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
18,504
Insurances with rates
26
CPT / HCPCS codes
16,892
Source MRF
Most expensive procedures (gross)
J3111
$4,202
romosozumab-AQQG (Evenity) syringe 210 mg
Gross
$21,010
J0897
$2,998
denosumab (Prolia) injection 60 mg
Gross
$14,988
J1950
$2,879
leuprolide (Lupron) injection 3.75 mg
Gross
$14,394
J3101
$2,652
tenecteplase (TNKase) injection 40 mg
Gross
$13,262
Q0138
$1,908
ferumoxytol (Feraheme) 510 mg in sodium chloride 0.9 % 100 mL IVPB
Gross
$9,539
147338
$1,104
romosozumab-AQQG (Evenity) syringe 210 mg
Gross
$5,521
146859
$788
denosumab (Prolia) injection 60 mg
Gross
$3,938
J2760
$783
phentolamine (Regitine) 5 mg in sodium chloride (PF) 0.9 % injection for extravasation
Gross
$3,916
13691
$756
leuprolide (Lupron) injection 3.75 mg
Gross
$3,782
10137
$472
goserelin (Zoladex) subcutaneous implant 3.6 mg
Gross
$2,360
J1610
$448
glucagon (GLUCAGEN) injection
Gross
$2,238
36576
$398
ciprofloxacin-dexAMETHasone (Ciprodex) otic suspension 4 drop
Gross
$1,991
36576
$358
ciprofloxacin-dexAMETHasone (Ciprodex) otic suspension 4 drop
Gross
$1,792
Q5106
$353
Epoetin Alfa-epbx (Retacrit) injection 20,000 Units
Gross
$1,763
A9581
$309
gadoxetate (EOVIST) 0.25 mmol/mL injection
Gross
$1,543
A9581
$309
gadoxetate (EOVIST) 0.25 mmol/mL injection
Gross
$1,543
J2248
$299
micafungin (Mycamine) 100 mg in sodium chloride 0.9 % 100 mL IVPB
Gross
$1,495
J2248
$299
micafungin (Mycamine) 100 mg in sodium chloride 0.9 % 100 mL IVPB
Gross
$1,495
J0561
$295
penicillin G benzathine (Bicillin LA) injection 600,000 Units
Gross
$1,475
P9047
$288
albumin (human) 25% IVPB 12.5 g
Gross
$1,439
P9047
$288
albumin (human) 25% IVPB 12.5 g
Gross
$1,439
J2404
$248
niCARdipine (Cardene-IV) 20 mg/200 mL (100 mcg/mL) in sodium chloride (premix) single strength
Gross
$1,238
J2404
$248
niCARdipine (Cardene-IV) 20 mg/200 mL (100 mcg/mL) in sodium chloride (premix) single strength
Gross
$1,238
28224
$245
linezolid (Zyvox) tablet 600 mg
Gross
$1,223
28224
$245
linezolid (Zyvox) tablet 600 mg
Gross
$1,223
23162
$243
Adult PPN (Clinimix-E or Clinimix) + MVI + trace elements with/without lipids *Peripheral line*
Gross
$1,217
23162
$243
Adult PPN (Clinimix-E or Clinimix) + MVI + trace elements with/without lipids *Peripheral line*
Gross
$1,217
137874
$240
norepinephrine (LEVOPHED) 16mg in NS 250mL 16-0.9 MG/250ML-% premixed infusion
Gross
$1,201
137874
$240
norepinephrine (LEVOPHED) 16mg in NS 250mL 16-0.9 MG/250ML-% premixed infusion
Gross
$1,201
A9540
$222
technetium Tc 99m albumin macroaggregated (Draximage MAA) radiopharmaceutical injection 5 millicurie
Gross
$1,112
A9540
$222
technetium Tc 99m albumin macroaggregated (Draximage MAA) radiopharmaceutical injection 5 millicurie
Gross
$1,112
C9399
$218
sugammadex (Bridion) injection
Gross
$1,088
C9399
$218
sugammadex (Bridion) injection
Gross
$1,088
Q2009
$181
fosphenytoin (Cerebyx) 1,000 mg PE in sodium chloride 0.9 % 50 mL IVPB
Gross
$904
Q2009
$181
fosphenytoin (Cerebyx) 1,000 mg PE in sodium chloride 0.9 % 50 mL IVPB
Gross
$904
408623662
