45 CFR § 180 compliance
F · 55
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
16,071
Insurances with rates
85
CPT / HCPCS codes
14,784
Source MRF
Most expensive procedures (gross)
50242-085-27
$10,560
ALTEPLASE INFUSION - PE
Gross
$26,401
50242-085-25
$10,560
ALTEPLASE INFUSION - STROKE (DOSES >45 MG)
Gross
$26,401
50242-918-01
$630
ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$22,054
73607-002-01
$6,454
ARTESUNATE 110 MG INTRAVENOUS SOLUTION
Gross
$16,136
50242-044-13
$5,280
ALTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$13,201
50242-044-06
$5,280
ALTEPLASE INFUSION - PE (CARDIAC ARREST)
Gross
$13,201
50242-088-01
$4,788
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION
Gross
$11,969
50242-061-01
$255
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION
Gross
$10,201
70121-1755-1
$230
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION
Gross
$9,198
49411-052-08
$13.98
AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION
Gross
$8,263
65162-893-74
$7.06
ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION
Gross
$2,647
72606-011-01
$203
BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION
Gross
$2,439
0944-2884-01
$660
ALPHA-1-PROTEINASE INHIBITOR(HUMAN) 1 GRAM/50 ML(2 %) INTRAVENOUS SOLN
Gross
$1,980
69097-805-40
$252
AZACITIDINE 100 MG SOLUTION FOR INJECTION
Gross
$1,008
43598-305-62
$240
AZACITIDINE 100 MG SOLUTION FOR INJECTION
Gross
$960
50242-041-64
$222
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION FOR MIXTURE
Gross
$889
50242-041-10
$222
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION
Gross
$889
0009-3169-06
$203
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION
Gross
$813
63323-562-10
$174
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION
Gross
$696
31722-562-24
$0.65
ABACAVIR 20 MG/ML ORAL SOLUTION
Gross
$628
64980-405-24
$0.65
ABACAVIR 20 MG/ML ORAL SOLUTION
Gross
$628
24208-539-20
$157
ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT
Gross
$627
0703-8777-01
$5.11
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION
Gross
$613
D3410
—
APICOECTOMY - ANTERIOR
Gross
$600
0409-1932-02
$4.57
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION
Gross
$549
63323-963-21
$4.4
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION
Gross
$528
63323-963-30
$4.4
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION
Gross
$528
0781-6139-48
$0.65
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION
Gross
$522
0009-3701-08
$126
ALPROSTADIL 20 MCG INTRACAVERNOSAL SOLUTION
Gross
$504
64208-2510-2
$0.37
ALBUMIN HUMAN-KJDA 5 % INTRAVENOUS SOLUTION
Gross
$460
33333-001-10
$45.92
ALTEPLASE 1 MG/2 ML INTRA-CATHETER SOLUTION COMPOUNDED
Gross
$459
44206-310-90
$0.45
ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION
Gross
$450
0053-7680-91
$2.25
ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION
Gross
$450
0053-7680-32
$2.25
ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED)
Gross
$450
63323-402-01
$87.97
AZTREONAM 2 GRAM SOLUTION FOR INJECTION
Gross
$440
68982-623-02
$0.35
ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION FOR MIXTURE
Gross
$434
65862-535-13
$0.69
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION
Gross
$433
44206-251-90
$2.16
ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED)
Gross
$432
83634-400-10
$108
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION
Gross
$432
60432-065-00
$0.86
AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION
Gross
$432
0781-9158-95
$75
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION
Gross
$375
0143-9982-01
$0.74
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION
Gross
$371
69097-142-60
$11.05
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER
Gross
$370
0944-0495-05
$0.29
ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION
Gross
$361
0121-0646-16
$0.15
AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION
Gross
$359
0944-0493-01
$1.39
ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED)
Gross
$347
0065-0303-55
$13.82
ATROPINE 1 % EYE DROPS
Gross
$345
55150-259-30
$2.13
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION
Gross
$320
66993-019-68
$3.47
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER
Gross
$312
63323-402-41
$61.74
AZTREONAM 2 GRAM SOLUTION FOR INJECTION
Gross
$309
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-085-27 | ALTEPLASE INFUSION - PE | $26,401 | $10,560 | — | — | 0 |
| 50242-085-25 | ALTEPLASE INFUSION - STROKE (DOSES >45 MG) | $26,401 | $10,560 | — | — | 0 |
| 50242-918-01 | ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION | $22,054 | $630 | — | — | 0 |
