45 CFR § 180 compliance
C · 70
This hospital published part 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
12,212
Insurances with rates
42
CPT / HCPCS codes
7,785
Source MRF
Most expensive procedures (gross)
6080136
$92,121
MACI IMP 42112X-46323
Gross
$131,602
A9543
$69,999
Y90 IBRITUMMAB TX TO 40MC
Gross
$99,999
4720217
$44,510
REV NEUROELECTRODE LAMIN
Gross
$63,585
6050814
$40,040
CLOSURE IMPL 17861X-19647
Gross
$57,200
Q4104
$27,348
BMWD 8X10IN 12199X-13419
Gross
$39,068
77372
$26,209
SRS LINEAR ACC CMP 1 SESS
Gross
$37,442
C1767
$24,861
NEURSTM NREC 11090X-12199
Gross
$35,516
C1776
$24,861
JOINT DEVICE 11090X-12199
Gross
$35,516
C1820
$24,861
NEURSTM RECH 11090X-12199
Gross
$35,516
Q4110
$22,602
PRIMATR10X25 10082X-11090
Gross
$32,288
8780495
$21,451
OCC/EMB NON HEMORR VENOUS
Gross
$30,644
8780496
$21,451
OCC/EMB NON HEMORR ART
Gross
$30,644
8780497
$21,451
OCC/EMB TUMOR/ORGAN INFAR
Gross
$30,644
8780498
$21,451
OCC/EMB HEMORRHAG/LYMPH
Gross
$30,644
J2350
$20,475
OCRELIZ 300MG/10MLSDVJGJW
Gross
$29,250
C1772
$19,041
INF PUMP PRG 7755X-10082
Gross
$27,202
75002
$18,909
ROOM ICU BURN 1:1
Gross
$27,013
95000
$18,909
ROOM ICU BURN
Gross
$27,013
515296
$16,482
LAC RPR LEVEL 3
Gross
$23,545
8733534
$14,783
RPR AOR ENVS BI ILIAC OTH
Gross
$21,119
8733535
$14,783
RPR AOR ENVS BI ILIAC RUP
Gross
$21,119
6050811
$14,646
INST/SUPP STERL5965X-7755
Gross
$20,923
C2622
$14,646
PENILE NONINFL 5965X-7755
Gross
$20,923
C9358
$14,646
SURGIM1 10X15 5965X-7755
Gross
$20,923
Q4105
$14,646
INTEGRA 4X5 5965X-7755
Gross
$20,923
Q4116
$14,646
ALLODERM 12X20 5965X-7755
Gross
$20,923
8733530
$14,581
RPR AOR ENVS AORTC TB OTH
Gross
$20,830
8733531
$14,581
RPR AOR ENVS AORTC TB RUP
Gross
$20,830
J9043
$14,543
CABAZIT 60MG/1.5MLSDVJWJG
Gross
$20,775
4720216
$14,363
REVISE NEUROELECTRODE
Gross
$20,518
525620
$14,195
TX FX/DISLOC LEVEL 3
Gross
$20,279
515387
$14,181
REMOVE FB/IMPLANT LEVEL 3
Gross
$20,258
J1744
$14,046
ICATIBANT 30MG/3ML PFS
Gross
$20,066
8780507
$13,955
VERTEB AUGM THORAC W IMAG
Gross
$19,936
8780508
$13,955
VERTEB AUGM LUMBAR W IMAG
Gross
$19,936
8780509
$13,955
VERTEB AUGM EA ADD W IMAG
Gross
$19,936
8749665
$13,411
ENDOVAS TEMP OCCL VES BAL
Gross
$19,158
8780491
$13,221
STNT PLC TRANSCTH ART INI
Gross
$18,887
8780493
$13,221
STNT PLC TRANSC VEIN INI
Gross
$18,887
515494
$12,980
OB/GYN PROCEDURE LEVEL 3
Gross
$18,543
75010
$12,252
ROOM ICU GEN 1:1
Gross
$17,503
78055
$12,252
ROOM CCU GEN 1:1
Gross
$17,503
81075
$12,252
ROOM ICU GENERAL
Gross
$17,503
88054
$12,252
ROOM CCU GENERAL
Gross
$17,503
81000
$11,895
ROOM ICU GENERAL
Gross
$16,993
8733532
$11,827
RPR AOR ENV UNI ILIAC OTH
Gross
$16,896
8733533
$11,827
RPR AOR ENV UNI ILIAC RUP
Gross
$16,896
8749368
$11,609
FACET JT NRV C/T DEST BIL
Gross
$16,584
8770172
$11,510
THROMB DIALY CIRC IVAS ST
Gross
$16,443
8770173
$11,510
ANGIO BLN CENT DIALY SEG
Gross
$16,443
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6080136 | MACI IMP 42112X-46323 | $131,602 | $92,121 | $18,215 | $131,602 | 22 |
| A9543 | Y90 IBRITUMMAB TX TO 40MC | $99,999 | $69,999 | $56,414 | $203,083 | 34 |
| 4720217 | REV NEUROELECTRODE LAMIN | $63,585 | $44,510 | $38,151 | $63,585 | 7 |
| 6050814 | CLOSURE IMPL 17861X-19647 | $57,200 | $40,040 | $14,300 | $57,200 | 22 |
| Q4104 | BMWD 8X10IN 12199X-13419 | $39,068 | $27,348 | $11.87 | $39,068 | 27 |
| 77372 | SRS LINEAR ACC CMP 1 SESS | $37,442 | $26,209 | $806 | $37,442 | 37 |
| C1767 | NEURSTM NREC 11090X-12199 | $35,516 | $24,861 | $8,879 | $35,516 | 22 |
