45 CFR § 180 compliance
B · 85
This hospital published most 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
1,847
Insurances with rates
42
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
398
$38,687
APPENDIX PROCEDURES WITH CC
Gross
$59,518
602
$27,147
CELLULITIS WITH MCC
Gross
$41,765
399
$20,498
APPENDIX PROCEDURES WITHOUT CC/MCC
Gross
$31,535
RX-79826
$17,218
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$26,489
309
$16,095
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
Gross
$24,762
949
$13,196
AFTERCARE WITH CC/MCC
Gross
$20,301
RX-181938
$13,072
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT
Gross
$20,110
603
$12,846
CELLULITIS WITHOUT MCC
Gross
$19,763
560
$12,831
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
Gross
$19,739
896
$11,342
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
Gross
$17,449
191
$9,866
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
Gross
$15,178
190
$9,208
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
Gross
$14,165
SUP-150443
$8,993
AUGMENT TIB OSS 20X79/83 150443
Gross
$13,836
RX-79456
$8,609
ALTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$13,245
202
$8,306
BRONCHITIS AND ASTHMA WITH CC/MCC
Gross
$12,779
561
$7,807
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
Gross
$12,011
SUP-6276-3-005
$7,285
BODY BROACHED #5 6276-3-005
Gross
$11,208
433
$7,071
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
Gross
$10,879
554
$7,039
BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
Gross
$10,829
RX-89931
$6,949
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION
Gross
$10,691
308
$6,495
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
Gross
$9,992
897
$6,247
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
Gross
$9,610
SUP-211229
$6,019
AUGMENT CMPRHNSV SRS MOD RGNRX LG 211229
Gross
$9,260
SUP-211228
$6,019
AUGMENT CMPRHNSV SRS MOD RGNRX SM 211228
Gross
$9,260
SUP-00578601314
$5,721
COMP FEM AP LT LG 14MM 00-5786-013-14
Gross
$8,802
SUP-98000800209
$5,571
CMNT KNEE 2 - MERCY CAP 98000800209
Gross
$8,570
SUP-98000800208
$4,576
CMNT KNEE 1 - MERCY CAP 98000800208
Gross
$7,040
SUP-6495-2-115
$3,949
AXLE GMRS F/ SM DIST FEM COMP 6495-2-115
Gross
$6,076
SUP-00800500300
$3,574
CAGE ZCA RECON 58X54MM LT 800500300
Gross
$5,498
SUP-00800500400
$3,574
CAGE ZCA RECON 58X54MM RT 800500400
Gross
$5,498
SUP-00800500600
$3,574
CAGE ZCA RECON 64X60MM RT 800500600
Gross
$5,498
RX-87808
$3,498
BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION
Gross
$5,382
SUP-00587603922
$3,332
AUGMENT PATELLA CKS LG 22MM 00-5876-039-22
Gross
$5,126
SUP-00587603919
$3,332
AUGMENT PATELLA CKS LG 19MM 00-5876-039-19
Gross
$5,126
SUP-00587603619
$3,332
AUGMENT PATELLA CKS MED 19MM 00-5876-036-19
Gross
$5,126
SUP-00587603622
$3,332
AUGMENT PATELLA CKS MED 22MM 00-5876-036-22
Gross
$5,126
RX-95440
$2,962
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION
Gross
$4,556
SUP-154601
$2,906
BEARING UNI FEM OXFORD MED 154601
Gross
$4,470
SUP-154602
$2,906
BEARING UNI FEM OXFORD LG 154602
Gross
$4,470
SUP-154603
$2,906
BEARING UNI FEM OXFORD XLG 154603
Gross
$4,470
SUP-00-5988-003-00
$2,860
AUGMENT TIB NEXGEN BLK 00-5988-003-00
Gross
$4,400
SUP-00-5988-004-00
$2,860
AUGMENT TIB NEXGEN BLK 00-5988-004-00
Gross
$4,400
SUP-00-4894-050-10
$2,842
AUGMENT ACE TM 50X10MM 00-4894-050-10
Gross
$4,372
SUP-489405015
$2,842
AUGMENT ACE TM 50X15MM 00-4894-050-15
Gross
$4,372
SUP-489405020
$2,842
AUGMENT ACE TM 50X20MM 00-4894-050-20
Gross
$4,372
SUP-489405420
$2,842
AUGMENT ACE TM 54X20MM 00-4894-054-20
Gross
$4,372
SUP-489405410
$2,842
AUGMENT ACE TM 54X10MM 00-4894-054-10
Gross
$4,372
SUP-00-4894-070-10
$2,842
AUGMENT ACE TM 70X10MM 00-4894-070-10
Gross
$4,372
SUP-6720-19-103
$2,802
ART SURF NKII REV CNSTR 6720-19-103
Gross
$4,310
SUP-6725-19-101
$2,802
ART SURF NKII REV CRK PS 6725-19-101
Gross
$4,310
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 398 | APPENDIX PROCEDURES WITH CC | $59,518 | $38,687 | — | — | 66 |
| 602 | CELLULITIS WITH MCC | $41,765 | $27,147 | — | — | 66 |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $31,535 | $20,498 | — | — | 66 |
