER EU | $5,315 | — | — | — | 0 |
| HYCAMTIN 4 MG | HYCAMTIN 4 MG | $5,224 | — | — | — | 0 |
| 78811 | PET SCAN LTD HEAD | $4,966 | — | — | — | 0 |
| 78608 | PET BRAIN METABOLIC | $4,966 | — | — | — | 0 |
| 78459 | PET MYOCARD METABOLI | $4,966 | — | — | — | 0 |
| 78492 | PET MYOCARD REST/STR | $4,966 | — | — | — | 0 |
| 78812 | PET SCAN-SKULL-THIGH | $4,966 | — | — | — | 0 |
| J0885 | PROCRIT 40000 UN/ML | $4,939 | — | — | — | 0 |
| NATRECOR 1.5 MG | NATRECOR 1.5 MG | $4,623 | — | — | — | 0 |
| MIACALCIN 200 UN/ML | MIACALCIN 200 UN/ML | $4,431 | — | — | — | 0 |
| HUMULIN R 500UNIT/ML | HUMULIN R 500UNIT/ML | $4,358 | — | — | — | 0 |
| 71250 | CT THORAX W/O | $4,159 | — | — | — | 0 |
| ZYVOX 100 MG/5MLSUSR | ZYVOX 100 MG/5MLSUSR | $4,082 | — | — | — | 0 |
| 72192 | CT PELVIS W/O | $4,023 | — | — | — | 0 |
| 70450 | CT BRAIN/HEAD WO | $3,901 | — | — | — | 0 |
| 74150 | CT ABDOMEN W/O | $3,851 | — | — | — | 0 |
| 43246 | EGD W/PEG TUBE PLCMT | $3,838 | — | — | — | 0 |
| RITUXAN 10 MG/MLCONC | RITUXAN 10 MG/MLCONC | $3,293 | — | — | — | 0 |
| 36000 | MIDLINE CATH INSERT | $3,268 | — | — | — | 0 |
| 36584 | SURG REPL PICC CATH | $3,219 | — | — | — | 0 |
| DIGIBIND 38 MG | DIGIBIND 38 MG | $2,912 | — | — | — | 0 |
| BOTOX 100 UN | BOTOX 100 UN | $2,597 | — | — | — | 0 |
| REFLUDAN 50 MG | REFLUDAN 50 MG | $2,584 | — | — | — | 0 |
| 43239 | SURG-EGD W/BIOPSY | $2,540 | — | — | — | 0 |
| 43235 | EGD DIAGNOSTIC | $2,540 | — | — | — | 0 |
| TLSO TRIPLANAR CONTR | TLSO TRIPLANAR CONTR | $2,537 | — | — | — | 0 |
| P9052 BL | PLA HLA MAT LEU RD E | $2,468 | — | — | — | 0 |
| ZOVIRAX 5 %CR | ZOVIRAX 5 %CR | $2,261 | — | — | — | 0 |
| P9037 BL | PLAT/PHER/LEU/RED EU | $2,247 | — | — | — | 0 |
| ATROVENT HFA 17MCG/A | ATROVENT HFA 17MCG/A | $2,136 | — | — | — | 0 |
| DIURIL IV 500MG | DIURIL IV 500MG | $2,079 | — | — | — | 0 |
| P9053 BL | PPLR CMV NEG IRR EU | $2,069 | — | — | — | 0 |
| AFO ANKLE SOL CUS FB | AFO ANKLE SOL CUS FB | $1,990 | — | — | — | 0 |
| AZOPT 1 % | AZOPT 1 % | $1,979 | — | — | — | 0 |
| REBIF 44 MCG/0.5ML | REBIF 44 MCG/0.5ML | $1,935 | — | — | — | 0 |
| BYETTA 5 MCGPEN5MCG/ | BYETTA 5 MCGPEN5MCG/ | $1,898 | — | — | — | 0 |
| BYETTA 10 MCGPEN10MC | BYETTA 10 MCGPEN10MC | $1,898 | — | — | — | 0 |
| SAMSCA 15 MGTB | SAMSCA 15 MGTB | $1,875 | — | — | — | 0 |
| 70553 | MRI BRAIN WO/W CONTR | $1,868 | — | — | — | 0 |
| 72156 | MR SPINE CERV WO/W | $1,868 | — | — | — | 0 |
| 72157 | MR SPINE THORA WO/W | $1,868 | — | — | — | 0 |
Showing top 50 of 2,935 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.