Hospital 103047

CCN 103047

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,959
Insurances with rates
11
CPT / HCPCS codes
1,551
Source MRF
File last updated: 2026-01-01 (per the hospital's file)
Retrieved: 2026-10-27

Most expensive procedures (gross)

L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
L5649
$4,738
ISCH CONTAINMT/NARROW M-I SO
Gross
$6,317
81408
$4,635
MOPATH PROCEDURE LEVEL 9
Gross
$6,180
L1844
$4,478
KO W/ADJ JT ROT CONTRL MOLDED
Gross
$5,970
L1755
$4,459
LEGG PERTHES PATTEN BOTTOM T
Gross
$5,945
L6382
$4,442
POSTOP DSG CAST CHG ELB DIS/
Gross
$5,923
L6010
$4,436
HAND ROBIN-AIDS LITTLE/RING
Gross
$5,915
L3901
$4,429
HINGE EXT/FLEX WRIST FINGER
Gross
$5,905
L2036
$4,414
KAFO PLAS DOUB FREE KNEE MOL
Gross
$5,885
L1200
$4,412
FURNISH INITIAL ORTHOSIS ONLY
Gross
$5,883
L6905
$4,405
HAND RESTORATION MULTIPLE FI
Gross
$5,873
L0486
$4,385
TLSO RIGID LINED CUST FAB TWO
Gross
$5,846
L5510
$4,368
PREP BK PTB PLASTER MOLDED
Gross
$5,824
L0482
$4,367
TLSO RIGID LINED CUSTOM FAB
Gross
$5,823
L5520
$4,315
PERP BK PTB THERMOPLS DIRECT
Gross
$5,753
L1700
$4,301
LEG PERTHES ORTH TORONTO TYP
Gross
$5,734
L6910
$4,292
HAND RESTORATION NO FINGERS
Gross
$5,722
L6713
$4,211
PED TERM DEV, HAND, VOL OPEN
Gross
$5,615
L6020
$4,136
PART HAND ROBIN-AIDS NO FING
Gross
$5,515
L6582
$4,130
WRIST/ELBOW BOWDEN CBL DIR F
Gross
$5,506
L0484
$4,121
TLSO RIGID PLASTIC CUST FAB
Gross
$5,495
L3961
$4,114
SEWHO CAP DESIGN W/O JNTS CF
Gross
$5,485
L3975
$4,114
SEWHFO CAP DESIGN W/O JNT CF
Gross
$5,485
L3976
$4,114
SEWHFO AIRPLANE W/O JNTS CF
Gross
$5,485
L8693
$4,089
AUD OSSEO DEV, ABUTMENT
Gross
$5,452
L5616
$4,075
AK UNIV MULTIPLEX SYS FRICT
Gross
$5,433
750
$4,054
PEG TUBE PLACEMENT
Gross
$5,405
L2038
$4,026
KAFO W/O JOINT MULTI-AXIS AN
Gross
$5,368
L0480
$4,010
TLSO RIGID PLASTIC CUSTOM FA
Gross
$5,347
L0636
$3,991
LSO SAGITTAL RIGID PANEL CUS
Gross
$5,321
L6000
$3,986
PAR HAND ROBIN-AIDS THUM REM
Gross
$5,315
L6707
$3,859
TERM DEV MECH HOOK COL CLOSE
Gross
$5,145
L5500
$3,854
INIT BK PTB PLASTER DIRECT
Gross
$5,138
L0112
$3,766
CRANIAL CERVICAL ORTHOSIS
Gross
$5,021
L5707
$3,712
CUSTOM SHAPE CVR HIP DISART
Gross
$4,949
L1720
$3,711
LEGG PERTHES ORTHOSIS TRILAT
Gross
$4,948
L8047
$3,707
NASAL SETAL PROSTHESIS
Gross
$4,943
L5010
$3,653
MOLD SOCKET ANK HGT W/TOE F
Gross
$4,870
L6709
$3,635
TERM DEV MECH HAND COL CLOSE
Gross
$4,847
L5400
$3,611
POSTOP DRESS & 1 CAST CHG BK
Gross
$4,815
L4000
$3,591
REPL GIRDLE MILWAUKEE ORTH
Gross
$4,788
L5966
$3,581
HIP FLEXIBLE COVER SYSTEM
Gross
$4,774
L6714
$3,567
PED TERM DEV, HAND, VOL CLOS
Gross
$4,756
L3900
$3,566
HINGE EXTENSION/FLEX WRIST/F
Gross
$4,754
L0638
$3,548
LSO SAG-CORONAL PANEL CUSTOM
Gross
$4,731
L5681
$3,547
INTL CUSTM CONG/LATYP INSERT
Gross
$4,729
L5683
$3,547
INITIAL CUSTOM SOCKET INSERT
Gross
$4,729
L6696
$3,547
CUS ELBO SKT IN FOR CON/ATYP
Gross
$4,729
L6697
$3,547
CUS ELBO SKT IN NOT CON/ATYP
Gross
$4,729
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
Showing top 50 of 1,959 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.