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
18,619
Insurances with rates
6
CPT / HCPCS codes
12,115
Source MRF
Most expensive procedures (gross)
123512
$12,435
DIGIMMFAB 40MG J
Gross
$35,528
823512
$12,435
DIGIMMFAB 40MG J
Gross
$35,528
139509
$8,617
DANTROLENE 250MG J
Gross
$24,619
122829
$8,314
ANTIVENIN CROT J
Gross
$23,755
822829
$8,314
ANTIVENIN CROT J
Gross
$23,755
122722
$8,143
CALCITON 400U J
Gross
$23,265
822722
$8,143
CALCITON 400U J
Gross
$23,265
122894
$6,451
RETEPLASE 18.1MG J
Gross
$18,430
822894
$6,451
RETEPLASE 18.1MG J
Gross
$18,430
154307
$4,574
CROTALIDE IMMUNE FAB
Gross
$13,068
854307
$4,574
CROTALIDE IMMUNE FAB
Gross
$13,068
921206
$3,390
NEULASTA 6MG/0.6 ML
Gross
$9,685
518442
$2,315
PLATE STD CRV 122X34X3.7
Gross
$6,615
921101
$2,308
CROTALIDAE POLYVALENT
Gross
$6,593
515606
$2,299
ALLOGRAFT TENDON LATERAL
Gross
$6,568
921260
$2,282
ARANASP 500MCQ/ML
Gross
$6,520
123669
$2,249
IMMUNE GLOB TET 250U
Gross
$6,427
823669
$2,249
IMMUNE GLOB TET 250U
Gross
$6,427
138463
$2,163
FACTORVIII/VW COMP
Gross
$6,180
838463
$2,163
FACTORVIII/VW COMP
Gross
$6,180
194436
$2,029
REMDESIVIR 1MG 100 J
Gross
$5,797
894436
$2,029
REMDESIVIR 1MG 100 J
Gross
$5,797
122594
$2,024
RABIES IGG 300\\2ML J
Gross
$5,784
822594
$2,024
RABIES IGG 300\\2ML J
Gross
$5,784
110062
$1,843
CROTALIDAE POLYVALENT
Gross
$5,265
515108
$1,539
GRAFT BN DBM 10ML PUTTY
Gross
$4,396
518694
$1,539
PLATE DIVERGENT ACLC BN
Gross
$4,396
149084
$1,385
RABIES IG 300U/ML
Gross
$3,958
849084
$1,385
RABIES IG 300U/ML
Gross
$3,958
123112
$1,382
ESMOLOL 100MG\\10ML J
Gross
$3,947
122680
$1,341
LEUPROL7.5PRO
Gross
$3,831
822680
$1,341
LEUPROL7.5PRO
Gross
$3,831
921095
$1,339
ARGATROBAN 100MG/ML
Gross
$3,825
122497
$1,171
NITROPRUS 50MG J
Gross
$3,344
516926
$1,071
FAST FIX FLX CRVD BNDR
Gross
$3,059
3228
$1,047
SLEEP STAGING 4+ ADD
Gross
$2,990
921038
$1,021
ARANESP 200 MCG/ML
Gross
$2,917
512009
$985
SCREW LAG 105MM
Gross
$2,814
513664
$985
SCREW BN 10.5MM 70MM
Gross
$2,814
508289
$938
REV HIP DM PLT3704-3-100
Gross
$2,680
508290
$938
REV HIP DM PLT3704-3-110
Gross
$2,680
510565
$938
PLATE D/M 10 SS BRD COMP
Gross
$2,680
510566
$938
PLATE D/M 12 SS BRD COMP
Gross
$2,680
122673
$886
MITOMYCIN 5MG J
Gross
$2,531
822673
$886
MITOMYCIN 5MG J
Gross
$2,531
300800
$882
ANTIVENIN SNAKE BITE KIT
Gross
$2,521
921099
$875
BOTOX 100U VIAL
Gross
$2,500
516156
$858
PLATE 40MM SS 2.7MM
Gross
$2,450
103490
$835
NICARDIPINE 20MG\\200ML J
Gross
$2,386
110181
$832
COCAINE TX 4% APP
Gross
$2,379
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 123512 | DIGIMMFAB 40MG J | $35,528 | $12,435 | — | — | 0 |
| 823512 | DIGIMMFAB 40MG J | $35,528 | $12,435 | — | — | 0 |
| 139509 | DANTROLENE 250MG J | $24,619 | $8,617 | — | — | 0 |
| 122829 | ANTIVENIN CROT J | $23,755 | $8,314 | — | — | 0 |
| 822829 | ANTIVENIN CROT J | $23,755 | $8,314 | — | — | 0 |
