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
4,551
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4400059
—
PEGFILGRASTIM 6MG/0.6ML INJ
Gross
$19,254
4400102
—
DIGIFAB 40MG INJ
Gross
$13,797
4400026
—
LUPRON DEPOT 11.25MG
Gross
$9,276
4400065
—
RETAVASE KIT
Gross
$7,820
4604353
—
42182-REPR PALATE UP TO 2CM
Gross
$7,781
4401225
—
CALCITONIN 400 IU/2ML INJ
Gross
$7,165
3101023
—
36556 NON TUNNEL CENTRAL VENOUS L 5 YRS>
Gross
$6,427
3101027
—
36561-TUNNELED CVA DEVICE > 5 YRS
Gross
$6,427
4001405
—
OR LEVEL SIX 1 HR M
Gross
$5,500
4604109
—
24341-REPR TENDON/MUSCLE EA PRI OR SEC
Gross
$5,168
4604517
—
27650-REPR PRIM OPEN RUPTRD ACHILLES TN
Gross
$5,168
4428298
—
BIOARCH/ROD (WRIGHT MEDICAL)
Gross
$5,126
4307951
—
VONWILLEBRANDGENE
Gross
$5,000
4001404
—
OR LEVEL FIVE 1 HR M
Gross
$4,800
4604107
—
24000-ARTHROMY ELBOW EXPL/DRAIN REMV FB
Gross
$4,600
4604125
—
25260-REPR PRIM TEND/MUSCLE/WRST SINGLE
Gross
$4,600
4604555
—
25270-REPR SECND TEND/MUSCLE/WRIST SINGL
Gross
$4,600
4301112
—
ISOLATION OR EXTRACT
Gross
$4,563
4306088
—
BRC AVANTAGE, CONPREHENSIVE
Gross
$4,563
4307153
—
MOLECULAR EXTRACTION
Gross
$4,563
4307156
—
ENZYMATIC DIGESTION
Gross
$4,563
4307161
—
ISOLATION OF NUCLEIC
Gross
$4,563
4307162
—
AMPLIFICATION OF NUC
Gross
$4,563
4308081
—
REVERSE TRANCIPTION
Gross
$4,563
4604395
—
33210-INSERTION OF H
Gross
$4,532
4604284
—
49999-UNLISTED PROC ABDMN, PERITONM
Gross
$4,495
4604314
—
64831-SUTURE DIGITAL NERVE HAND/FOOT 1NR
Gross
$4,384
4604276
—
46040-I&D ISCH/REI RECTAL ABCESS
Gross
$4,309
4604193
—
28810-AMPUTATE METATARSAL, W/TOE SINGLE
Gross
$4,185
4001403
—
OR LEVEL FOUR 1H MIN
Gross
$4,100
4604283
—
49587-REPR UMBILICAL HRNIA INCARCTD/STRG
Gross
$4,044
4000406
—
MESH VENTRIO ST 15 X 25 HERNIA PATCH
Gross
$3,706
4604168
—
27752-TX CLSD TIBIA W/WO FIBLR FX W/WO T
Gross
$3,693
4604294
—
54001-SLIT PREPUCE DORSAL\LAT NOT NEWBN
Gross
$3,691
4231403
—
MRI BRAIN W/WO CONTRAST
Gross
$3,594
4601085
—
36590 REMOVAL TUNNELED CV CATH
Gross
$3,590
4604479
—
26350-REPR FLEXOR TEND PRIM/SEC WO GR EA
Gross
$3,548
4001402
—
OR LEVEL THREE 1HR M
Gross
$3,400
4604505
—
20525-REMV FB MUSCLE/TENDON DEEP/COMPL
Gross
$3,300
4604295
—
54700-I&D EPIDIDYMIS TESTIS SCROTAL SPAC
Gross
$3,296
4604538
—
21440-TX CLOSED MANDIBULAR/MAXIL FRACTUR
Gross
$3,291
4400105
—
AVONEX 30MCG KIT
Gross
$3,196
4604156
—
26951-AMPUTATE PHALANX PRIM/SEC SING CLO
Gross
$3,164
3101021
—
36569-NON TUNNELL PICC 5 YRS > OLDER
Gross
$3,157
3101026
—
36573-PICC >5 W/GUIDANCE
Gross
$3,157
4400056
—
LUPRON DEPOT 3.75MG
Gross
$3,105
4604182
—
28208-REPR TENDON/FOOT PRIM-SEC EA
Gross
$3,065
4604384
—
28020-ARTHROTOMY & EXPL/DRAIN/REMV FB
Gross
$3,065
4604079
—
19020 MASTOTOMY W EXPLOR DRNG ABCESS
Gross
$3,000
4604226
—
31530-LARYNGOSCPE DIRECT W FB REMOVAL
Gross
$2,997
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4400059 | PEGFILGRASTIM 6MG/0.6ML INJ | $19,254 | — | — | — | 0 |
| 4400102 | DIGIFAB 40MG INJ | $13,797 | — | — | — | 0 |
| 4400026 | LUPRON DEPOT 11.25MG | $9,276 | — | — | — | 0 |
| 4400065 | RETAVASE KIT | $7,820 | — | — | — | 0 |
| 4604353 | 42182-REPR PALATE UP TO 2CM | $7,781 | — | — | — | 0 |
| 4401225 | CALCITONIN 400 IU/2ML INJ | $7,165 | — | — | — | 0 |