$180
lactulose (Chronulac) enema bottle 1,000 mL
Gross
$900
408623662
$180
lactulose (Chronulac) enema bottle 1,000 mL
Gross
$900
Q5105
$176
epoetin alfa-epbx (Retacrit) injection 10,000 Units
Gross
$882
104604
$176
rifaximin (Xifaxan) tablet 550 mg
Gross
$878
104604
$176
rifaximin (Xifaxan) tablet 550 mg
Gross
$878
138987
$158
potassium phosphates 15 mmol in 250 mL NaCl infusion 15 mmol
Gross
$789
138987
$158
potassium phosphates 15 mmol in 250 mL NaCl infusion 15 mmol
Gross
$789
10917
$157
permethrin (Elimite) 5 % cream
Gross
$786
10917
$157
permethrin (Elimite) 5 % cream
Gross
$786
J0834
$153
cosyntropin (CORTROSYN) injection 0.25 mg
Gross
$763
J0834
$153
cosyntropin (CORTROSYN) injection 0.25 mg
Gross
$763
90707
$152
measles, mumps and rubella vaccine (MMR-II) injection 0.5 mL
Gross
$758
90707
$152
measles, mumps and rubella vaccine (MMR-II) injection 0.5 mL
Gross
$758
A9573
$151
gadopiclenol (Vueway) 0.5 MMOL/ML injection
Gross
$757
A9573
$151
gadopiclenol (Vueway) 0.5 MMOL/ML injection
Gross
$757
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3111 | romosozumab-AQQG (Evenity) syringe 210 mg | $21,010 | $4,202 | $11.49 | $16,808 | 71 |
| J0897 | denosumab (Prolia) injection 60 mg | $14,988 | $2,998 | $27.81 | $11,991 | 71 |
| J1950 | leuprolide (Lupron) injection 3.75 mg | $14,394 | $2,879 | $1,152 | $11,516 | 71 |
| J3101 | tenecteplase (TNKase) injection 40 mg | $13,262 | $2,652 | $162 | $10,610 | 71 |
| Q0138 | ferumoxytol (Feraheme) 510 mg in sodium chloride 0.9 % 100 mL IVPB | $9,539 | $1,908 | $0.33 | $7,631 | 71 |
| 147338 | romosozumab-AQQG (Evenity) syringe 210 mg | $5,521 | $1,104 | — | — | 0 |
| 146859 | denosumab (Prolia) injection 60 mg | $3,938 | $788 | — | — | 0 |
| J2760 | phentolamine (Regitine) 5 mg in sodium chloride (PF) 0.9 % injection for extravasation | $3,916 | $783 | $313 | $3,133 | 70 |
| 13691 | leuprolide (Lupron) injection 3.75 mg | $3,782 | $756 | — | — | 0 |
| 10137 | goserelin (Zoladex) subcutaneous implant 3.6 mg | $2,360 | $472 | — | — | 0 |
| J1610 | glucagon (GLUCAGEN) injection | $2,238 | $448 | $179 | $1,790 | 71 |
| 36576 | ciprofloxacin-dexAMETHasone (Ciprodex) otic suspension 4 drop | $1,991 | $398 | — | — | 0 |
| 36576 | ciprofloxacin-dexAMETHasone (Ciprodex) otic suspension 4 drop | $1,792 | $358 | $537 | $1,254 | 6 |
| Q5106 | Epoetin Alfa-epbx (Retacrit) injection 20,000 Units | $1,763 | $353 | $7.07 | $1,410 | 71 |
| A9581 | gadoxetate (EOVIST) 0.25 mmol/mL injection | $1,543 | $309 | $14.71 | $1,312 | 50 |
| A9581 | gadoxetate (EOVIST) 0.25 mmol/mL injection | $1,543 | $309 | — | — | 0 |
| J2248 | micafungin (Mycamine) 100 mg in sodium chloride 0.9 % 100 mL IVPB | $1,495 | $299 | $0.28 | $1,270 | 54 |
| J2248 | micafungin (Mycamine) 100 mg in sodium chloride 0.9 % 100 mL IVPB | $1,495 | $299 | — | — | 0 |
| J0561 | penicillin G benzathine (Bicillin LA) injection 600,000 Units | $1,475 | $295 | $23.72 | $1,180 | 71 |
| P9047 | albumin (human) 25% IVPB 12.5 g | $1,439 | $288 | $50.36 | $1,223 | 54 |
| P9047 | albumin (human) 25% IVPB 12.5 g | $1,439 | $288 | — | — | 0 |
