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
5,104
Insurances with rates
17
CPT / HCPCS codes
255
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3061789 | WINREVAIR SubQ INJ KIT [2X45MG]-NF | $50,400 | $25,200 | — | — | 7 |
| 3061585 | NF-Nystatin Not Applicable Powder 5BILLI | $41,681 | $20,841 | — | — | 7 |
| 3061932 | NF-Nystatin Not Applicable Powder 5BILLI | $41,681 | $20,841 | — | — | 7 |
| 2562272 | EPIFIX 5X6 | $26,045 | $13,023 | — | — | 9 |
| 3061874 | TENECTEPLASE INJ [ MG/10 ML] ***AIS** | $24,214 | $12,107 | — | — | 8 |
| 2562271 | EPIFIX 5X6 | $15,565 | $7,783 | — | — | 9 |
| 3000017 | ALTEPLASE - tPA [100 MG] INJ (BOLUS) | $13,639 | $6,820 | — | — | 8 |
| 3060778 | ALTEPLASE - tPA [100 MG] IV | $13,639 | $6,820 | — | — | 8 |
| 2962088 | PACEMAKER 2 LEADS | $12,764 | $6,382 | — | — | 17 |
| 3061900 | NF-Humira PEN SubQ Soln 40MG/0.4ML | $12,460 | $6,230 | — | — | 7 |
| 3000603 | TENECTEPLASE [ MG/10ML] INJ | $11,145 | $5,573 | — | — | 8 |
| 2962087 | PACEMAKER 1 LEAD | $9,751 | $4,876 | — | — | 17 |
| 2962029 | REPAIR RECURRENT INGUIN HERNIA INCARCERA | $9,181 | $4,591 | — | — | 17 |
| 3061936 | NF-Invega Sustenna IM Susp ER 156MG | $8,349 | $4,175 | — | — | 7 |
| 2562270 | EPIFIX 4X4 | $8,200 | $4,100 | — | — | 9 |
| 2962030 | LAP CHOLECYSTECTOMY | $7,950 | $3,975 | — | — | 17 |
| 2962032 | REP INIT INGUIN HERNIA AGE > 5 REDUCIBLE | $7,605 | $3,803 | — | — | 10 |
| 3061906 | LEQVIO(INCLISIRAN) SUBQ [284 MG/1.5 ML] | $7,604 | $3,802 | — | — | 8 |
| 2962023 | LAP REPAIR RECURRENT INGUINAL HERNIA | $7,027 | $3,513 | — | — | 17 |
| 2962022 | LAP REPAIR INITIAL INGUINAL HERNIA | $6,874 | $3,437 | — | — | 1 |
| 2962090 | LAPAROSCOPIC CYST ASPIRATION | $6,806 | $3,403 | — | — | 17 |
| 25629 | EPIFIX 3X4 | $6,485 | $3,243 | — | — | 9 |
| 3000133 | Crotalidae Polyvalent Immune Fab | $5,731 | $2,866 | — | — | 8 |
| 22014 | HEMORRHOIDECTOMY INTERNAL/EXTERNAL 2 > | $5,500 | $2,750 | — | — | 11 |
| 2962037 | LAP APPENDECTOMY | $5,082 | $2,541 | — | — | 17 |
| 2962025 | LAP CHOLECYSTECTOMY WITH CHOLANGIOGRAM | $5,035 | $2,518 | — | — | 17 |
| 2962128 | REPAIR OF ANTERIOR ABD HERNIA 3CM-10CM | $4,800 | $2,400 | — | — | 1 |
| 2962057 | PINCH GRAFT SINGLE/MULTIPLE | $4,752 | $2,376 | — | — | 1 |
| 2962028 | REPAIR RECURRENT INGUIN HERNIA REDUCIBLE | $4,550 | $2,275 | — | — | 17 |
| 30612 | KEDRAB INJ [1 IU/ML] SDV *IM* 10 ML | $4,500 | $2,250 | — | — | 9 |
| 2962027 | REPAIR INITIAL INGUIN HERNIA INCARCERATD | $4,424 | $2,212 | — | — | 1 |
| 2962063 | REP INIT INGUIN HERNIA AGE > 5 REDUCIBLE | $4,424 | $2,212 | — | — | 1 |
| 3062023 | NF-Pomalyst Oral Capsule 4MG | $4,109 | $2,055 | — | — | 7 |
| 2962062 | AMPUTATION TOE TRANSMET | $4,060 | $2,030 | — | — | 17 |
| 2962086 | INSERT INDWL TUNNLD PLEURAL CATH | $4,051 | $2,026 | — | — | 1 |
| 3061703 | NF-Pomalyst Oral Capsule 4MG | $3,932 | $1,966 | — | — | 7 |
| 3061836 | NF-Pomalyst Oral Capsule 4MG | $3,932 | $1,966 | — | — | 7 |
| 5220092 | CTA ABDOMINAL AORTA | $3,914 | $1,957 | — | — | 10 |
| 2962008 | PORTACATH | $3,893 | $1,947 | — | — | 17 |
| 200001 | POWER PORT 8FR INS | $3,893 | $1,947 | — | — | 17 |
| 2962052 | EXCISION PILONIDAL CYST/SINUS COMPLICATD | $3,803 | $1,902 | — | — | 17 |
| 2962084 | AMPUTATION TOE MP JOINT | $3,777 | $1,889 | — | — | 17 |
| 2962085 | AMPUTATION TOE INTERPHALANGEAL JOINT | $3,773 | $1,886 | — | — | 17 |
| 2960203 | CATARACT AMBUL SURG | $3,770 | $1,885 | — | — | 11 |
| 5220093 | CT ABD & PELV 1+ SEC/REG | $3,739 | $1,870 | — | — | 11 |
| 5220094 | CT ABDOMEN/PELVIS W/WO CONTRAST | $3,739 | $1,870 | — | — | 11 |
| 90062789 | MESH HERNIA UMB 30x20 | $3,728 | $1,864 | — | — | 9 |
| 5221071 | CT UPPER EXTR W/WO CONTRAST RIGHT | $3,687 | $1,844 | — | — | 11 |
| 2962014 | HEMORRHOIDECTOMY INTERNAL/EXTERNAL 2 > | $3,655 | $1,828 | — | — | 1 |
| 2962051 | EXCISION PILONIDAL CYST/SINUS EXTENSIVE | $3,655 | $1,828 | — | — | 17 |
Showing top 50 of 5,104 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.