45 CFR § 180 compliance
D · 65
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
3,665
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
MS-DRG 104-112, 115-120, 215, 222-227, 242-251, 258-262, 265, 280-293, 313, 478, 479
—
$2,000.00
Gross
$261,914
MS-DRG 001, 002; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ,
—
$253,909.33
Gross
$255,970
MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320
—
$21,510.00
Gross
$209,551
MS-DRG 020-033, 037-042, 453-460, 471-473, 518-520
—
$11,045.67
Gross
$169,405
CPT/HCPC 69930
—
$85,119.33
Gross
$85,793
CPT/HCPC 33206-33208, 33212-33214, 33221, 33224, 33225, 33227-33231, 33240, 33249, 33262-33264, 33270-33272
—
$40,542.00
Gross
$75,027
MS-DRG 461-470, 480-482, 485-489, 492-500, 503-505, 507, 508, 510-512, 515-517, 521, 522; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22841-22849, 22857, 23470, 23472, 23473, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27446, 27447, 27486, 27487
—
$2,500.00
Gross
$58,876
CPT/HCPC 37215, 37216, 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944, 92986-92998, C9600-C9608
—
$30,408.00
Gross
$53,011
CPT/HCPC 61885, 61886, 63650, 63655, 63685, 64553, 64555, 64561, 64565, 64568, 64575, 64580, 64590
—
$47,962.00
Gross
$48,341
MS-DRG 034-036, 252-254, 263
—
$10,257.00
Gross
$37,072
CPT/HCPC 61796-61800, 63620, 63621, 77371, 77372
—
$36,301.67
Gross
$36,589
$36,081.67
—
$36,081.67
Gross
$36,082
$2,040.33
—
$2,040.33
Gross
$35,798
REVASC FEM/POP W ATHERCT
$35,271
REVASC FEM/POP W ATHERCT
Gross
$35,271
0C1764
$33,712
MONITOR CARD INSERT
Gross
$33,712
MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ
—
$5,350.00
Gross
$32,175
CPT/HCPC 36260, 61215, 62360-62362
—
$27,148.33
Gross
$30,649
MS-DRG 264, 619-621; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, `
—
$1,150.00
Gross
$29,908
CPT/HCPC 93580, 93581, 93650, 93653-93657
—
$21,272.00
Gross
$29,164
CPT/HCPC 54400, 54401, 54405, 54410, 54411, 54416, 54417, 55873
—
$26,000.00
Gross
$28,360
CPT/HCPC 36555-36861, 36904-36906, 37211-37214, 37236-37239, 37241-37244, 61650, 61651
—
$11,872.67
Gross
$27,979
$27,065.00
—
$27,065.00
Gross
$27,065
CPT/HCPC 77373
—
$24,766.67
Gross
$24,958
BEDSIDE PROCEDURE LVL 5
$24,351
BEDSIDE PROCEDURE LVL 5
Gross
$24,351
0J7189
$23,376
NOVOSEVEN RT 1 MICROGRAM
Gross
$23,376
CPT/HCPC 19325, 19340, 19342, 19357, 19361
—
$22,382.67
Gross
$22,560
0J0600
$21,542
EDETATE CA DIS TO 1000MG
Gross
$21,542
CPT/HCPC 93451-93462, 93530-93533
—
$20,187.33
Gross
$20,343
CPT/HCPC 43770-43774
—
$20,148.67
Gross
$20,304
MS-DRG 739-743, 748
—
$8,116.00
Gross
$20,303
CPT/HCPC 93600, 93602, 93603, 93609, 93610, 93612, 93613, 93615, 93616, 93618-93624, 93631
—
$19,313.67
Gross
$19,428
INS SUBQ CARD RHYTHM MON
$19,021
INS SUBQ CARD RHYTHM MON
Gross
$19,021
CAGE SPNL 22X11X8MM MECT
$18,788
CAGE SPNL 22X11X8MM MECT
Gross
$18,788
EVAS RPR AO/IL RUPT BI
$18,092
EVAS RPR AO/IL RUPT BI
Gross
$18,092
EVAS RPR AO/IL NONRUP BI
$18,092
