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
11,939
Insurances with rates
11
CPT / HCPCS codes
9,188
Source MRF
Most expensive procedures (gross)
7901000688
$13,652
LITHOTRIPSY ESWL BIL
Gross
$59,616
7901000688
$13,652
LITHOTRIPSY ESWL BIL
Gross
$59,616
2721003022
$13,282
INST/SUPP STE13419X-14761
Gross
$58,000
2721003022
$13,282
INST/SUPP STE13419X-14761
Gross
$58,000
C1781
$10,282
MESH IMP 11090X-12199
Gross
$44,900
C1781
$10,282
MESH IMP 11090X-12199
Gross
$44,900
C1767
$9,618
NEURSTM NREC 7755X-10082
Gross
$42,000
C1767
$9,618
NEURSTM NREC 7755X-10082
Gross
$42,000
C1820
$9,618
NEURSTM RECH 10082X-11090
Gross
$42,000
C1820
$9,618
NEURSTM RECH 10082X-11090
Gross
$42,000
C1813
$9,370
PENILE INFLAT 10082X-11090
Gross
$40,919
C1813
$9,370
PENILE INFLAT 10082X-11090
Gross
$40,919
7901000687
$9,101
LITHOTRIPSY ESWL UNI
Gross
$39,744
7901000687
$9,101
LITHOTRIPSY ESWL UNI
Gross
$39,744
J3101
$7,096
TENECTEPLASE 50MG INJ JW
Gross
$30,989
J3101
$7,096
TENECTEPLASE 50MG INJ JW
Gross
$30,989
J0630
$6,314
CALCITONIN 200IU/ML 2ML INJ
Gross
$27,572
J0630
$6,314
CALCITONIN 200IU/ML 2ML INJ
Gross
$27,572
C1748
$6,193
ENDOSCOPE UGI 2714X-3529
Gross
$27,042
C1748
$6,193
ENDOSCOPE UGI 2714X-3529
Gross
$27,042
4501000023
$5,076
INS/REPL TEMP PACER ELECTRODE
Gross
$22,166
4501000023
$5,076
INS/REPL TEMP PACER ELECTRODE
Gross
$22,166
3611003051
$5,008
TRACHEOSTOMY PLANNED
Gross
$21,867
3611003051
$5,008
TRACHEOSTOMY PLANNED
Gross
$21,867
81340
$4,829
TRB AMPLIFICATION METHOD
Gross
$21,089
81340
$4,829
TRB AMPLIFICATION METHOD
Gross
$21,089
81342
$4,829
TRG EVAL ABNORM CLON POP
Gross
$21,089
81342
$4,829
TRG EVAL ABNORM CLON POP
Gross
$21,089
C1874
$4,762
STENT COV W 2087X-2714
Gross
$20,795
C1874
$4,762
STENT COV W 2087X-2714
Gross
$20,795
J1162
$4,613
DIGOXIN IMMUN FAB 40MG PWD INJ
Gross
$20,145
J1162
$4,613
DIGOXIN IMMUN FAB 40MG PWD INJ
Gross
$20,145
3611002374
$4,251
BX ADRENAL GLAND NDL PERC
Gross
$18,562
3611002374
$4,251
BX ADRENAL GLAND NDL PERC
Gross
$18,562
J0716
$4,005
ANTIVEN CENTRUR 120MG/5ML SDV
Gross
$17,488
J0716
$4,005
ANTIVEN CENTRUR 120MG/5ML SDV
Gross
$17,488
Q4104
$3,927
BMWD 4X10IN 5965X-7755
Gross
$17,150
Q4104
$3,927
BMWD 4X10IN 5965X-7755
Gross
$17,150
4501000042
$3,573
CV CATH LEVEL 3
Gross
$15,604
4501000042
$3,573
CV CATH LEVEL 3
Gross
$15,604
81519
$3,510
ONC BRST MRNA 21 GENE PRFILING
Gross
$15,328
