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
6,726
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
9998882
—
BULL2
Gross
$98,765
4607040
—
64590 IMPLANT PERIPHERAL SKIN GENERATOR
Gross
$45,973
4400025
—
LR + 20 MEQ KCL/L 1000ML
Gross
$30,930
4604616
—
63685-IMPLANT NEURORECIEVER STIMULTR
Gross
$25,849
4402887
—
AVONEX 30MCG/0.5ML
Gross
$23,844
9998881
—
BULL2
Gross
$23,457
9998880
—
BULL
Gross
$20,000
4400059
—
PEGFILGRASTIM 6MG/0.6ML INJ
Gross
$19,254
4607036
—
64575 INCISION FOR PERIPHERAL N LEAD TRI
Gross
$18,000
4607044
—
62362-IMPLANATION/REPLACEMENT OF PROGRAM
Gross
$18,000
4005954
—
PENILE IMPLANT INFLA
Gross
$17,700
4400102
—
DIGIFAB 40MG VL
Gross
$13,797
4400003
—
D5LR+15UNITS PIT 250
Gross
$9,413
4604678
—
63650-1MP NEUROELECTRODES (LEADS)
Gross
$8,615
4273119
—
LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE
Gross
$8,557
4004765
—
SEALER/DIVIDER LEGASURE LAPAROSCOPIC
Gross
$8,415
4401225
—
CALCITONIN 400 IU/2ML INJ
Gross
$8,221
4604353
—
42182-REPR PALATE UP TO 2CMOVER 2CM/COMP
Gross
$7,781
4402724
—
DOCETAXEL 160MG/16ML
Gross
$7,591
4402700
—
ALKERNAN 50MG PWVL
Gross
$7,519
4402896
—
BENDEKA 100MG/4MLMDV
Gross
$7,421
4402805
—
NIPENT 10MG/5ML SOLR
Gross
$7,317
4157405
—
47531 XR CHOLANGIO INJ EST &/OR PANC
Gross
$7,143
4157406
—
47532 XR CHOLANGIOGRAM INJ NEW
Gross
$7,143
4604615
—
63663-REVISE SPINE ELTRD PERQ ARAY
Gross
$6,940
4000557
—
4 X 8 GRAFT JACKET KCI
Gross
$6,813
4429957
—
GRAFT, VASCULAR RING (GORE)
Gross
$6,640
4008819
—
KNEE, TOTAL SYSTEM
Gross
$6,578
4000442
—
GRAFT JACKET 442
Gross
$6,443
3101022
—
36555-NON TUNNEL CENTRAL VENOUS < 5YRS
Gross
$6,427
4604566
—
36556-NON TUNNEL CVL 5 YRS > OLDER
Gross
$6,427
4006000
—
GREEN LIGHT LASER
Gross
$6,400
4005181
—
STEM IMPLANT
Gross
$6,269
4000292
—
PRI MATRIX PERFORATED STRYKER 8 CM X 8CM
Gross
$6,201
4607035
—
64581 INCISION FOR IMPLANT NEUROSTIMULAT
Gross
$6,000
4607037
—
64555 PERC IMPLANT LEAD
Gross
$6,000
4607043
—
62350 IMPLANT REVISE OR RESPOSITION INTR
Gross
$6,000
4607049
—
20251 BX LUMBAR OR CERV VERT BODY/HEAD
Gross
$6,000
4001429
—
C-SECTION FOR MULTIPLE BIRTHS
Gross
$5,960
4400026
—
LUPRON DEPOT 11.25 MG
Gross
$5,881
4400056
—
LEUPROLIDE DEPOT 3.75 MG
Gross
$5,881
4000412
—
BONE HYDROSET 10 CC
Gross
$5,842
4400015
—
LEUPROLIDE ACETATE 22.5MG INJ
Gross
$5,840
4138050
—
LD VAGINAL DELIVERY AFTER CESAREAN
Gross
$5,800
4009174
—
IMPLANT, MESH, SURGI 26 CM
Gross
$5,579
4138049
—
LD VAG DEL MULTI COM
Gross
$5,553
4138046
—
LD VAG DEL MUL UN-CO
Gross
$5,525
4001405
—
OR LEVEL SIX 1 HOUR
Gross
$5,500
4007978
—
GRAFT, SURGISIS EXL
Gross
$5,375
4401818
—
ISUPREL 1MG/5ML
Gross
$5,370
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 9998882 | BULL2 | $98,765 | — | — | — | 0 |
| 4607040 | 64590 IMPLANT PERIPHERAL SKIN GENERATOR | $45,973 | — | — | — | 0 |
| 4400025 | LR + 20 MEQ KCL/L 1000ML | $30,930 | — | — | — | 0 |
| 4604616 | 63685-IMPLANT NEURORECIEVER STIMULTR | $25,849 | — | — | — | 0 |
| 4402887 | AVONEX 30MCG/0.5ML | $23,844 | — | — | — | 0 |
| 9998881 | BULL2 | $23,457 | — | — | — | 0 |
