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
3,457
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
2781000878.0
—
MESH IMP 21611X-23772
Gross
$56,729
7901000688.0
—
LITHOTRIPSY ESWL BIL
Gross
$55,123
7901000687.0
—
LITHOTRIPSY ESWL UNI
Gross
$36,749
6380357.0
—
ALTEPLASE 100MG INJ JW
Gross
$32,623
2781000793.0
—
CONN TISS HUM11090X-12199
Gross
$29,111
6380515.0
—
RABIES IMM GLOB150IU/ML10ML JW
Gross
$28,831
2781000856.0
—
JOINT DEVICE 5965X-7755
Gross
$27,714
6321608.0
—
CALCITONIN 200IU/ML 2ML INJ
Gross
$27,572
6380426.0
—
TENECTEPLASE 50MG INJ JW
Gross
$24,620
6361562.0
—
PENTOBARBITAL 50MG/ML 50ML INJ
Gross
$21,821
6368971.0
—
DIGOXIN IMMUN FAB 40MG PWD INJ
Gross
$20,145
6380548.0
—
IG GAMUNEX 20GM INJ JW
Gross
$19,719
4501000023.0
—
INS/REPL TEMP PACER ELECTRODE
Gross
$19,519
6379352.0
—
IDARUCIZUMAB 2.5GM/50ML SDV
Gross
$17,850
6378362.0
—
ANTIVEN CENTRUR 120MG/5ML SDV
Gross
$17,488
3611002374.0
—
BX ADRENAL GLAND NDL PERC
Gross
$17,163
6361000726.0
—
BMWD 4X10IN 5965X-7755
Gross
$17,150
6380587.0
—
DALBAVANCIN LYOPH 500MG SDV JW
Gross
$15,198
3011002240.0
—
ONCOTYPE DX BREAST GENOMIC
Gross
$14,173
6380482.0
—
MITOMYCIN 40MG SDV JW
Gross
$13,967
4501000042.0
—
CV CATH LEVEL 3
Gross
$13,741
6381090.0
—
RABIES IG 300IU/ML 5ML SDVJW
Gross
$13,613
6380614.0
—
ARGATROB 250MG/2.5MLNONESRD JW
Gross
$12,911
6381025.0
—
ARGATROBAN 250MG/2.5ML ESRDJW
Gross
$12,911
6381580.0
—
ANTIVEN CROTALID 120MG/10MLSDV
Gross
$12,444
3611002375.0
—
BX BACK/FLNK SFT TIS DEEP
Gross
$11,924
3601002380.0
—
CHOLECYSTOSTOMY PERC
Gross
$11,883
3611000284.0
—
BIOPSY/EXC LYMPH NODE SUPERFIC
Gross
$11,264
7611000130.0
—
INS TUNNEL CV CATH WO PORT>5YR
Gross
$11,085
3601000685.0
—
SURGERY LEVEL 5 1ST 30MIN
Gross
$11,036
6380700.0
—
ONABOTULINUMTOXINA 200U SDV JW
Gross
$10,710
6380547.0
—
TOCILIZUMAB 20MG/ML 10MLINJ JW
Gross
$10,648
4501000027.0
—
CV CATH/PICC LEVEL 2
Gross
$10,171
2781000724.0
—
ANCHOR/SCREW 3529X-4588
Gross
$10,146
2781000741.0
—
BONE SUBSTITUTE3529X-4588
Gross
$10,146
2781000855.0
—
JOINT DEVICE 3529X-4588
Gross
$10,146
2781002621.0
—
PENILE INFLAT 3529X-4588
Gross
$10,146
6361000725.0
—
ARTHRFLX 4X7CM 3529X-4588
Gross
$10,146
6121000411.0
—
MR CERVICAL SPINE WO AND W CON
Gross
$10,126
4501000008.0
—
LACERATION REPAIR LEVEL 3
Gross
$10,102
4501000098.0
—
ER CRIT CARE 30-74 W/PROC
Gross
$9,067
6323513.0
—
NITROPRUSSIDE 50MG/2ML INJ
Gross
$8,986
6121000417.0
—
MR LUMBAR SPINE WO AND W CON
Gross
$8,944
4501000080.0
—
ER CRITICAL CARE 30-74MINS
Gross
$8,802
3611002370.0
—
I D PEL/HIP JOINT ABSCESS DEEP
Gross
$8,612
2721000840.0
—
INST/SUPP STERL1605X-2087
Gross
$8,307
2721000880.0
—
NEUROSTIM PROG 1605X-2087
Gross
$8,307
3601000683.0
—
SURGERY LEVEL 4 1ST 30MIN
Gross
$8,177
6380422.0
—
RABIES IMM GLOB150U 2ML INJ JW
Gross
$8,035
4501000033.0
—
TX FX/DISLOC LEVEL 3
Gross
$7,950
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2781000878.0 | MESH IMP 21611X-23772 | $56,729 | — | — | — | 0 |
| 7901000688.0 | LITHOTRIPSY ESWL BIL | $55,123 | — | — | — | 0 |
| 7901000687.0 | LITHOTRIPSY ESWL UNI | $36,749 | — | — | — | 0 |
| 6380357.0 | ALTEPLASE 100MG INJ JW | $32,623 | — | — | — | 0 |
| 2781000793.0 | CONN TISS HUM11090X-12199 | $29,111 | — | — | — | 0 |