81519
$3,510
ONC BRST MRNA 21 GENE PRFILING
Gross
$15,328
84999
$3,510
ONCOTYPE DX BREAST GENOMIC
Gross
$15,328
84999
$3,510
ONCOTYPE DX BREAST GENOMIC
Gross
$15,328
J0875
$3,480
DALBAVANCIN LYOPH 500MG SDV JW
Gross
$15,198
J0875
$3,480
DALBAVANCIN LYOPH 500MG SDV JW
Gross
$15,198
0037U
$3,467
TRGT GENOMIC SEQ/DNA ANLS 324
Gross
$15,141
0037U
$3,467
TRGT GENOMIC SEQ/DNA ANLS 324
Gross
$15,141
Q4130
$3,450
STRATT 10X16CM 3529X-4588
Gross
$15,064
Q4130
$3,450
STRATT 10X16CM 3529X-4588
Gross
$15,064
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 7901000688 | LITHOTRIPSY ESWL BIL | $59,616 | $13,652 | $31,596 | $48,706 | 2 |
| 7901000688 | LITHOTRIPSY ESWL BIL | $59,616 | $13,652 | $9,468 | $48,706 | 4 |
| 2721003022 | INST/SUPP STE13419X-14761 | $58,000 | $13,282 | $30,740 | $47,386 | 2 |
| 2721003022 | INST/SUPP STE13419X-14761 | $58,000 | $13,282 | $8,120 | $47,386 | 5 |
| C1781 | MESH IMP 11090X-12199 | $44,900 | $10,282 | $23,797 | $36,683 | 2 |
| C1781 | MESH IMP 11090X-12199 | $44,900 | $10,282 | $2,495 | $36,683 | 12 |
| C1767 | NEURSTM NREC 7755X-10082 | $42,000 | $9,618 | $22,260 | $34,314 | 2 |
| C1767 | NEURSTM NREC 7755X-10082 | $42,000 | $9,618 | $5,880 | $51,402 | 12 |
| C1820 | NEURSTM RECH 10082X-11090 | $42,000 | $9,618 | $22,260 | $34,314 | 2 |
| C1820 | NEURSTM RECH 10082X-11090 | $42,000 | $9,618 | $5,880 | $66,230 | 12 |
| C1813 | PENILE INFLAT 10082X-11090 | $40,919 | $9,370 | $21,687 | $33,431 | 2 |
| C1813 | PENILE INFLAT 10082X-11090 | $40,919 | $9,370 | $5,729 | $37,107 | 12 |
| 7901000687 | LITHOTRIPSY ESWL UNI | $39,744 | $9,101 | $21,064 | $32,471 | 2 |
| 7901000687 | LITHOTRIPSY ESWL UNI | $39,744 | $9,101 | $9,468 | $32,471 | 4 |
| J3101 | TENECTEPLASE 50MG INJ JW | $30,989 | $7,096 | $16,424 | $25,318 | 2 |
| J3101 | TENECTEPLASE 50MG INJ JW | $30,989 | $7,096 | $126 | $25,318 | 21 |
| J0630 | CALCITONIN 200IU/ML 2ML INJ | $27,572 | $6,314 | $14,613 | $22,526 | 2 |
| J0630 | CALCITONIN 200IU/ML 2ML INJ | $27,572 | $6,314 | $877 | $22,526 | 21 |
| C1748 | ENDOSCOPE UGI 2714X-3529 | $27,042 | $6,193 | $14,332 | $22,093 | 2 |
| C1748 | ENDOSCOPE UGI 2714X-3529 | $27,042 | $6,193 | $1,026 | $22,093 | 12 |
| 4501000023 | INS/REPL TEMP PACER ELECTRODE | $22,166 | $5,076 | $11,748 | $18,110 | 2 |
| 4501000023 | INS/REPL TEMP PACER ELECTRODE | $22,166 | $5,076 | $11,748 | $18,110 | 2 |
