45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,537
Insurances with rates
9
CPT / HCPCS codes
0
Most expensive procedures (gross)
4250719
$16,352
ENTYVIO 300MG
Gross
$16,352
4120030
$8,553
XENO SKIN SUB 1ST 100 SQCM (T/A/L) (HIGH COST)
Gross
$8,553
4120026
$8,298
EPIDRM AUTOGRFT TRNK/ARM/LEG
Gross
$8,298
4120027
$5,033
EPIDRM A-GRFT FACE/NCK/HF/G
Gross
$5,033
3101007
$4,218
REMOVAL FOREIGN BODY, COMP
Gross
$4,218
3101008
$4,218
I&D HEMATOMA
Gross
$4,218
4120003
$4,218
I&D HEMATOMA SEROMA/FLUID COLLECTION
Gross
$4,218
3101014
$4,218
DEBRIDEMENT, BONE
Gross
$4,218
4120006
$4,218
DEB BONE 1ST 20 SQ CM
Gross
$4,218
3101016
$4,218
SKIN REM EXCIS 3.1-4.0CM
Gross
$4,218
4120028
$2,830
ALLOGENIC GRAFT (1ST 25 SQCM) T/A/L (HIGH COST)
Gross
$2,830
4120032
$2,830
ALLOGENIC SKIN SUB (F/NK/HF/G) (HIGH COST)
Gross
$2,830
4120034
$2,830
XENO SUB 1ST 100 SQCM (F/NK/HF,G) (HIGH COST)
Gross
$2,830
4120009
$2,323
DEBRID BONE EA ADDL 20 SQ CM
Gross
$2,323
4120029
$2,235
ALLOGENIC GRAFT (ADDT'L 25 SQCM) T/A/L (HIGH COST)
Gross
$2,235
4120031
$2,235
XENO SKIN SUB (T/A/L) EACH ADD 100SQCM (HIGH COST)
Gross
$2,235
4120033
$2,235
ALLOGENIC SKIN SUB (F/NK/HF/G) ADD'L (HIGH COST)
Gross
$2,235
4250720
$2,165
RENFLEXIS 100MG
Gross
$2,165
4120005
$1,888
DEB MUSCLE/FASCIA 1ST 20SQCM
Gross
$1,888
3101013
$1,888
DEBRIDEMENT TO MUSCLE/FASCIA
Gross
$1,888
3101032
$1,888
REPAIR SUP WOUND DEHISCENCE SIMPLE
Gross
$1,888
3101037
$1,888
INTERMED REPAIR 20.1-30.0CM
Gross
$1,888
3101040
$1,888
INTERMED REPAIR 7.6-12.5CM
Gross
$1,888
3101041
$1,888
INTERMED REPAIR 12.6-20.0CM
Gross
$1,888
3101042
$1,888
INTERMED REPAIR 20.1-30.0CM
Gross
$1,888
3101048
$1,888
COMPLEX REPAIR 2.6-7.5CM
Gross
$1,888
3101053
$1,888
COMPLEX REPAIR 1.1-2.5CM
Gross
$1,888
3101054
$1,888
COMPLEX REPAIR 2.6-7.5CM
Gross
$1,888
3101005
$1,809
PILONDIAL CYST
Gross
$1,809
3101011
$1,809
DEBRIDE SKIN AT FX SITE
Gross
$1,809
3101015
$1,809
SKIN REM EXCIS 2.1-3.0CM
Gross
$1,809
4120025
$1,567
SITE PREP 100SQ CM (TRUNK/ARM/LEG
Gross
$1,567
4253511
$1,560
REMDISIVIR 100MG
Gross
$1,560
3101010
$1,496
DBRDMNT OF ECZEMTS SKIN
Gross
$1,496
4120004
$1,059
DEB SUBCUT TISS 1ST 20SQCM
Gross
$1,059
3101000
$1,038
FINE NEEDLE ASPIRATION
Gross
$1,038
4120002
$1,038
I&D COMPLEX
Gross
$1,038
3101002