| 6380515.0 | RABIES IMM GLOB150IU/ML10ML JW | $28,831 | — | — | — | 0 |
| 2781000856.0 | JOINT DEVICE 5965X-7755 | $27,714 | — | — | — | 0 |
| 6321608.0 | CALCITONIN 200IU/ML 2ML INJ | $27,572 | — | — | — | 0 |
| 6380426.0 | TENECTEPLASE 50MG INJ JW | $24,620 | — | — | — | 0 |
| 6361562.0 | PENTOBARBITAL 50MG/ML 50ML INJ | $21,821 | — | — | — | 0 |
| 6368971.0 | DIGOXIN IMMUN FAB 40MG PWD INJ | $20,145 | — | — | — | 0 |
| 6380548.0 | IG GAMUNEX 20GM INJ JW | $19,719 | — | — | — | 0 |
| 4501000023.0 | INS/REPL TEMP PACER ELECTRODE | $19,519 | — | — | — | 0 |
| 6379352.0 | IDARUCIZUMAB 2.5GM/50ML SDV | $17,850 | — | — | — | 0 |
| 6378362.0 | ANTIVEN CENTRUR 120MG/5ML SDV | $17,488 | — | — | — | 0 |
| 3611002374.0 | BX ADRENAL GLAND NDL PERC | $17,163 | — | — | — | 0 |
| 6361000726.0 | BMWD 4X10IN 5965X-7755 | $17,150 | — | — | — | 0 |
| 6380587.0 | DALBAVANCIN LYOPH 500MG SDV JW | $15,198 | — | — | — | 0 |
| 3011002240.0 | ONCOTYPE DX BREAST GENOMIC | $14,173 | — | — | — | 0 |
| 6380482.0 | MITOMYCIN 40MG SDV JW | $13,967 | — | — | — | 0 |
| 4501000042.0 | CV CATH LEVEL 3 | $13,741 | — | — | — | 0 |
| 6381090.0 | RABIES IG 300IU/ML 5ML SDVJW | $13,613 | — | — | — | 0 |
| 6380614.0 | ARGATROB 250MG/2.5MLNONESRD JW | $12,911 | — | — | — | 0 |
| 6381025.0 | ARGATROBAN 250MG/2.5ML ESRDJW | $12,911 | — | — | — | 0 |
| 6381580.0 | ANTIVEN CROTALID 120MG/10MLSDV | $12,444 | — | — | — | 0 |
| 3611002375.0 | BX BACK/FLNK SFT TIS DEEP | $11,924 | — | — | — | 0 |
| 3601002380.0 | CHOLECYSTOSTOMY PERC | $11,883 | — | — | — | 0 |
| 3611000284.0 | BIOPSY/EXC LYMPH NODE SUPERFIC | $11,264 | — | — | — | 0 |
| 7611000130.0 | INS TUNNEL CV CATH WO PORT>5YR | $11,085 | — | — | — | 0 |
| 3601000685.0 | SURGERY LEVEL 5 1ST 30MIN | $11,036 | — | — | — | 0 |
| 6380700.0 | ONABOTULINUMTOXINA 200U SDV JW | $10,710 | — | — | — | 0 |
| 6380547.0 | TOCILIZUMAB 20MG/ML 10MLINJ JW | $10,648 | — | — | — | 0 |
| 4501000027.0 | CV CATH/PICC LEVEL 2 | $10,171 | — | — | — | 0 |
| 2781000724.0 | ANCHOR/SCREW 3529X-4588 | $10,146 | — | — | — | 0 |
| 2781000741.0 | BONE SUBSTITUTE3529X-4588 | $10,146 | — | — | — | 0 |
| 2781000855.0 | JOINT DEVICE 3529X-4588 | $10,146 | — | — | — | 0 |
| 2781002621.0 | PENILE INFLAT 3529X-4588 | $10,146 | — | — | — | 0 |
| 6361000725.0 | ARTHRFLX 4X7CM 3529X-4588 | $10,146 | — | — | — | 0 |
| 6121000411.0 | MR CERVICAL SPINE WO AND W CON | $10,126 | — | — | — | 0 |
| 4501000008.0 | LACERATION REPAIR LEVEL 3 | $10,102 | — | — | — | 0 |
| 4501000098.0 | ER CRIT CARE 30-74 W/PROC | $9,067 | — | — | — | 0 |
| 6323513.0 | NITROPRUSSIDE 50MG/2ML INJ | $8,986 | — | — | — | 0 |
| 6121000417.0 | MR LUMBAR SPINE WO AND W CON | $8,944 | — | — | — | 0 |
| 4501000080.0 | ER CRITICAL CARE 30-74MINS | $8,802 | — | — | — | 0 |
| 3611002370.0 | I D PEL/HIP JOINT ABSCESS DEEP | $8,612 | — | — | — | 0 |
| 2721000840.0 | INST/SUPP STERL1605X-2087 | $8,307 | — | — | — | 0 |
| 2721000880.0 | NEUROSTIM PROG 1605X-2087 | $8,307 | — | — | — | 0 |
| 3601000683.0 | SURGERY LEVEL 4 1ST 30MIN | $8,177 | — | — | — | 0 |
| 6380422.0 | RABIES IMM GLOB150U 2ML INJ JW | $8,035 | — | — | — | 0 |
| 4501000033.0 | TX FX/DISLOC LEVEL 3 | $7,950 | — | — | — | 0 |
Showing top 50 of 3,457 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.