| J2404 | niCARdipine (Cardene-IV) 20 mg/200 mL (100 mcg/mL) in sodium chloride (premix) single strength | $1,238 | $248 | $0.09 | $1,052 | 54 |
| J2404 | niCARdipine (Cardene-IV) 20 mg/200 mL (100 mcg/mL) in sodium chloride (premix) single strength | $1,238 | $248 | — | — | 0 |
| 28224 | linezolid (Zyvox) tablet 600 mg | $1,223 | $245 | $367 | $856 | 5 |
| 28224 | linezolid (Zyvox) tablet 600 mg | $1,223 | $245 | — | — | 0 |
| 23162 | Adult PPN (Clinimix-E or Clinimix) + MVI + trace elements with/without lipids *Peripheral line* | $1,217 | $243 | $365 | $852 | 5 |
| 23162 | Adult PPN (Clinimix-E or Clinimix) + MVI + trace elements with/without lipids *Peripheral line* | $1,217 | $243 | — | — | 0 |
| 137874 | norepinephrine (LEVOPHED) 16mg in NS 250mL 16-0.9 MG/250ML-% premixed infusion | $1,201 | $240 | $360 | $841 | 5 |
| 137874 | norepinephrine (LEVOPHED) 16mg in NS 250mL 16-0.9 MG/250ML-% premixed infusion | $1,201 | $240 | — | — | 0 |
| A9540 | technetium Tc 99m albumin macroaggregated (Draximage MAA) radiopharmaceutical injection 5 millicurie | $1,112 | $222 | $29.44 | $945 | 48 |
| A9540 | technetium Tc 99m albumin macroaggregated (Draximage MAA) radiopharmaceutical injection 5 millicurie | $1,112 | $222 | — | — | 0 |
| C9399 | sugammadex (Bridion) injection | $1,088 | $218 | $87.04 | $925 | 52 |
| C9399 | sugammadex (Bridion) injection | $1,088 | $218 | — | — | 0 |
| Q2009 | fosphenytoin (Cerebyx) 1,000 mg PE in sodium chloride 0.9 % 50 mL IVPB | $904 | $181 | $2.67 | $768 | 54 |
| Q2009 | fosphenytoin (Cerebyx) 1,000 mg PE in sodium chloride 0.9 % 50 mL IVPB | $904 | $181 | — | — | 0 |
| 408623662 | lactulose (Chronulac) enema bottle 1,000 mL | $900 | $180 | $270 | $630 | 5 |
| 408623662 | lactulose (Chronulac) enema bottle 1,000 mL | $900 | $180 | — | — | 0 |
| Q5105 | epoetin alfa-epbx (Retacrit) injection 10,000 Units | $882 | $176 | $0.71 | $705 | 67 |
| 104604 | rifaximin (Xifaxan) tablet 550 mg | $878 | $176 | $263 | $615 | 5 |
| 104604 | rifaximin (Xifaxan) tablet 550 mg | $878 | $176 | — | — | 0 |
| 138987 | potassium phosphates 15 mmol in 250 mL NaCl infusion 15 mmol | $789 | $158 | $237 | $553 | 5 |
| 138987 | potassium phosphates 15 mmol in 250 mL NaCl infusion 15 mmol | $789 | $158 | — | — | 0 |
| 10917 | permethrin (Elimite) 5 % cream | $786 | $157 | $236 | $550 | 5 |
| 10917 | permethrin (Elimite) 5 % cream | $786 | $157 | — | — | 0 |
| J0834 | cosyntropin (CORTROSYN) injection 0.25 mg | $763 | $153 | $24.42 | $649 | 53 |
| J0834 | cosyntropin (CORTROSYN) injection 0.25 mg | $763 | $153 | — | — | 0 |
| 90707 | measles, mumps and rubella vaccine (MMR-II) injection 0.5 mL | $758 | $152 | $60.62 | $644 | 54 |
| 90707 | measles, mumps and rubella vaccine (MMR-II) injection 0.5 mL | $758 | $152 | — | — | 0 |
| A9573 | gadopiclenol (Vueway) 0.5 MMOL/ML injection | $757 | $151 | $3.47 | $644 | 50 |
| A9573 | gadopiclenol (Vueway) 0.5 MMOL/ML injection | $757 | $151 | — | — | 0 |
Showing top 50 of 18,504 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.