$1,038
I&D SIMPLE FURUNCLE
Gross
$1,038
3101003
$1,038
I&D SIMPLE SEBACEOUS CYST
Gross
$1,038
3101004
$1,038
I&D, MULTIPLE/COMPLICATED
Gross
$1,038
3101006
$1,038
REMOVAL FOREIGN BODY, SIM
Gross
$1,038
3101009
$1,038
PUNCTURE ASPIR OF ABSCESS
Gross
$1,038
3101012
$1,038
DEBRIDEMENT, SUBQ TISSUE
Gross
$1,038
3101017
$1,038
EXCISE MALIGNANT LESION 1.1-2CM
Gross
$1,038
3101021
$1,038
EXCISION NAIL AND MATRIX
Gross
$1,038
3101025
$1,038
SIMPL REPAIR 12.6CM-20.0CM
Gross
$1,038
3101026
$1,038
SIMPL REPAIR 20.1CM-30.0CM
Gross
$1,038
3101031
$1,038
SIMPL REPAIR FACE 20.1CM-30.0CM
Gross
$1,038
3101033
$1,038
INTERMED REPAIR 2.5CM OR LESS
Gross
$1,038
3101034
$1,038
INTERMED REPAIR 2.6-7.5CM
Gross
$1,038
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4250719 | ENTYVIO 300MG | $16,352 | $16,352 | — | — | 13 |
| 4120030 | XENO SKIN SUB 1ST 100 SQCM (T/A/L) (HIGH COST) | $8,553 | $8,553 | — | — | 16 |
| 4120026 | EPIDRM AUTOGRFT TRNK/ARM/LEG | $8,298 | $8,298 | — | — | 16 |
| 4120027 | EPIDRM A-GRFT FACE/NCK/HF/G | $5,033 | $5,033 | — | — | 16 |
| 3101007 | REMOVAL FOREIGN BODY, COMP | $4,218 | $4,218 | — | — | 16 |
| 3101008 | I&D HEMATOMA | $4,218 | $4,218 | — | — | 16 |
| 4120003 | I&D HEMATOMA SEROMA/FLUID COLLECTION | $4,218 | $4,218 | — | — | 16 |
| 3101014 | DEBRIDEMENT, BONE | $4,218 | $4,218 | — | — | 16 |
| 4120006 | DEB BONE 1ST 20 SQ CM | $4,218 | $4,218 | — | — | 16 |
| 3101016 | SKIN REM EXCIS 3.1-4.0CM | $4,218 | $4,218 | — | — | 16 |
| 4120028 | ALLOGENIC GRAFT (1ST 25 SQCM) T/A/L (HIGH COST) | $2,830 | $2,830 | — | — | 18 |
| 4120032 | ALLOGENIC SKIN SUB (F/NK/HF/G) (HIGH COST) | $2,830 | $2,830 | — | — | 17 |
| 4120034 | XENO SUB 1ST 100 SQCM (F/NK/HF,G) (HIGH COST) | $2,830 | $2,830 | — | — | 3 |
| 4120009 | DEBRID BONE EA ADDL 20 SQ CM | $2,323 | $2,323 | — | — | 14 |
| 4120029 | ALLOGENIC GRAFT (ADDT'L 25 SQCM) T/A/L (HIGH COST) | $2,235 | $2,235 | — | — | 15 |
| 4120031 | XENO SKIN SUB (T/A/L) EACH ADD 100SQCM (HIGH COST) | $2,235 | $2,235 | — | — | 14 |
| 4120033 | ALLOGENIC SKIN SUB (F/NK/HF/G) ADD'L (HIGH COST) | $2,235 | $2,235 | — | — | 14 |
| 4250720 | RENFLEXIS 100MG | $2,165 | $2,165 | — | — | 13 |
| 4120005 | DEB MUSCLE/FASCIA 1ST 20SQCM | $1,888 | $1,888 | — | — | 16 |