| 73607-002-01 | ARTESUNATE 110 MG INTRAVENOUS SOLUTION | $16,136 | $6,454 | — | — | 0 |
| 50242-044-13 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $13,201 | $5,280 | — | — | 0 |
| 50242-044-06 | ALTEPLASE INFUSION - PE (CARDIAC ARREST) | $13,201 | $5,280 | — | — | 0 |
| 50242-088-01 | ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION | $11,969 | $4,788 | — | — | 0 |
| 50242-061-01 | BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $10,201 | $255 | — | — | 0 |
| 70121-1755-1 | BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION | $9,198 | $230 | — | — | 0 |
| 49411-052-08 | AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION | $8,263 | $13.98 | — | — | 0 |
| 65162-893-74 | ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION | $2,647 | $7.06 | — | — | 0 |
| 72606-011-01 | BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION | $2,439 | $203 | — | — | 0 |
| 0944-2884-01 | ALPHA-1-PROTEINASE INHIBITOR(HUMAN) 1 GRAM/50 ML(2 %) INTRAVENOUS SOLN | $1,980 | $660 | — | — | 0 |
| 69097-805-40 | AZACITIDINE 100 MG SOLUTION FOR INJECTION | $1,008 | $252 | — | — | 0 |
| 43598-305-62 | AZACITIDINE 100 MG SOLUTION FOR INJECTION | $960 | $240 | — | — | 0 |
| 50242-041-64 | ALTEPLASE 2 MG INTRA-CATHETER SOLUTION FOR MIXTURE | $889 | $222 | — | — | 0 |
| 50242-041-10 | ALTEPLASE 2 MG INTRA-CATHETER SOLUTION | $889 | $222 | — | — | 0 |
| 0009-3169-06 | ALPROSTADIL 500 MCG/ML INJECTION SOLUTION | $813 | $203 | — | — | 0 |
| 63323-562-10 | BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION | $696 | $174 | — | — | 0 |
| 31722-562-24 | ABACAVIR 20 MG/ML ORAL SOLUTION | $628 | $0.65 | — | — | 0 |
| 64980-405-24 | ABACAVIR 20 MG/ML ORAL SOLUTION | $628 | $0.65 | — | — | 0 |
| 24208-539-20 | ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT | $627 | $157 | — | — | 0 |
| 0703-8777-01 | ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION | $613 | $5.11 | — | — | 0 |
| D3410 | APICOECTOMY - ANTERIOR | $600 | — | — | — | 1 |
| 0409-1932-02 | ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION | $549 | $4.57 | — | — | 0 |
| 63323-963-21 | ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION | $528 | $4.4 | — | — | 0 |
| 63323-963-30 | ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION | $528 | $4.4 | — | — | 0 |
| 0781-6139-48 | AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION | $522 | $0.65 | — | — | 0 |
| 0009-3701-08 | ALPROSTADIL 20 MCG INTRACAVERNOSAL SOLUTION | $504 | $126 | — | — | 0 |
| 64208-2510-2 | ALBUMIN HUMAN-KJDA 5 % INTRAVENOUS SOLUTION | $460 | $0.37 | — | — | 0 |
| 33333-001-10 | ALTEPLASE 1 MG/2 ML INTRA-CATHETER SOLUTION COMPOUNDED | $459 | $45.92 | — | — | 0 |
| 44206-310-90 | ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION | $450 | $0.45 | — | — | 0 |
| 0053-7680-91 | ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION | $450 | $2.25 | — | — | 0 |
| 0053-7680-32 | ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED) | $450 | $2.25 | — | — | 0 |
| 63323-402-01 | AZTREONAM 2 GRAM SOLUTION FOR INJECTION | $440 | $87.97 | — | — | 0 |
| 68982-623-02 | ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION FOR MIXTURE | $434 | $0.35 | — | — | 0 |
| 65862-535-13 | AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION | $433 | $0.69 | — | — | 0 |
| 44206-251-90 | ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED) | $432 | $2.16 | — | — | 0 |
| 83634-400-10 | BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION | $432 | $108 | — | — | 0 |
| 60432-065-00 | AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION | $432 | $0.86 | — | — | 0 |
| 0781-9158-95 | BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION | $375 | $75 | — | — | 0 |
| 0143-9982-01 | AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION | $371 | $0.74 | — | — | 0 |
| 69097-142-60 | ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER | $370 | $11.05 | — | — | 0 |
| 0944-0495-05 | ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION | $361 | $0.29 | — | — | 0 |
| 0121-0646-16 | AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION | $359 | $0.15 | — | — | 0 |
| 0944-0493-01 | ALBUMIN HUMAN 25% IV SOLUTION (NEO/PED) | $347 | $1.39 | — | — | 0 |
| 0065-0303-55 | ATROPINE 1 % EYE DROPS | $345 | $13.82 | — | — | 0 |
| 55150-259-30 | ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION | $320 | $2.13 | — | — | 0 |
| 66993-019-68 | ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER | $312 | $3.47 | — | — | 0 |
| 63323-402-41 | AZTREONAM 2 GRAM SOLUTION FOR INJECTION | $309 | $61.74 | — | — | 0 |
Showing top 50 of 16,071 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.