EVAS RPR AO/IL NONRUP BI
Gross
$18,092
EVAS RPR AO/IL RUPT UNI
$18,092
EVAS RPR AO/IL RUPT UNI
Gross
$18,092
EVAS RPR AO/IL NONRUPT
$18,092
EVAS RPR AO/IL NONRUPT
Gross
$18,092
EVAS RPR INFRN AO RUPT
$18,092
EVAS RPR INFRN AO RUPT
Gross
$18,092
EVAS RPR INFR AO NONRUPT
$18,092
EVAS RPR INFR AO NONRUPT
Gross
$18,092
0Q2050
$17,914
DOXORUB LIPOSOM 50MG INJ
Gross
$17,914
PLCMT URETERAL STNT BI
$17,796
PLCMT URETERAL STNT BI
Gross
$17,796
PLCMT URETER STNT NEW BI
$17,796
PLCMT URETER STNT NEW BI
Gross
$17,796
PLC URTR STNT SEP CTH BI
$17,796
PLC URTR STNT SEP CTH BI
Gross
$17,796
CPT/HCPC 19296-19298, 31643, 52250, 55860, 55862, 55865, 55875, 57155
—
$17,563.33
Gross
$17,702
0J9015
$17,327
ALDESLEUKIN SINGLE VIAL
Gross
$17,327
NEPHURETERAL CATH PLCMT
$16,977
NEPHURETERAL CATH PLCMT
Gross
$16,977
NEPH CATH CONV TO NEPURT
$16,977
NEPH CATH CONV TO NEPURT
Gross
$16,977
BX URET/RENAL PELVIS BI
$16,908
BX URET/RENAL PELVIS BI
Gross
$16,908
REVASC ILIAC W STNT INIT
$16,764
REVASC ILIAC W STNT INIT
Gross
$16,764
NEPH CATH EXCHANGE BI
$16,243
NEPH CATH EXCHANGE BI
Gross
$16,243
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| MS-DRG 104-112, 115-120, 215, 222-227, 242-251, 258-262, 265, 280-293, 313, 478, 479 | $2,000.00 | $261,914 | — | — | — | 0 |
| MS-DRG 001, 002; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ, | $253,909.33 | $255,970 | — | — | — | 0 |
| MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320 | $21,510.00 | $209,551 | — | — | — | 0 |
| MS-DRG 020-033, 037-042, 453-460, 471-473, 518-520 | $11,045.67 | $169,405 | — | — | — | 0 |
| CPT/HCPC 69930 | $85,119.33 | $85,793 | — | — | — | 0 |
| CPT/HCPC 33206-33208, 33212-33214, 33221, 33224, 33225, 33227-33231, 33240, 33249, 33262-33264, 33270-33272 | $40,542.00 | $75,027 | — | — | — | 0 |
| MS-DRG 461-470, 480-482, 485-489, 492-500, 503-505, 507, 508, 510-512, 515-517, 521, 522; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22841-22849, 22857, 23470, 23472, 23473, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27446, 27447, 27486, 27487 | $2,500.00 | $58,876 | — | — | — | 0 |
| CPT/HCPC 37215, 37216, 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944, 92986-92998, C9600-C9608 | $30,408.00 | $53,011 | — | — | — | 0 |
| CPT/HCPC 61885, 61886, 63650, 63655, 63685, 64553, 64555, 64561, 64565, 64568, 64575, 64580, 64590 | $47,962.00 | $48,341 | — | — | — | 0 |
| MS-DRG 034-036, 252-254, 263 | $10,257.00 | $37,072 | — | — | — | 0 |
| CPT/HCPC 61796-61800, 63620, 63621, 77371, 77372 | $36,301.67 | $36,589 | — | — | — | 0 |
| $36,081.67 | $36,081.67 | $36,082 | — | — | — | 0 |
| $2,040.33 | $2,040.33 | $35,798 | — | — | — | 0 |
| REVASC FEM/POP W ATHERCT | REVASC FEM/POP W ATHERCT | $35,271 | $35,271 | — | — | 0 |
| 0C1764 | MONITOR CARD INSERT | $33,712 | $33,712 | — | — | 0 |
| MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ | $5,350.00 | $32,175 | — | — | — | 0 |
| CPT/HCPC 36260, 61215, 62360-62362 | $27,148.33 | $30,649 | — | — | — | 0 |