| C1776 | JOINT DEVICE 11090X-12199 | $35,516 | $24,861 | $8,879 | $35,516 | 22 |
| C1820 | NEURSTM RECH 11090X-12199 | $35,516 | $24,861 | $8,879 | $35,516 | 22 |
| Q4110 | PRIMATR10X25 10082X-11090 | $32,288 | $22,602 | $48.84 | $32,288 | 27 |
| 8780495 | OCC/EMB NON HEMORR VENOUS | $30,644 | $21,451 | $18,386 | $30,644 | 5 |
| 8780496 | OCC/EMB NON HEMORR ART | $30,644 | $21,451 | $18,386 | $30,644 | 5 |
| 8780497 | OCC/EMB TUMOR/ORGAN INFAR | $30,644 | $21,451 | $18,386 | $30,644 | 5 |
| 8780498 | OCC/EMB HEMORRHAG/LYMPH | $30,644 | $21,451 | $18,386 | $30,644 | 5 |
| J2350 | OCRELIZ 300MG/10MLSDVJGJW | $29,250 | $20,475 | $63.04 | $29,250 | 35 |
| C1772 | INF PUMP PRG 7755X-10082 | $27,202 | $19,041 | $6,801 | $27,202 | 22 |
| 75002 | ROOM ICU BURN 1:1 | $27,013 | $18,909 | $20,530 | $24,963 | 6 |
| 95000 | ROOM ICU BURN | $27,013 | $18,909 | $20,530 | $24,963 | 6 |
| 515296 | LAC RPR LEVEL 3 | $23,545 | $16,482 | $3,318 | $23,545 | 19 |
| 8733534 | RPR AOR ENVS BI ILIAC OTH | $21,119 | $14,783 | $12,671 | $21,119 | 5 |
| 8733535 | RPR AOR ENVS BI ILIAC RUP | $21,119 | $14,783 | $12,671 | $21,119 | 5 |
| 6050811 | INST/SUPP STERL5965X-7755 | $20,923 | $14,646 | $12,554 | $20,923 | 4 |
| C2622 | PENILE NONINFL 5965X-7755 | $20,923 | $14,646 | $5,231 | $20,923 | 22 |
| C9358 | SURGIM1 10X15 5965X-7755 | $20,923 | $14,646 | $12,554 | $20,923 | 12 |
| Q4105 | INTEGRA 4X5 5965X-7755 | $20,923 | $14,646 | $11.87 | $20,923 | 27 |
| Q4116 | ALLODERM 12X20 5965X-7755 | $20,923 | $14,646 | $25.78 | $20,923 | 27 |
| 8733530 | RPR AOR ENVS AORTC TB OTH | $20,830 | $14,581 | $12,498 | $20,830 | 5 |
| 8733531 | RPR AOR ENVS AORTC TB RUP | $20,830 | $14,581 | $12,498 | $20,830 | 5 |
| J9043 | CABAZIT 60MG/1.5MLSDVJWJG | $20,775 | $14,543 | $195 | $20,775 | 36 |
| 4720216 | REVISE NEUROELECTRODE | $20,518 | $14,363 | $12,311 | $20,518 | 7 |
| 525620 | TX FX/DISLOC LEVEL 3 | $20,279 | $14,195 | $3,318 | $20,279 | 19 |
| 515387 | REMOVE FB/IMPLANT LEVEL 3 | $20,258 | $14,181 | $3,318 | $20,258 | 19 |
| J1744 | ICATIBANT 30MG/3ML PFS | $20,066 | $14,046 | $185 | $20,066 | 30 |
| 8780507 | VERTEB AUGM THORAC W IMAG | $19,936 | $13,955 | $11,962 | $19,936 | 5 |
| 8780508 | VERTEB AUGM LUMBAR W IMAG | $19,936 | $13,955 | $11,962 | $19,936 | 5 |
| 8780509 | VERTEB AUGM EA ADD W IMAG | $19,936 | $13,955 | $11,962 | $19,936 | 5 |
| 8749665 | ENDOVAS TEMP OCCL VES BAL | $19,158 | $13,411 | $11,495 | $19,158 | 5 |
| 8780491 | STNT PLC TRANSCTH ART INI | $18,887 | $13,221 | $11,332 | $18,887 | 5 |
| 8780493 | STNT PLC TRANSC VEIN INI | $18,887 | $13,221 | $11,332 | $18,887 | 5 |
| 515494 | OB/GYN PROCEDURE LEVEL 3 | $18,543 | $12,980 | $3,318 | $18,543 | 19 |
| 75010 | ROOM ICU GEN 1:1 | $17,503 | $12,252 | $13,302 | $13,775 | 2 |
| 78055 | ROOM CCU GEN 1:1 | $17,503 | $12,252 | $13,302 | $13,775 | 2 |
| 81075 | ROOM ICU GENERAL | $17,503 | $12,252 | $13,302 | $13,775 | 2 |
| 88054 | ROOM CCU GENERAL | $17,503 | $12,252 | $13,302 | $13,775 | 2 |
| 81000 | ROOM ICU GENERAL | $16,993 | $11,895 | $12,915 | $13,374 | 2 |
| 8733532 | RPR AOR ENV UNI ILIAC OTH | $16,896 | $11,827 | $10,138 | $16,896 | 5 |
| 8733533 | RPR AOR ENV UNI ILIAC RUP | $16,896 | $11,827 | $10,138 | $16,896 | 5 |
| 8749368 | FACET JT NRV C/T DEST BIL | $16,584 | $11,609 | $9,950 | $16,584 | 5 |
| 8770172 | THROMB DIALY CIRC IVAS ST | $16,443 | $11,510 | $9,866 | $16,443 | 5 |
| 8770173 | ANGIO BLN CENT DIALY SEG | $16,443 | $11,510 | $9,866 | $16,443 | 5 |
Showing top 50 of 12,212 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.