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
1,049
Insurances with rates
0
CPT / HCPCS codes
871
Source MRF
Most expensive procedures (gross)
J1826
—
AVONEX PEN 30 MCG/
Gross
$34,587
43212
—
ESO FLX W/PLCMT STEN
Gross
$19,984
44379
—
SM INT END DUOD W/S
Gross
$19,984
44402
—
CLNSCPY STOM STNT PL
Gross
$19,984
45327
—
PROCTOSIG W/TRN STEN
Gross
$19,984
45347
—
SIG W/PLC ENDOS STNT
Gross
$19,984
45389
—
COLONSCPY W/STENT PL
Gross
$19,984
37191
—
INSERT VENA CAVA FIL
Gross
$19,900
31626
—
BRONCH INS RAD MARK
Gross
$16,215
31631
—
BRONCH INS STENTS WP
Gross
$16,215
31638
—
REV PRV INS STNT LUN
Gross
$16,215
31636
—
BRONCH W/PLC BRN STN
Gross
$16,215
J0517
—
FASENRA PEN 30MG/ML
Gross
$15,131
49418
—
INSERT DIALYSIS CATH
Gross
$14,517
47531
—
CHOLANGIOGR IN EX AC
Gross
$14,517
47532
—
CHOLANGIO IN NEW ACC
Gross
$14,517
J0717
—
CIMZIA 2 X 300 MG/ML
Gross
$14,447
69631
—
TYMPANOPLAS WO MASTO
Gross
$13,937
J0630
—
MIACALCIN 200 UN/ML
Gross
$12,975
J2353
—
SANDOSTATIN LAR DEPO
Gross
$12,794
43195
—
ESO W/BALL DIL <30MM
Gross
$12,732
43196
—
ESO W/INSERT GUIDEWR
Gross
$12,732
43229
—
ESO FLX W/ABLAT TUMO
Gross
$12,732
15273
—
SKN SUB GRFT R/LG 1%
Gross
$12,670
15274
—
SKN SUB GFT T/A AD1%
Gross
$12,670
28810
—
AMPUTATION META TOE
Gross
$12,366
31628
—
TRANSBROCH LUNG FORC
Gross
$12,330
31652
—
EBUS 1 OR 2 STAT
Gross
$12,330
31653
—
EBUS 3 OR > STAT
Gross
$12,330
31629
—
TRNSBRONC NDLE ASPIR
Gross
$12,330
37193
—
RMV VENA CAVA FILTER
Gross
$11,972
36565
—
INSERT TMP DIALY CAT
Gross
$11,972
36640
—
INSERT ARTERIAL LINE
Gross
$11,972
36558
—
PCMT CV CATH TUNNELE
Gross
$11,970
31600
—
TRACHEOSTOMY PLANNED
Gross
$11,023
45321
—
PROCTOSIG DECOM VOLV
Gross
$10,992
20240
—
BIOPSY-BONE SUPERFIC
Gross
$10,898
20245
—
BIOPSY BNE OPEN DEEP
Gross
$10,898
74177
—
CT ABD & PELVIS W
Gross
$8,932
19120
—
EXC FIBROADENOMA M/F
Gross
$8,870
38500
—
BX/EXCN LYMP NOD SUP
Gross
$8,870
J1459
—
PRIVIGEN 20 GM/200ML
Gross
$8,700
31630
—
BRONCH TX WINDPE CAR
Gross
$8,633
31641
—
BRONC DEST GRTH LUNG
Gross
$8,633
74176
—
CT ABD & PELVIS WO
Gross
$8,538
74178
—
CT ABD & PELVIS W/WO
Gross
$8,538
70553
—
MRI BRAIN W/WO
Gross
$8,314
28200
—
AMPUTATION TOE
Gross
$8,265
26607
—
METACARP CLD TX FIX
Gross
$8,265
26608
—
METACARP PERC FIXATN
Gross
$8,265
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J1826 | AVONEX PEN 30 MCG/ | $34,587 | — | — | — | 0 |
| 43212 | ESO FLX W/PLCMT STEN | $19,984 | — | — | — | 0 |
| 44379 | SM INT END DUOD W/S | $19,984 | — | — | — | 0 |
| 44402 | CLNSCPY STOM STNT PL | $19,984 | — | — | — | 0 |
| 45327 | PROCTOSIG W/TRN STEN | $19,984 | — | — | — | 0 |
| 45347 | SIG W/PLC ENDOS STNT | $19,984 | — | — | — | 0 |
