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
4,660
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
1100081
—
AICD ELLIPSE DR DUAL-CHAMBER PACEMAKER
Gross
$42,465
1100097
—
AICD FORTIFY ASSURA DR PACEMAKER
Gross
$42,465
1100080
—
AICD FORTIFY ASSURA VR PACEMAKER
Gross
$38,641
1100087
—
ACID ELLIPSE VR SINGLE-CHAMBER PACEMAKER
Gross
$38,641
2520007
—
ALTEPLASE 100 MG SDV (tPA):EA
Gross
$35,905
2520193
—
TENECTEPLASE 50 MG SDV:EA
Gross
$23,916
2522470
—
TERIPARATIDE 20 MCG/DOSE 2.4 ML SYRING:E
Gross
$13,442
1701467
—
XR ANGIOGRAM AORTIC ARCH
Gross
$12,795
1702010
—
XR ANGIOGRAM SELECTIVE CELIAC
Gross
$12,795
1100085
—
ASSURITY PACEMAKER
Gross
$12,723
1117851
—
PACEMAKER INSIGNIA I ULTRA SSIRO IS-1
Gross
$11,640
1100096
—
ENDURITY PACEMAKER
Gross
$9,723
1100077
—
LEAD DURATA SJ4 ENDO SINGLE COIL/65
Gross
$9,177
1100083
—
LEAD DURATA SJ4 ENDO SINGLE COIL/58
Gross
$9,177
1100086
—
LEAD DURATA SJ4 ENDO SINGLE COIL/52
Gross
$9,177
1100102
—
LEAD DURATA DEFIBRILLATOR 7120Q/65
Gross
$9,177
1701988
—
XR ANGIO EXTREMITY BILATERAL
Gross
$8,974
1702076
—
XR ANGIO PULMONARY BILAT
Gross
$8,974
1701459
—
XR AORTOGRAPHY THORACIC W/O SERIAL
Gross
$7,478
1701484
—
XR AORTOGRAM FEMORAL RUNOFF
Gross
$7,478
1701524
—
XR ANGIO EXTREMITY UNI
Gross
$7,478
1701582
—
XR ANGIO PULMONARY UNILAT
Gross
$7,478
1701590
—
XR LYMPHANGIOGRAPHY
Gross
$7,478
1701640
—
XR VENOGRAPHY RENAL WITH SERIAL
Gross
$7,478
1702069
—
XR VENA CAVAGRAM INFERIOR
Gross
$7,478
1191779
—
OPERATING ROOM 8 HOURS
Gross
$6,325
1191746
—
OPERATING ROOM 7 HOURS 15 MINUTES
Gross
$5,756
1228485
—
OPEN TREATMENT METATARSAL FX
Gross
$5,606
1106951
—
THR M 11671 STEM VS22
Gross
$5,421
1106969
—
THR M 11672 STEM VSS
Gross
$5,421
1106977
—
THR M 11674 STEM VSS22
Gross
$5,421
1106985
—
THR M 11675 STEM VSS22
Gross
$5,421
24
—
ROOM/BED: CCU/ICU
Gross
$5,400
1191712
—
OPERATING ROOM 6 HOURS 30 MINUTES
Gross
$5,188
1105000
—
P.F.C. KNEE SYSTEM
Gross
$5,132
1700668
—
XR DISCOGRAPHY LUMBAR 72295, 62290
Gross
$4,832
1100789
—
MESH VENTRIO ST HERNIA 13.8X17.8 CM
Gross
$4,800
1259300
—
EPISIOTOMY OR VAGINAL REPAIR
Gross
$4,546
1259409
—
VAGINAL DELIVERY ONLY
Gross
$4,546
1259414
—
DELIVERY OF PLACENTA
Gross
$4,546
1221320
—
CLOSED TX NASAL BONE FX WITH STABILIZ
Gross
$4,398
1100015
—
OR PRICE ADJUSTMENT/DELETED CDS
Gross
$4,026
1117812
—
MESH DUAL GORE 26.0X34.0X1.0MM
Gross
$3,976
2100140
—
CT GUIDED CHEST TUBE PLACEMENT 32557
Gross
$3,932
1100788
—
MESH VENTRIO ST HERNIA 11 X 14CM
Gross
$3,855
1113684
—
GROSHONG VENOUS PORT
Gross
$3,792
1117521
—
STENT ESOPHAGEAL POLYFLEX 18mm/23mm/90mm
Gross
$3,700
1106829
—
THR M 10601 SET OUT-HEAD 41MM
Gross
$3,658
1106837
—
THR M 10602 SET OUT-HEAD 43MM
Gross
$3,658
1106845
—
THR M 10603 SET OUT-HEAD 44MM
Gross
$3,658
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1100081 | AICD ELLIPSE DR DUAL-CHAMBER PACEMAKER | $42,465 | — | — | — | 0 |
| 1100097 | AICD FORTIFY ASSURA DR PACEMAKER | $42,465 | — | — | — | 0 |
| 1100080 | AICD FORTIFY ASSURA VR PACEMAKER | $38,641 | — | — | — | 0 |
| 1100087 | ACID ELLIPSE VR SINGLE-CHAMBER PACEMAKER | $38,641 | — | — | — | 0 |
| 2520007 | ALTEPLASE 100 MG SDV (tPA):EA | $35,905 | — | — | — | 0 |
