45 CFR § 180 compliance
B · 85
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
1,468
Insurances with rates
6
CPT / HCPCS codes
1,437
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 64555 | ELECTRODES/LEADS | $145,768 | $109,326 | — | — | 6 |
| 64590 | IPG (IMPLANTABLE PLUSE GEN) | $145,768 | $109,326 | — | — | 6 |
| C1767 | PROCLAIM SYSTEM | $86,840 | $65,130 | — | — | 6 |
| 22612 | INTERLAMINAR FIXATION DEVICE | $56,000 | $42,000 | — | — | 6 |
| J3101 | TNKase injection 50mg kit | $49,784 | $37,338 | — | — | 6 |
| 29888 | ACL RECONSTRUCTION | $28,572 | $21,429 | — | — | 6 |
| 66991 | CATARACT REMOVE W INTER LENS | $20,636 | $15,477 | — | — | 6 |
| 22840 | SPINE FIXATION DEVICE | $20,000 | $15,000 | — | — | 6 |
| 750 | EGD | $19,283 | $14,462 | — | — | 6 |
| J0840 | CROFAB 1GM INJ 1 vial | $19,188 | $14,391 | — | — | 6 |
| 66250 | ANTERIOR SCLERA REPAIR | $16,324 | $12,243 | — | — | 6 |
| 68320 | GRAFT/REVISE EYELID LINING | $16,324 | $12,243 | — | — | 6 |
| 66185 | GLAUCOMA REPAIR | $15,960 | $11,970 | — | — | 6 |
| 67255 | TUTOPLAST | $14,984 | $11,238 | — | — | 6 |
| 27427 | IMPLANT SYSTEM FIBERTAG TIGHTROPE | $14,525 | $10,894 | — | — | 6 |
| 29870 | KNEE ARTHROSCOPY | $12,976 | $9,732 | — | — | 6 |
| 29871 | ARTHO JOINT INFECTION PREVENTION | $12,976 | $9,732 | — | — | 6 |
| 65779 | BIOTISSUE SINGLE | $12,508 | $9,381 | — | — | 6 |
| 65780 | BIOTISSUE MULTI | $12,508 | $9,381 | — | — | 6 |
| 66174 | OMNI SURGICAL SYSTEM | $11,718 | $8,789 | — | — | 6 |
| 0671T | HYDRUS MICROSTENT | $11,550 | $8,663 | — | — | 6 |
| 20680 | REMOVE IMPLANT HARDWARD | $11,448 | $8,586 | — | — | 6 |
| 0449T | XEN GEL STENT | $10,208 | $7,656 | — | — | 6 |
| G0390 | TRAUMA ACT LEVEL IV | $9,751 | $7,313 | — | — | 6 |
| 43239 | EGD W/BIOPSY | $9,622 | $7,216 | — | — | 6 |
| J0897 | PROLIA 60MG INJ | $9,386 | $7,040 | — | — | 6 |
| 74177 | CT ABDOMEN AND PELVIS W/CONTRAST | $8,881 | $6,660 | — | — | 6 |
| 66180 | AQUEOUS SHUNT | $8,400 | $6,300 | — | — | 6 |
| A9569 | NM CERETEC ISOTOPE | $7,748 | $5,811 | — | — | 6 |
| 45380 | COLONOSCOPY W/BIOPSY | $7,383 | $5,537 | — | — | 6 |
| J0875 | DALBAVANCIN(DALVANCE)500MG INJ | $7,367 | $5,525 | — | — | 6 |
| 72157 | MRI SPINE THORACIC W W/O CONTRAST | $7,179 | $5,384 | — | — | 6 |
| 72156 | MRI SPINE CERVICAL W W/O CONTRAST | $6,974 | $5,231 | — | — | 6 |
| 73720 | MRI LEG (BONES) RT W/WO/CONTRAST | $6,497 | $4,873 | — | — | 6 |
| 65820 | IACCESS DEVICE | $6,400 | $4,800 | — | — | 12 |
| J3300 | TRIESENCE OPTH. INJECTION: 40mg/1ml | $5,660 | $4,245 | — | — | 6 |
| 370 | GENERAL ANES 1ST HR | $5,620 | $4,215 | — | — | 6 |
| 88374 | PATH HER2 COMP ASST M/PHMTRC - FISH | $5,250 | $3,937 | — | — | 6 |
| 59899 | JADA HEMORRAGE SYSTEM | $5,000 | $3,750 | — | — | 6 |
| 10140 | DRAINAGE HEMATOMA OR FLUID | $4,916 | $3,687 | — | — | 6 |
| 72128 | CT THORACIC SPINE W/O CONTRAST | $4,875 | $3,656 | — | — | 6 |
| 70487 | CT FACE W/CONTRAST | $4,785 | $3,588 | — | — | 6 |
| 90375 | RABIES IMMUNE GLOB INJ 300IU | $4,475 | $3,356 | — | — | 6 |
| 78264 | NM GASTRIC EMPTYING STUDY | $4,464 | $3,348 | — | — | 6 |
| 36571 | PICC LINE INCERTION >5 YRS | $4,400 | $3,300 | — | — | 6 |
| 36596 | PICC LINE REMOVAL | $4,400 | $3,300 | — | — | 6 |
| 74178 | CT ABDOMEN AND PELVIS W&W/O CONTRAST | $4,326 | $3,244 | — | — | 6 |
| 72193 | CT PELVIS W/CONTRAST | $4,316 | $3,237 | — | — | 6 |
| 73218 | MRI HAND (BONES) RT W/O CONTRAST | $4,180 | $3,135 | — | — | 6 |
| 70544 | MRA HEAD W/O CONTRAST | $4,132 | $3,099 | — | — | 6 |
Showing top 50 of 1,468 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.