| 3611003051 | TRACHEOSTOMY PLANNED | $21,867 | $5,008 | $11,590 | $17,865 | 2 |
| 3611003051 | TRACHEOSTOMY PLANNED | $21,867 | $5,008 | $11,590 | $17,865 | 2 |
| 81340 | TRB AMPLIFICATION METHOD | $21,089 | $4,829 | $11,177 | $17,230 | 2 |
| 81340 | TRB AMPLIFICATION METHOD | $21,089 | $4,829 | $125 | $17,230 | 24 |
| 81342 | TRG EVAL ABNORM CLON POP | $21,089 | $4,829 | $11,177 | $17,230 | 2 |
| 81342 | TRG EVAL ABNORM CLON POP | $21,089 | $4,829 | $121 | $17,230 | 24 |
| C1874 | STENT COV W 2087X-2714 | $20,795 | $4,762 | $11,021 | $16,990 | 2 |
| C1874 | STENT COV W 2087X-2714 | $20,795 | $4,762 | $2,911 | $16,990 | 12 |
| J1162 | DIGOXIN IMMUN FAB 40MG PWD INJ | $20,145 | $4,613 | $10,677 | $16,458 | 2 |
| J1162 | DIGOXIN IMMUN FAB 40MG PWD INJ | $20,145 | $4,613 | $3,918 | $21,394 | 21 |
| 3611002374 | BX ADRENAL GLAND NDL PERC | $18,562 | $4,251 | $9,838 | $15,165 | 2 |
| 3611002374 | BX ADRENAL GLAND NDL PERC | $18,562 | $4,251 | $9,838 | $15,165 | 2 |
| J0716 | ANTIVEN CENTRUR 120MG/5ML SDV | $17,488 | $4,005 | $9,269 | $14,288 | 2 |
| J0716 | ANTIVEN CENTRUR 120MG/5ML SDV | $17,488 | $4,005 | $3,992 | $22,403 | 21 |
| Q4104 | BMWD 4X10IN 5965X-7755 | $17,150 | $3,927 | $9,090 | $14,012 | 2 |
| Q4104 | BMWD 4X10IN 5965X-7755 | $17,150 | $3,927 | $53.71 | $14,012 | 10 |
| 4501000042 | CV CATH LEVEL 3 | $15,604 | $3,573 | $8,270 | $12,748 | 2 |
| 4501000042 | CV CATH LEVEL 3 | $15,604 | $3,573 | $8,270 | $12,748 | 2 |
| 81519 | ONC BRST MRNA 21 GENE PRFILING | $15,328 | $3,510 | $8,124 | $12,523 | 2 |
| 81519 | ONC BRST MRNA 21 GENE PRFILING | $15,328 | $3,510 | $2,324 | $18,849 | 24 |
| 84999 | ONCOTYPE DX BREAST GENOMIC | $15,328 | $3,510 | $8,124 | $12,523 | 2 |
| 84999 | ONCOTYPE DX BREAST GENOMIC | $15,328 | $3,510 | $77.97 | $12,523 | 10 |
| J0875 | DALBAVANCIN LYOPH 500MG SDV JW | $15,198 | $3,480 | $8,055 | $12,417 | 2 |
| J0875 | DALBAVANCIN LYOPH 500MG SDV JW | $15,198 | $3,480 | $12.54 | $12,417 | 21 |
| 0037U | TRGT GENOMIC SEQ/DNA ANLS 324 | $15,141 | $3,467 | $8,025 | $12,370 | 2 |
| 0037U | TRGT GENOMIC SEQ/DNA ANLS 324 | $15,141 | $3,467 | $2,100 | $12,370 | 20 |
| Q4130 | STRATT 10X16CM 3529X-4588 | $15,064 | $3,450 | $7,984 | $12,307 | 2 |
| Q4130 | STRATT 10X16CM 3529X-4588 | $15,064 | $3,450 | $81.92 | $12,307 | 5 |
Showing top 50 of 11,939 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.