| 3101013 | DEBRIDEMENT TO MUSCLE/FASCIA | $1,888 | $1,888 | — | — | 16 |
| 3101032 | REPAIR SUP WOUND DEHISCENCE SIMPLE | $1,888 | $1,888 | — | — | 16 |
| 3101037 | INTERMED REPAIR 20.1-30.0CM | $1,888 | $1,888 | — | — | 16 |
| 3101040 | INTERMED REPAIR 7.6-12.5CM | $1,888 | $1,888 | — | — | 16 |
| 3101041 | INTERMED REPAIR 12.6-20.0CM | $1,888 | $1,888 | — | — | 16 |
| 3101042 | INTERMED REPAIR 20.1-30.0CM | $1,888 | $1,888 | — | — | 16 |
| 3101048 | COMPLEX REPAIR 2.6-7.5CM | $1,888 | $1,888 | — | — | 16 |
| 3101053 | COMPLEX REPAIR 1.1-2.5CM | $1,888 | $1,888 | — | — | 16 |
| 3101054 | COMPLEX REPAIR 2.6-7.5CM | $1,888 | $1,888 | — | — | 16 |
| 3101005 | PILONDIAL CYST | $1,809 | $1,809 | — | — | 16 |
| 3101011 | DEBRIDE SKIN AT FX SITE | $1,809 | $1,809 | — | — | 16 |
| 3101015 | SKIN REM EXCIS 2.1-3.0CM | $1,809 | $1,809 | — | — | 16 |
| 4120025 | SITE PREP 100SQ CM (TRUNK/ARM/LEG | $1,567 | $1,567 | — | — | 16 |
| 4253511 | REMDISIVIR 100MG | $1,560 | $1,560 | — | — | 13 |
| 3101010 | DBRDMNT OF ECZEMTS SKIN | $1,496 | $1,496 | — | — | 16 |
| 4120004 | DEB SUBCUT TISS 1ST 20SQCM | $1,059 | $1,059 | — | — | 19 |
| 3101000 | FINE NEEDLE ASPIRATION | $1,038 | $1,038 | — | — | 16 |
| 4120002 | I&D COMPLEX | $1,038 | $1,038 | — | — | 16 |
| 3101002 | I&D SIMPLE FURUNCLE | $1,038 | $1,038 | — | — | 16 |
| 3101003 | I&D SIMPLE SEBACEOUS CYST | $1,038 | $1,038 | — | — | 16 |
| 3101004 | I&D, MULTIPLE/COMPLICATED | $1,038 | $1,038 | — | — | 16 |
| 3101006 | REMOVAL FOREIGN BODY, SIM | $1,038 | $1,038 | — | — | 16 |
| 3101009 | PUNCTURE ASPIR OF ABSCESS | $1,038 | $1,038 | — | — | 16 |
| 3101012 | DEBRIDEMENT, SUBQ TISSUE | $1,038 | $1,038 | — | — | 19 |
| 3101017 | EXCISE MALIGNANT LESION 1.1-2CM | $1,038 | $1,038 | — | — | 16 |
| 3101021 | EXCISION NAIL AND MATRIX | $1,038 | $1,038 | — | — | 16 |
| 3101025 | SIMPL REPAIR 12.6CM-20.0CM | $1,038 | $1,038 | — | — | 16 |
| 3101026 | SIMPL REPAIR 20.1CM-30.0CM | $1,038 | $1,038 | — | — | 16 |
| 3101031 | SIMPL REPAIR FACE 20.1CM-30.0CM | $1,038 | $1,038 | — | — | 16 |
| 3101033 | INTERMED REPAIR 2.5CM OR LESS | $1,038 | $1,038 | — | — | 16 |
| 3101034 | INTERMED REPAIR 2.6-7.5CM | $1,038 | $1,038 | — | — | 16 |
Showing top 50 of 1,537 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.