| 45389 | COLONSCPY W/STENT PL | $19,984 | — | — | — | 0 |
| 37191 | INSERT VENA CAVA FIL | $19,900 | — | — | — | 0 |
| 31626 | BRONCH INS RAD MARK | $16,215 | — | — | — | 0 |
| 31631 | BRONCH INS STENTS WP | $16,215 | — | — | — | 0 |
| 31638 | REV PRV INS STNT LUN | $16,215 | — | — | — | 0 |
| 31636 | BRONCH W/PLC BRN STN | $16,215 | — | — | — | 0 |
| J0517 | FASENRA PEN 30MG/ML | $15,131 | — | — | — | 0 |
| 49418 | INSERT DIALYSIS CATH | $14,517 | — | — | — | 0 |
| 47531 | CHOLANGIOGR IN EX AC | $14,517 | — | — | — | 0 |
| 47532 | CHOLANGIO IN NEW ACC | $14,517 | — | — | — | 0 |
| J0717 | CIMZIA 2 X 300 MG/ML | $14,447 | — | — | — | 0 |
| 69631 | TYMPANOPLAS WO MASTO | $13,937 | — | — | — | 0 |
| J0630 | MIACALCIN 200 UN/ML | $12,975 | — | — | — | 0 |
| J2353 | SANDOSTATIN LAR DEPO | $12,794 | — | — | — | 0 |
| 43195 | ESO W/BALL DIL <30MM | $12,732 | — | — | — | 0 |
| 43196 | ESO W/INSERT GUIDEWR | $12,732 | — | — | — | 0 |
| 43229 | ESO FLX W/ABLAT TUMO | $12,732 | — | — | — | 0 |
| 15273 | SKN SUB GRFT R/LG 1% | $12,670 | — | — | — | 0 |
| 15274 | SKN SUB GFT T/A AD1% | $12,670 | — | — | — | 0 |
| 28810 | AMPUTATION META TOE | $12,366 | — | — | — | 0 |
| 31628 | TRANSBROCH LUNG FORC | $12,330 | — | — | — | 0 |
| 31652 | EBUS 1 OR 2 STAT | $12,330 | — | — | — | 0 |
| 31653 | EBUS 3 OR > STAT | $12,330 | — | — | — | 0 |
| 31629 | TRNSBRONC NDLE ASPIR | $12,330 | — | — | — | 0 |
| 37193 | RMV VENA CAVA FILTER | $11,972 | — | — | — | 0 |
| 36565 | INSERT TMP DIALY CAT | $11,972 | — | — | — | 0 |
| 36640 | INSERT ARTERIAL LINE | $11,972 | — | — | — | 0 |
| 36558 | PCMT CV CATH TUNNELE | $11,970 | — | — | — | 0 |
| 31600 | TRACHEOSTOMY PLANNED | $11,023 | — | — | — | 0 |
| 45321 | PROCTOSIG DECOM VOLV | $10,992 | — | — | — | 0 |
| 20240 | BIOPSY-BONE SUPERFIC | $10,898 | — | — | — | 0 |
| 20245 | BIOPSY BNE OPEN DEEP | $10,898 | — | — | — | 0 |
| 74177 | CT ABD & PELVIS W | $8,932 | — | — | — | 0 |
| 19120 | EXC FIBROADENOMA M/F | $8,870 | — | — | — | 0 |
| 38500 | BX/EXCN LYMP NOD SUP | $8,870 | — | — | — | 0 |
| J1459 | PRIVIGEN 20 GM/200ML | $8,700 | — | — | — | 0 |
| 31630 | BRONCH TX WINDPE CAR | $8,633 | — | — | — | 0 |
| 31641 | BRONC DEST GRTH LUNG | $8,633 | — | — | — | 0 |
| 74176 | CT ABD & PELVIS WO | $8,538 | — | — | — | 0 |
| 74178 | CT ABD & PELVIS W/WO | $8,538 | — | — | — | 0 |
| 70553 | MRI BRAIN W/WO | $8,314 | — | — | — | 0 |
| 28200 | AMPUTATION TOE | $8,265 | — | — | — | 0 |
| 26607 | METACARP CLD TX FIX | $8,265 | — | — | — | 0 |
| 26608 | METACARP PERC FIXATN | $8,265 | — | — | — | 0 |
Showing top 50 of 1,049 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.