45 CFR § 180 compliance
A · 100
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
7,122
Insurances with rates
13
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
CP17629817107457685
$69,592
Surgical removal of prostate and surrounding lymph nodes using an endoscope
Gross
$69,592
CP17629817107456740
$61,772
Diagnostic exam of esophagus, stomach or small bowel using an endoscope
Gross
$61,772
CP17629817107457965
$61,772
Biopsy exam of large bowel using an endoscope
Gross
$61,772
CP17629817107454138
$61,772
Removal of polyps or growths of large bowel using an endoscope
Gross
$61,772
CP17629817107456239
$27,945
Removal of cataract with insertion of lens
Gross
$27,945
CP17629817107454746
$25,272
Uterine and adnexa procedures for non-malignancy without CC or MCC
Gross
$25,272
CP17629817107456670
$25,236
Removal of gallbladder using an endoscope
Gross
$25,236
TNK
$23,025
Tnkase 50mg Vial
Gross
$23,025
CP17629817107453234
$18,765
Repair of groin hernia patient age 5 years or older
Gross
$18,765
360120211
$18,454
Surgery Level 5 1st 30min
Gross
$18,454
CP17629817107459755
$18,342
Shaving of shoulder bone using endoscope
Gross
$18,342
CP17629817107453269
$18,342
Removal of one knee cartilage using an endoscope
Gross
$18,342
CP17629817107449294
$15,293
Removal of one or more breast growth, open procedure
Gross
$15,293
360120246
$14,195
Surgery Level 4 1st 30min
Gross
$14,195
CP17629817107451209
$13,033
Biopsy of prostate gland
Gross
$13,033
360458550
$12,393
Bronchoscopy
Gross
$12,393
6362965452
$12,168
Activase(alteplase) 50 Mg Vial
Gross
$12,168
25100006
$11,831
Pegfilgrastim 6 Mg
Gross
$11,831
6362965415
$11,056
Digoxin Immune Fab 40 Mg Vial
Gross
$11,056
63631390
$11,042
Reteplase 18.1 Mg Kit
Gross
$11,042
360220220
$10,920
Surgery Level 3 1st 30min
Gross
$10,920
63631368
$10,398
Rituzimab 500mg Ivpb
Gross
$10,398
25980002
$10,068
Alteplase 100 Mg/vial
Gross
$10,068
27004852
$9,304
Penile Prosthesisinf
Gross
$9,304
6362345908
$8,488
Antihemophilic Factor 1000 Un
Gross
$8,488
360120240
$8,398
Surgery Level 2 1st 30min
Gross
$8,398
35074177
$8,379
CT scan of abdomen and pelvis with contrast
Gross
$8,379
CP17629817107457822
$8,190
Biopsy exam of esophagus, stomach or small bowel using an endoscope
Gross
$8,190
ACTIVASE
$8,176
Activase 100mg Vial
Gross
$8,176
26000002
$7,288
Herceptin 440 Mg Mov
Gross
$7,288
27000141
$7,087
Kneetotal
Gross
$7,087
25087051
$6,712
Alteplase 100mg Vial
Gross
$6,712
6362965417
$6,673
Tocilizumab 20 Mg/ml 20 Ml
Gross
$6,673
360120188
$6,443
Surgery Level 1 1st 30min
Gross
$6,443
35000469
$6,378
Ct Abdomen & Pelvis W/o Contra
Gross
$6,378
360520279
$5,874
Surgery Level 5 Add 15min
Gross
$5,874
CP17629817107452664
$5,873
Diagnostic exam of large bowel using an endoscope
Gross
$5,873
27000153
$5,646
Hiptotal
Gross
$5,646
6362965443
$5,563
Octagam 10% Ivig 20mg
Gross
$5,563
63631384
$5,508
Fomepizole Hcl 1gm / Ml
Gross
$5,508
45000990
$5,422
Critical Care, 1st Hour
Gross
$5,422
63631388
$5,314
Bortezomib 3.5mg Inj
Gross
$5,314
25087392
$5,065
Invega 234 Mg Syr
Gross
$5,065
25087054
$4,730
Crolalidae Polyvalent Immu Inj
Gross
$4,730
35000470
$4,681
Biopsy Percutaneous Lung/medi
Gross
$4,681
360125325
$4,515
Surgery Level 4 Add 15min
Gross
$4,515
21000001
$4,390
Room Charge Ccu
Gross
$4,390
20000003
$4,354
Room Charge Surge Unit Icu
Gross
$4,354
20000001
$4,344
D.o. Room Charge Icu
Gross
$4,344
35074178
$4,233
Ct Abd&pelv W&w/o Contrast
Gross
$4,233
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| CP17629817107457685 | Surgical removal of prostate and surrounding lymph nodes using an endoscope | $69,592 | $69,592 | $7,632 | $69,592 | 14 |
| CP17629817107456740 | Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $61,772 | $61,772 | $672 | $61,772 | 14 |
| CP17629817107457965 | Biopsy exam of large bowel using an endoscope | $61,772 | $61,772 | $875 | $61,772 | 14 |
| CP17629817107454138 | Removal of polyps or growths of large bowel using an endoscope | $61,772 | $61,772 | $875 | $61,772 | 14 |
| CP17629817107456239 | Removal of cataract with insertion of lens | $27,945 | $27,945 | $1,728 | $27,945 | 14 |