| 9998880 | BULL | $20,000 | — | — | — | 0 |
| 4400059 | PEGFILGRASTIM 6MG/0.6ML INJ | $19,254 | — | — | — | 0 |
| 4607036 | 64575 INCISION FOR PERIPHERAL N LEAD TRI | $18,000 | — | — | — | 0 |
| 4607044 | 62362-IMPLANATION/REPLACEMENT OF PROGRAM | $18,000 | — | — | — | 0 |
| 4005954 | PENILE IMPLANT INFLA | $17,700 | — | — | — | 0 |
| 4400102 | DIGIFAB 40MG VL | $13,797 | — | — | — | 0 |
| 4400003 | D5LR+15UNITS PIT 250 | $9,413 | — | — | — | 0 |
| 4604678 | 63650-1MP NEUROELECTRODES (LEADS) | $8,615 | — | — | — | 0 |
| 4273119 | LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE | $8,557 | — | — | — | 0 |
| 4004765 | SEALER/DIVIDER LEGASURE LAPAROSCOPIC | $8,415 | — | — | — | 0 |
| 4401225 | CALCITONIN 400 IU/2ML INJ | $8,221 | — | — | — | 0 |
| 4604353 | 42182-REPR PALATE UP TO 2CMOVER 2CM/COMP | $7,781 | — | — | — | 0 |
| 4402724 | DOCETAXEL 160MG/16ML | $7,591 | — | — | — | 0 |
| 4402700 | ALKERNAN 50MG PWVL | $7,519 | — | — | — | 0 |
| 4402896 | BENDEKA 100MG/4MLMDV | $7,421 | — | — | — | 0 |
| 4402805 | NIPENT 10MG/5ML SOLR | $7,317 | — | — | — | 0 |
| 4157405 | 47531 XR CHOLANGIO INJ EST &/OR PANC | $7,143 | — | — | — | 0 |
| 4157406 | 47532 XR CHOLANGIOGRAM INJ NEW | $7,143 | — | — | — | 0 |
| 4604615 | 63663-REVISE SPINE ELTRD PERQ ARAY | $6,940 | — | — | — | 0 |
| 4000557 | 4 X 8 GRAFT JACKET KCI | $6,813 | — | — | — | 0 |
| 4429957 | GRAFT, VASCULAR RING (GORE) | $6,640 | — | — | — | 0 |
| 4008819 | KNEE, TOTAL SYSTEM | $6,578 | — | — | — | 0 |
| 4000442 | GRAFT JACKET 442 | $6,443 | — | — | — | 0 |
| 3101022 | 36555-NON TUNNEL CENTRAL VENOUS < 5YRS | $6,427 | — | — | — | 0 |
| 4604566 | 36556-NON TUNNEL CVL 5 YRS > OLDER | $6,427 | — | — | — | 0 |
| 4006000 | GREEN LIGHT LASER | $6,400 | — | — | — | 0 |
| 4005181 | STEM IMPLANT | $6,269 | — | — | — | 0 |
| 4000292 | PRI MATRIX PERFORATED STRYKER 8 CM X 8CM | $6,201 | — | — | — | 0 |
| 4607035 | 64581 INCISION FOR IMPLANT NEUROSTIMULAT | $6,000 | — | — | — | 0 |
| 4607037 | 64555 PERC IMPLANT LEAD | $6,000 | — | — | — | 0 |
| 4607043 | 62350 IMPLANT REVISE OR RESPOSITION INTR | $6,000 | — | — | — | 0 |
| 4607049 | 20251 BX LUMBAR OR CERV VERT BODY/HEAD | $6,000 | — | — | — | 0 |
| 4001429 | C-SECTION FOR MULTIPLE BIRTHS | $5,960 | — | — | — | 0 |
| 4400026 | LUPRON DEPOT 11.25 MG | $5,881 | — | — | — | 0 |
| 4400056 | LEUPROLIDE DEPOT 3.75 MG | $5,881 | — | — | — | 0 |
| 4000412 | BONE HYDROSET 10 CC | $5,842 | — | — | — | 0 |
| 4400015 | LEUPROLIDE ACETATE 22.5MG INJ | $5,840 | — | — | — | 0 |
| 4138050 | LD VAGINAL DELIVERY AFTER CESAREAN | $5,800 | — | — | — | 0 |
| 4009174 | IMPLANT, MESH, SURGI 26 CM | $5,579 | — | — | — | 0 |
| 4138049 | LD VAG DEL MULTI COM | $5,553 | — | — | — | 0 |
| 4138046 | LD VAG DEL MUL UN-CO | $5,525 | — | — | — | 0 |
| 4001405 | OR LEVEL SIX 1 HOUR | $5,500 | — | — | — | 0 |
| 4007978 | GRAFT, SURGISIS EXL | $5,375 | — | — | — | 0 |
| 4401818 | ISUPREL 1MG/5ML | $5,370 | — | — | — | 0 |
Showing top 50 of 6,726 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.