| 3101023 | 36556 NON TUNNEL CENTRAL VENOUS L 5 YRS> | $6,427 | — | — | — | 0 |
| 3101027 | 36561-TUNNELED CVA DEVICE > 5 YRS | $6,427 | — | — | — | 0 |
| 4001405 | OR LEVEL SIX 1 HR M | $5,500 | — | — | — | 0 |
| 4604109 | 24341-REPR TENDON/MUSCLE EA PRI OR SEC | $5,168 | — | — | — | 0 |
| 4604517 | 27650-REPR PRIM OPEN RUPTRD ACHILLES TN | $5,168 | — | — | — | 0 |
| 4428298 | BIOARCH/ROD (WRIGHT MEDICAL) | $5,126 | — | — | — | 0 |
| 4307951 | VONWILLEBRANDGENE | $5,000 | — | — | — | 0 |
| 4001404 | OR LEVEL FIVE 1 HR M | $4,800 | — | — | — | 0 |
| 4604107 | 24000-ARTHROMY ELBOW EXPL/DRAIN REMV FB | $4,600 | — | — | — | 0 |
| 4604125 | 25260-REPR PRIM TEND/MUSCLE/WRST SINGLE | $4,600 | — | — | — | 0 |
| 4604555 | 25270-REPR SECND TEND/MUSCLE/WRIST SINGL | $4,600 | — | — | — | 0 |
| 4301112 | ISOLATION OR EXTRACT | $4,563 | — | — | — | 0 |
| 4306088 | BRC AVANTAGE, CONPREHENSIVE | $4,563 | — | — | — | 0 |
| 4307153 | MOLECULAR EXTRACTION | $4,563 | — | — | — | 0 |
| 4307156 | ENZYMATIC DIGESTION | $4,563 | — | — | — | 0 |
| 4307161 | ISOLATION OF NUCLEIC | $4,563 | — | — | — | 0 |
| 4307162 | AMPLIFICATION OF NUC | $4,563 | — | — | — | 0 |
| 4308081 | REVERSE TRANCIPTION | $4,563 | — | — | — | 0 |
| 4604395 | 33210-INSERTION OF H | $4,532 | — | — | — | 0 |
| 4604284 | 49999-UNLISTED PROC ABDMN, PERITONM | $4,495 | — | — | — | 0 |
| 4604314 | 64831-SUTURE DIGITAL NERVE HAND/FOOT 1NR | $4,384 | — | — | — | 0 |
| 4604276 | 46040-I&D ISCH/REI RECTAL ABCESS | $4,309 | — | — | — | 0 |
| 4604193 | 28810-AMPUTATE METATARSAL, W/TOE SINGLE | $4,185 | — | — | — | 0 |
| 4001403 | OR LEVEL FOUR 1H MIN | $4,100 | — | — | — | 0 |
| 4604283 | 49587-REPR UMBILICAL HRNIA INCARCTD/STRG | $4,044 | — | — | — | 0 |
| 4000406 | MESH VENTRIO ST 15 X 25 HERNIA PATCH | $3,706 | — | — | — | 0 |
| 4604168 | 27752-TX CLSD TIBIA W/WO FIBLR FX W/WO T | $3,693 | — | — | — | 0 |
| 4604294 | 54001-SLIT PREPUCE DORSAL\LAT NOT NEWBN | $3,691 | — | — | — | 0 |
| 4231403 | MRI BRAIN W/WO CONTRAST | $3,594 | — | — | — | 0 |
| 4601085 | 36590 REMOVAL TUNNELED CV CATH | $3,590 | — | — | — | 0 |
| 4604479 | 26350-REPR FLEXOR TEND PRIM/SEC WO GR EA | $3,548 | — | — | — | 0 |
| 4001402 | OR LEVEL THREE 1HR M | $3,400 | — | — | — | 0 |
| 4604505 | 20525-REMV FB MUSCLE/TENDON DEEP/COMPL | $3,300 | — | — | — | 0 |
| 4604295 | 54700-I&D EPIDIDYMIS TESTIS SCROTAL SPAC | $3,296 | — | — | — | 0 |
| 4604538 | 21440-TX CLOSED MANDIBULAR/MAXIL FRACTUR | $3,291 | — | — | — | 0 |
| 4400105 | AVONEX 30MCG KIT | $3,196 | — | — | — | 0 |
| 4604156 | 26951-AMPUTATE PHALANX PRIM/SEC SING CLO | $3,164 | — | — | — | 0 |
| 3101021 | 36569-NON TUNNELL PICC 5 YRS > OLDER | $3,157 | — | — | — | 0 |
| 3101026 | 36573-PICC >5 W/GUIDANCE | $3,157 | — | — | — | 0 |
| 4400056 | LUPRON DEPOT 3.75MG | $3,105 | — | — | — | 0 |
| 4604182 | 28208-REPR TENDON/FOOT PRIM-SEC EA | $3,065 | — | — | — | 0 |
| 4604384 | 28020-ARTHROTOMY & EXPL/DRAIN/REMV FB | $3,065 | — | — | — | 0 |
| 4604079 | 19020 MASTOTOMY W EXPLOR DRNG ABCESS | $3,000 | — | — | — | 0 |
| 4604226 | 31530-LARYNGOSCPE DIRECT W FB REMOVAL | $2,997 | — | — | — | 0 |
Showing top 50 of 4,551 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.