| MS-DRG 264, 619-621; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, ` | $1,150.00 | $29,908 | — | — | — | 0 |
| CPT/HCPC 93580, 93581, 93650, 93653-93657 | $21,272.00 | $29,164 | — | — | — | 0 |
| CPT/HCPC 54400, 54401, 54405, 54410, 54411, 54416, 54417, 55873 | $26,000.00 | $28,360 | — | — | — | 0 |
| CPT/HCPC 36555-36861, 36904-36906, 37211-37214, 37236-37239, 37241-37244, 61650, 61651 | $11,872.67 | $27,979 | — | — | — | 0 |
| $27,065.00 | $27,065.00 | $27,065 | — | — | — | 0 |
| CPT/HCPC 77373 | $24,766.67 | $24,958 | — | — | — | 0 |
| BEDSIDE PROCEDURE LVL 5 | BEDSIDE PROCEDURE LVL 5 | $24,351 | $24,351 | — | — | 0 |
| 0J7189 | NOVOSEVEN RT 1 MICROGRAM | $23,376 | $23,376 | — | — | 0 |
| CPT/HCPC 19325, 19340, 19342, 19357, 19361 | $22,382.67 | $22,560 | — | — | — | 0 |
| 0J0600 | EDETATE CA DIS TO 1000MG | $21,542 | $21,542 | — | — | 0 |
| CPT/HCPC 93451-93462, 93530-93533 | $20,187.33 | $20,343 | — | — | — | 0 |
| CPT/HCPC 43770-43774 | $20,148.67 | $20,304 | — | — | — | 0 |
| MS-DRG 739-743, 748 | $8,116.00 | $20,303 | — | — | — | 0 |
| CPT/HCPC 93600, 93602, 93603, 93609, 93610, 93612, 93613, 93615, 93616, 93618-93624, 93631 | $19,313.67 | $19,428 | — | — | — | 0 |
| INS SUBQ CARD RHYTHM MON | INS SUBQ CARD RHYTHM MON | $19,021 | $19,021 | — | — | 0 |
| CAGE SPNL 22X11X8MM MECT | CAGE SPNL 22X11X8MM MECT | $18,788 | $18,788 | — | — | 0 |
| EVAS RPR AO/IL RUPT BI | EVAS RPR AO/IL RUPT BI | $18,092 | $18,092 | — | — | 0 |
| EVAS RPR AO/IL NONRUP BI | EVAS RPR AO/IL NONRUP BI | $18,092 | $18,092 | — | — | 0 |
| EVAS RPR AO/IL RUPT UNI | EVAS RPR AO/IL RUPT UNI | $18,092 | $18,092 | — | — | 0 |
| EVAS RPR AO/IL NONRUPT | EVAS RPR AO/IL NONRUPT | $18,092 | $18,092 | — | — | 0 |
| EVAS RPR INFRN AO RUPT | EVAS RPR INFRN AO RUPT | $18,092 | $18,092 | — | — | 0 |
| EVAS RPR INFR AO NONRUPT | EVAS RPR INFR AO NONRUPT | $18,092 | $18,092 | — | — | 0 |
| 0Q2050 | DOXORUB LIPOSOM 50MG INJ | $17,914 | $17,914 | — | — | 0 |
| PLCMT URETERAL STNT BI | PLCMT URETERAL STNT BI | $17,796 | $17,796 | — | — | 0 |
| PLCMT URETER STNT NEW BI | PLCMT URETER STNT NEW BI | $17,796 | $17,796 | — | — | 0 |
| PLC URTR STNT SEP CTH BI | PLC URTR STNT SEP CTH BI | $17,796 | $17,796 | — | — | 0 |
| CPT/HCPC 19296-19298, 31643, 52250, 55860, 55862, 55865, 55875, 57155 | $17,563.33 | $17,702 | — | — | — | 0 |
| 0J9015 | ALDESLEUKIN SINGLE VIAL | $17,327 | $17,327 | — | — | 0 |
| NEPHURETERAL CATH PLCMT | NEPHURETERAL CATH PLCMT | $16,977 | $16,977 | — | — | 0 |
| NEPH CATH CONV TO NEPURT | NEPH CATH CONV TO NEPURT | $16,977 | $16,977 | — | — | 0 |
| BX URET/RENAL PELVIS BI | BX URET/RENAL PELVIS BI | $16,908 | $16,908 | — | — | 0 |
| REVASC ILIAC W STNT INIT | REVASC ILIAC W STNT INIT | $16,764 | $16,764 | — | — | 0 |
| NEPH CATH EXCHANGE BI | NEPH CATH EXCHANGE BI | $16,243 | $16,243 | — | — | 0 |
Showing top 50 of 3,665 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.