| 122722 | CALCITON 400U J | $23,265 | $8,143 | — | — | 0 |
| 822722 | CALCITON 400U J | $23,265 | $8,143 | — | — | 0 |
| 122894 | RETEPLASE 18.1MG J | $18,430 | $6,451 | — | — | 0 |
| 822894 | RETEPLASE 18.1MG J | $18,430 | $6,451 | — | — | 0 |
| 154307 | CROTALIDE IMMUNE FAB | $13,068 | $4,574 | — | — | 0 |
| 854307 | CROTALIDE IMMUNE FAB | $13,068 | $4,574 | — | — | 0 |
| 921206 | NEULASTA 6MG/0.6 ML | $9,685 | $3,390 | — | — | 0 |
| 518442 | PLATE STD CRV 122X34X3.7 | $6,615 | $2,315 | — | — | 0 |
| 921101 | CROTALIDAE POLYVALENT | $6,593 | $2,308 | — | — | 0 |
| 515606 | ALLOGRAFT TENDON LATERAL | $6,568 | $2,299 | — | — | 0 |
| 921260 | ARANASP 500MCQ/ML | $6,520 | $2,282 | — | — | 0 |
| 123669 | IMMUNE GLOB TET 250U | $6,427 | $2,249 | — | — | 0 |
| 823669 | IMMUNE GLOB TET 250U | $6,427 | $2,249 | — | — | 0 |
| 138463 | FACTORVIII/VW COMP | $6,180 | $2,163 | — | — | 0 |
| 838463 | FACTORVIII/VW COMP | $6,180 | $2,163 | — | — | 0 |
| 194436 | REMDESIVIR 1MG 100 J | $5,797 | $2,029 | — | — | 0 |
| 894436 | REMDESIVIR 1MG 100 J | $5,797 | $2,029 | — | — | 0 |
| 122594 | RABIES IGG 300\\2ML J | $5,784 | $2,024 | — | — | 0 |
| 822594 | RABIES IGG 300\\2ML J | $5,784 | $2,024 | — | — | 0 |
| 110062 | CROTALIDAE POLYVALENT | $5,265 | $1,843 | — | — | 0 |
| 515108 | GRAFT BN DBM 10ML PUTTY | $4,396 | $1,539 | — | — | 0 |
| 518694 | PLATE DIVERGENT ACLC BN | $4,396 | $1,539 | — | — | 0 |
| 149084 | RABIES IG 300U/ML | $3,958 | $1,385 | — | — | 0 |
| 849084 | RABIES IG 300U/ML | $3,958 | $1,385 | — | — | 0 |
| 123112 | ESMOLOL 100MG\\10ML J | $3,947 | $1,382 | — | — | 0 |
| 122680 | LEUPROL7.5PRO | $3,831 | $1,341 | — | — | 0 |
| 822680 | LEUPROL7.5PRO | $3,831 | $1,341 | — | — | 0 |
| 921095 | ARGATROBAN 100MG/ML | $3,825 | $1,339 | — | — | 0 |
| 122497 | NITROPRUS 50MG J | $3,344 | $1,171 | — | — | 0 |
| 516926 | FAST FIX FLX CRVD BNDR | $3,059 | $1,071 | — | — | 0 |
| 3228 | SLEEP STAGING 4+ ADD | $2,990 | $1,047 | — | — | 0 |
| 921038 | ARANESP 200 MCG/ML | $2,917 | $1,021 | — | — | 0 |
| 512009 | SCREW LAG 105MM | $2,814 | $985 | — | — | 0 |
| 513664 | SCREW BN 10.5MM 70MM | $2,814 | $985 | — | — | 0 |
| 508289 | REV HIP DM PLT3704-3-100 | $2,680 | $938 | — | — | 0 |
| 508290 | REV HIP DM PLT3704-3-110 | $2,680 | $938 | — | — | 0 |
| 510565 | PLATE D/M 10 SS BRD COMP | $2,680 | $938 | — | — | 0 |
| 510566 | PLATE D/M 12 SS BRD COMP | $2,680 | $938 | — | — | 0 |
| 122673 | MITOMYCIN 5MG J | $2,531 | $886 | — | — | 0 |
| 822673 | MITOMYCIN 5MG J | $2,531 | $886 | — | — | 0 |
| 300800 | ANTIVENIN SNAKE BITE KIT | $2,521 | $882 | — | — | 0 |
| 921099 | BOTOX 100U VIAL | $2,500 | $875 | — | — | 0 |
| 516156 | PLATE 40MM SS 2.7MM | $2,450 | $858 | — | — | 0 |
| 103490 | NICARDIPINE 20MG\\200ML J | $2,386 | $835 | — | — | 0 |
| 110181 | COCAINE TX 4% APP | $2,379 | $832 | — | — | 0 |
Showing top 50 of 18,619 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.