| 2520193 | TENECTEPLASE 50 MG SDV:EA | $23,916 | — | — | — | 0 |
| 2522470 | TERIPARATIDE 20 MCG/DOSE 2.4 ML SYRING:E | $13,442 | — | — | — | 0 |
| 1701467 | XR ANGIOGRAM AORTIC ARCH | $12,795 | — | — | — | 0 |
| 1702010 | XR ANGIOGRAM SELECTIVE CELIAC | $12,795 | — | — | — | 0 |
| 1100085 | ASSURITY PACEMAKER | $12,723 | — | — | — | 0 |
| 1117851 | PACEMAKER INSIGNIA I ULTRA SSIRO IS-1 | $11,640 | — | — | — | 0 |
| 1100096 | ENDURITY PACEMAKER | $9,723 | — | — | — | 0 |
| 1100077 | LEAD DURATA SJ4 ENDO SINGLE COIL/65 | $9,177 | — | — | — | 0 |
| 1100083 | LEAD DURATA SJ4 ENDO SINGLE COIL/58 | $9,177 | — | — | — | 0 |
| 1100086 | LEAD DURATA SJ4 ENDO SINGLE COIL/52 | $9,177 | — | — | — | 0 |
| 1100102 | LEAD DURATA DEFIBRILLATOR 7120Q/65 | $9,177 | — | — | — | 0 |
| 1701988 | XR ANGIO EXTREMITY BILATERAL | $8,974 | — | — | — | 0 |
| 1702076 | XR ANGIO PULMONARY BILAT | $8,974 | — | — | — | 0 |
| 1701459 | XR AORTOGRAPHY THORACIC W/O SERIAL | $7,478 | — | — | — | 0 |
| 1701484 | XR AORTOGRAM FEMORAL RUNOFF | $7,478 | — | — | — | 0 |
| 1701524 | XR ANGIO EXTREMITY UNI | $7,478 | — | — | — | 0 |
| 1701582 | XR ANGIO PULMONARY UNILAT | $7,478 | — | — | — | 0 |
| 1701590 | XR LYMPHANGIOGRAPHY | $7,478 | — | — | — | 0 |
| 1701640 | XR VENOGRAPHY RENAL WITH SERIAL | $7,478 | — | — | — | 0 |
| 1702069 | XR VENA CAVAGRAM INFERIOR | $7,478 | — | — | — | 0 |
| 1191779 | OPERATING ROOM 8 HOURS | $6,325 | — | — | — | 0 |
| 1191746 | OPERATING ROOM 7 HOURS 15 MINUTES | $5,756 | — | — | — | 0 |
| 1228485 | OPEN TREATMENT METATARSAL FX | $5,606 | — | — | — | 0 |
| 1106951 | THR M 11671 STEM VS22 | $5,421 | — | — | — | 0 |
| 1106969 | THR M 11672 STEM VSS | $5,421 | — | — | — | 0 |
| 1106977 | THR M 11674 STEM VSS22 | $5,421 | — | — | — | 0 |
| 1106985 | THR M 11675 STEM VSS22 | $5,421 | — | — | — | 0 |
| 24 | ROOM/BED: CCU/ICU | $5,400 | — | — | — | 0 |
| 1191712 | OPERATING ROOM 6 HOURS 30 MINUTES | $5,188 | — | — | — | 0 |
| 1105000 | P.F.C. KNEE SYSTEM | $5,132 | — | — | — | 0 |
| 1700668 | XR DISCOGRAPHY LUMBAR 72295, 62290 | $4,832 | — | — | — | 0 |
| 1100789 | MESH VENTRIO ST HERNIA 13.8X17.8 CM | $4,800 | — | — | — | 0 |
| 1259300 | EPISIOTOMY OR VAGINAL REPAIR | $4,546 | — | — | — | 0 |
| 1259409 | VAGINAL DELIVERY ONLY | $4,546 | — | — | — | 0 |
| 1259414 | DELIVERY OF PLACENTA | $4,546 | — | — | — | 0 |
| 1221320 | CLOSED TX NASAL BONE FX WITH STABILIZ | $4,398 | — | — | — | 0 |
| 1100015 | OR PRICE ADJUSTMENT/DELETED CDS | $4,026 | — | — | — | 0 |
| 1117812 | MESH DUAL GORE 26.0X34.0X1.0MM | $3,976 | — | — | — | 0 |
| 2100140 | CT GUIDED CHEST TUBE PLACEMENT 32557 | $3,932 | — | — | — | 0 |
| 1100788 | MESH VENTRIO ST HERNIA 11 X 14CM | $3,855 | — | — | — | 0 |
| 1113684 | GROSHONG VENOUS PORT | $3,792 | — | — | — | 0 |
| 1117521 | STENT ESOPHAGEAL POLYFLEX 18mm/23mm/90mm | $3,700 | — | — | — | 0 |
| 1106829 | THR M 10601 SET OUT-HEAD 41MM | $3,658 | — | — | — | 0 |
| 1106837 | THR M 10602 SET OUT-HEAD 43MM | $3,658 | — | — | — | 0 |
| 1106845 | THR M 10603 SET OUT-HEAD 44MM | $3,658 | — | — | — | 0 |
Showing top 50 of 4,660 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.