| RX-79826 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $26,489 | $17,218 | — | — | 118 |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $24,762 | $16,095 | — | — | 40 |
| 949 | AFTERCARE WITH CC/MCC | $20,301 | $13,196 | — | — | 60 |
| RX-181938 | CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT | $20,110 | $13,072 | — | — | 117 |
| 603 | CELLULITIS WITHOUT MCC | $19,763 | $12,846 | — | — | 67 |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,739 | $12,831 | — | — | 66 |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,449 | $11,342 | — | — | 65 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $15,178 | $9,866 | — | — | 67 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,165 | $9,208 | — | — | 67 |
| SUP-150443 | AUGMENT TIB OSS 20X79/83 150443 | $13,836 | $8,993 | — | — | 103 |
| RX-79456 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $13,245 | $8,609 | — | — | 118 |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,779 | $8,306 | — | — | 67 |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,011 | $7,807 | — | — | 60 |
| SUP-6276-3-005 | BODY BROACHED #5 6276-3-005 | $11,208 | $7,285 | — | — | 105 |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,879 | $7,071 | — | — | 67 |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,829 | $7,039 | — | — | 60 |
| RX-89931 | BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $10,691 | $6,949 | — | — | 236 |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,992 | $6,495 | — | — | 67 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,610 | $6,247 | — | — | 65 |
| SUP-211229 | AUGMENT CMPRHNSV SRS MOD RGNRX LG 211229 | $9,260 | $6,019 | — | — | 103 |
| SUP-211228 | AUGMENT CMPRHNSV SRS MOD RGNRX SM 211228 | $9,260 | $6,019 | — | — | 103 |
| SUP-00578601314 | COMP FEM AP LT LG 14MM 00-5786-013-14 | $8,802 | $5,721 | — | — | 33 |
| SUP-98000800209 | CMNT KNEE 2 - MERCY CAP 98000800209 | $8,570 | $5,571 | — | — | 103 |
| SUP-98000800208 | CMNT KNEE 1 - MERCY CAP 98000800208 | $7,040 | $4,576 | — | — | 103 |
| SUP-6495-2-115 | AXLE GMRS F/ SM DIST FEM COMP 6495-2-115 | $6,076 | $3,949 | — | — | 103 |
| SUP-00800500300 | CAGE ZCA RECON 58X54MM LT 800500300 | $5,498 | $3,574 | — | — | 103 |
| SUP-00800500400 | CAGE ZCA RECON 58X54MM RT 800500400 | $5,498 | $3,574 | — | — | 103 |
| SUP-00800500600 | CAGE ZCA RECON 64X60MM RT 800500600 | $5,498 | $3,574 | — | — | 103 |
| RX-87808 | BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION | $5,382 | $3,498 | — | — | 114 |
| SUP-00587603922 | AUGMENT PATELLA CKS LG 22MM 00-5876-039-22 | $5,126 | $3,332 | — | — | 103 |
| SUP-00587603919 | AUGMENT PATELLA CKS LG 19MM 00-5876-039-19 | $5,126 | $3,332 | — | — | 103 |
| SUP-00587603619 | AUGMENT PATELLA CKS MED 19MM 00-5876-036-19 | $5,126 | $3,332 | — | — | 103 |
| SUP-00587603622 | AUGMENT PATELLA CKS MED 22MM 00-5876-036-22 | $5,126 | $3,332 | — | — | 103 |
| RX-95440 | ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION | $4,556 | $2,962 | — | — | 118 |
| SUP-154601 | BEARING UNI FEM OXFORD MED 154601 | $4,470 | $2,906 | — | — | 103 |
| SUP-154602 | BEARING UNI FEM OXFORD LG 154602 | $4,470 | $2,906 | — | — | 103 |
| SUP-154603 | BEARING UNI FEM OXFORD XLG 154603 | $4,470 | $2,906 | — | — | 103 |
| SUP-00-5988-003-00 | AUGMENT TIB NEXGEN BLK 00-5988-003-00 | $4,400 | $2,860 | — | — | 103 |
| SUP-00-5988-004-00 | AUGMENT TIB NEXGEN BLK 00-5988-004-00 | $4,400 | $2,860 | — | — | 103 |
| SUP-00-4894-050-10 | AUGMENT ACE TM 50X10MM 00-4894-050-10 | $4,372 | $2,842 | — | — | 103 |
| SUP-489405015 | AUGMENT ACE TM 50X15MM 00-4894-050-15 | $4,372 | $2,842 | — | — | 103 |
| SUP-489405020 | AUGMENT ACE TM 50X20MM 00-4894-050-20 | $4,372 | $2,842 | — | — | 103 |
| SUP-489405420 | AUGMENT ACE TM 54X20MM 00-4894-054-20 | $4,372 | $2,842 | — | — | 103 |
| SUP-489405410 | AUGMENT ACE TM 54X10MM 00-4894-054-10 | $4,372 | $2,842 | — | — | 103 |
| SUP-00-4894-070-10 | AUGMENT ACE TM 70X10MM 00-4894-070-10 | $4,372 | $2,842 | — | — | 103 |
| SUP-6720-19-103 | ART SURF NKII REV CNSTR 6720-19-103 | $4,310 | $2,802 | — | — | 103 |
| SUP-6725-19-101 | ART SURF NKII REV CRK PS 6725-19-101 | $4,310 | $2,802 | — | — | 103 |
Showing top 50 of 1,847 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.