| CP17629817107454746 | Uterine and adnexa procedures for non-malignancy without CC or MCC | $25,272 | $25,272 | $1,200 | $25,272 | 8 |
| CP17629817107456670 | Removal of gallbladder using an endoscope | $25,236 | $25,236 | $4,278 | $25,236 | 14 |
| TNK | Tnkase 50mg Vial | $23,025 | $23,025 | $1,200 | $23,025 | 8 |
| CP17629817107453234 | Repair of groin hernia patient age 5 years or older | $18,765 | $18,765 | $2,565 | $18,765 | 14 |
| 360120211 | Surgery Level 5 1st 30min | $18,454 | $18,454 | $9,227 | $18,454 | 5 |
| CP17629817107459755 | Shaving of shoulder bone using endoscope | $18,342 | $18,342 | $9,171 | $18,342 | 5 |
| CP17629817107453269 | Removal of one knee cartilage using an endoscope | $18,342 | $18,342 | $2,400 | $18,342 | 14 |
| CP17629817107449294 | Removal of one or more breast growth, open procedure | $15,293 | $15,293 | $2,826 | $15,293 | 14 |
| 360120246 | Surgery Level 4 1st 30min | $14,195 | $14,195 | $7,098 | $14,195 | 5 |
| CP17629817107451209 | Biopsy of prostate gland | $13,033 | $13,033 | $1,510 | $13,033 | 14 |
| 360458550 | Bronchoscopy | $12,393 | $12,393 | $6,197 | $12,393 | 5 |
| 6362965452 | Activase(alteplase) 50 Mg Vial | $12,168 | $12,168 | $71 | $12,168 | 14 |
| 25100006 | Pegfilgrastim 6 Mg | $11,831 | $11,831 | $41 | $11,831 | 14 |
| 6362965415 | Digoxin Immune Fab 40 Mg Vial | $11,056 | $11,056 | $3,822 | $11,056 | 14 |
| 63631390 | Reteplase 18.1 Mg Kit | $11,042 | $11,042 | $2,215 | $11,042 | 14 |
| 360220220 | Surgery Level 3 1st 30min | $10,920 | $10,920 | $5,460 | $10,920 | 5 |
| 63631368 | Rituzimab 500mg Ivpb | $10,398 | $10,398 | $63 | $10,398 | 14 |
| 25980002 | Alteplase 100 Mg/vial | $10,068 | $10,068 | $71 | $10,068 | 14 |
| 27004852 | Penile Prosthesisinf | $9,304 | $9,304 | $4,652 | $9,304 | 5 |
| 6362345908 | Antihemophilic Factor 1000 Un | $8,488 | $8,488 | $1 | $8,488 | 14 |
| 360120240 | Surgery Level 2 1st 30min | $8,398 | $8,398 | $4,199 | $8,398 | 5 |
| 35074177 | CT scan of abdomen and pelvis with contrast | $8,379 | $8,379 | $285 | $8,379 | 14 |
| CP17629817107457822 | Biopsy exam of esophagus, stomach or small bowel using an endoscope | $8,190 | $8,190 | $672 | $8,190 | 14 |
| ACTIVASE | Activase 100mg Vial | $8,176 | $8,176 | $1,200 | $8,176 | 8 |
| 26000002 | Herceptin 440 Mg Mov | $7,288 | $7,288 | $64 | $7,288 | 14 |
| 27000141 | Kneetotal | $7,087 | $7,087 | $3,544 | $15,247 | 14 |
| 25087051 | Alteplase 100mg Vial | $6,712 | $6,712 | $71 | $6,712 | 14 |
| 6362965417 | Tocilizumab 20 Mg/ml 20 Ml | $6,673 | $6,673 | $5 | $6,673 | 14 |
| 360120188 | Surgery Level 1 1st 30min | $6,443 | $6,443 | $3,222 | $6,443 | 5 |
| 35000469 | Ct Abdomen & Pelvis W/o Contra | $6,378 | $6,378 | $182 | $6,378 | 14 |
| 360520279 | Surgery Level 5 Add 15min | $5,874 | $5,874 | $2,937 | $5,874 | 5 |
| CP17629817107452664 | Diagnostic exam of large bowel using an endoscope | $5,873 | $5,873 | $678 | $5,873 | 14 |
| 27000153 | Hiptotal | $5,646 | $5,646 | $2,823 | $15,247 | 14 |
| 6362965443 | Octagam 10% Ivig 20mg | $5,563 | $5,563 | $2,782 | $5,563 | 5 |
| 63631384 | Fomepizole Hcl 1gm / Ml | $5,508 | $5,508 | $5 | $5,508 | 14 |
| 45000990 | Critical Care, 1st Hour | $5,422 | $5,422 | $658 | $5,422 | 14 |
| 63631388 | Bortezomib 3.5mg Inj | $5,314 | $5,314 | $2 | $5,314 | 14 |
| 25087392 | Invega 234 Mg Syr | $5,065 | $5,065 | $11 | $5,065 | 14 |
| 25087054 | Crolalidae Polyvalent Immu Inj | $4,730 | $4,730 | $2,365 | $4,730 | 5 |
| 35000470 | Biopsy Percutaneous Lung/medi | $4,681 | $4,681 | $1,202 | $4,681 | 14 |
| 360125325 | Surgery Level 4 Add 15min | $4,515 | $4,515 | $2,258 | $4,515 | 5 |
| 21000001 | Room Charge Ccu | $4,390 | $4,390 | $2,195 | $4,390 | 5 |
| 20000003 | Room Charge Surge Unit Icu | $4,354 | $4,354 | $2,177 | $4,354 | 5 |
| 20000001 | D.o. Room Charge Icu | $4,344 | $4,344 | $2,172 | $4,344 | 5 |
| 35074178 | Ct Abd&pelv W&w/o Contrast | $4,233 | $4,233 | $285 | $4,233 | 14 |
Showing top 50 of 7,122 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.