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
1,614
Insurances with rates
0
CPT / HCPCS codes
1,610
Source MRF
Most expensive procedures (gross)
37229
—
TIB/PER REVASC W/ATHER
Gross
$54,674
37225
—
FEM/POPL REVAS W/ATHER
Gross
$34,195
J2997
—
Alteplase 100mg Vial
Gross
$34,145
J3101
—
TNKase 50MG
Gross
$26,880
C1889
—
CARTIFORM ALLOGRAFT 20X25MM
Gross
$23,100
32554
—
ASPIRATE PLEURA W/O IMAGING
Gross
$19,739
J2505
—
Neulasta 6mg/0.6ml
Gross
$17,984
Q4125
—
CARTIFORM ALLOGRAFT 12X19MM
Gross
$13,125
15120
—
SKN SPLT A-GRFT FAC/NCK/HF/G
Gross
$11,987
15273
—
SKIN SUB GRFT T/ARM/LG CHILD
Gross
$11,987
54600
—
F REDUCE TESTIS TORSION
Gross
$10,467
26735
—
F TREAT FINGER FRACTURE EACH
Gross
$10,059
Q0249
—
ACTEMRA 400MG/20ML VIAL
Gross
$9,823
36556
—
F INSERT NON TUNNEL CV CATH
Gross
$9,745
36571
—
F INSERT PICVAD CATH
Gross
$9,745
36561
—
F INSERT TUNNELED CV CATH
Gross
$9,745
27532
—
F TREAT KNEE FRACTURE
Gross
$9,641
28208
—
RPR TENDON EXTNSR FT1/2EACH
Gross
$9,641
42330
—
REMOVAL OF SALIVARY STONE
Gross
$9,313
11770
—
F EXC PILONIDAL CYST OR SINUS
Gross
$8,898
A9584
—
IODINE I-123 IOFLUPANE
Gross
$8,711
27372
—
F FOREIGN BODY REMOVL DEEP THI
Gross
$8,072
10180
—
I&D POST OP INFECTION
Gross
$8,072
J1572
—
Immune Glob,Gamma 20gm/200ml
Gross
$7,728
28192
—
F REMOVAL FOREIGN BODY FOOT
Gross
$7,320
74174
—
CT CTA ABD/PELV
Gross
$7,238
10121
—
F INCISE&REMOVE FB SQ/COMPLC
Gross
$7,026
46040
—
INC&DRAINAGE ISCH/PERIR ABSCES
Gross
$6,721
95811
—
POLYSOMNOGRAPHY 4+PARAMTRS +CP
Gross
$6,613
78452
—
NM STRESS TEST- MULTIPLE STUDY
Gross
$6,588
23931
—
DRAINAGE OF ARM BURSA
Gross
$6,305
Q4145
—
EPIFIX PARTICULATE 160MG
Gross
$6,278
54700
—
I&D EPIDYMIS TSTIS&/SCROTL SPC
Gross
$6,180
J0875
—
DALVANCE 500MG VIAL
Gross
$6,142
95810
—
POLYSOMNOGRAPHY 4+PARAMETERS S
Gross
$6,075
Q4133
—
GRAFIX PRIME 5X5
Gross
$6,035
12037
—
F REPAIR INTRM WND SCLP,AX,TN
Gross
$5,831
15002
—
SURGPREP TRNK/ARM/LEG1ST100SCM
Gross
$5,831
15100
—
SKIN SPLT GRFT TRNK/ARM/LEG
Gross
$5,831
15110
—
EPIDRM AUTOGRFT TRNK/ARM/LEG
Gross
$5,831
15115
—
EPIDRM A-GRFT FACE/NCK/HF/G
Gross
$5,831
15271
—
SKIN SUB GRAFT TRNK/ARM/LEG
Gross
$5,831
15275
—
SKIN SUB GRAFT FACE/NK/HF/G
Gross
$5,831
15277
—
SKN SUB GRFT F/N/HF/G CHILD
Gross
$5,831
31525
—
LARYNGOSCOPY DIRECT FOR EDEMA/
Gross
$5,674
J0897
—
PROLIA(DENOSUMANB)60MG/1ML INJ
Gross
$5,564
21315
—
F CLOSED TX NOSE FX W/O STABLJ
Gross
$5,538
32556
—
INSERT CATH PLEURA W/O IMAGE
Gross
$5,529
70546
—
MRA BRAIN W/WO CONTRAST
Gross
$5,430
G0460
—
AUTOLOGOUS PRP FOR ULCERS
Gross
$5,319
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 37229 | TIB/PER REVASC W/ATHER | $54,674 | — | — | — | 0 |
| 37225 | FEM/POPL REVAS W/ATHER | $34,195 | — | — | — | 0 |
| J2997 | Alteplase 100mg Vial | $34,145 | — | — | — | 0 |
| J3101 | TNKase 50MG | $26,880 | — | — | — | 0 |
| C1889 | CARTIFORM ALLOGRAFT 20X25MM | $23,100 | — | — | — | 0 |
| 32554 | ASPIRATE PLEURA W/O IMAGING | $19,739 | — | — | — | 0 |
| J2505 | Neulasta 6mg/0.6ml | $17,984 | — | — | — | 0 |
| Q4125 | CARTIFORM ALLOGRAFT 12X19MM | $13,125 | — | — | — | 0 |
| 15120 | SKN SPLT A-GRFT FAC/NCK/HF/G | $11,987 | — | — | — | 0 |
| 15273 | SKIN SUB GRFT T/ARM/LG CHILD | $11,987 | — | — | — | 0 |
| 54600 | F REDUCE TESTIS TORSION | $10,467 | — | — | — | 0 |
| 26735 | F TREAT FINGER FRACTURE EACH | $10,059 | — | — | — | 0 |
| Q0249 | ACTEMRA 400MG/20ML VIAL | $9,823 | — | — | — | 0 |
| 36556 | F INSERT NON TUNNEL CV CATH | $9,745 | — | — | — | 0 |
| 36571 | F INSERT PICVAD CATH | $9,745 | — | — | — | 0 |
| 36561 | F INSERT TUNNELED CV CATH | $9,745 | — | — | — | 0 |
| 27532 | F TREAT KNEE FRACTURE | $9,641 | — | — | — | 0 |
| 28208 | RPR TENDON EXTNSR FT1/2EACH | $9,641 | — | — | — | 0 |
| 42330 | REMOVAL OF SALIVARY STONE | $9,313 | — | — | — | 0 |
| 11770 | F EXC PILONIDAL CYST OR SINUS | $8,898 | — | — | — | 0 |
| A9584 | IODINE I-123 IOFLUPANE | $8,711 | — | — | — | 0 |
| 27372 | F FOREIGN BODY REMOVL DEEP THI | $8,072 | — | — | — | 0 |
| 10180 | I&D POST OP INFECTION | $8,072 | — | — | — | 0 |
| J1572 | Immune Glob,Gamma 20gm/200ml | $7,728 | — | — | — | 0 |
| 28192 | F REMOVAL FOREIGN BODY FOOT | $7,320 | — | — | — | 0 |
| 74174 | CT CTA ABD/PELV | $7,238 | — | — | — | 0 |
| 10121 | F INCISE&REMOVE FB SQ/COMPLC | $7,026 | — | — | — | 0 |
| 46040 | INC&DRAINAGE ISCH/PERIR ABSCES | $6,721 | — | — | — | 0 |
| 95811 | POLYSOMNOGRAPHY 4+PARAMTRS +CP | $6,613 | — | — | — | 0 |
| 78452 | NM STRESS TEST- MULTIPLE STUDY | $6,588 | — | — | — | 0 |
| 23931 | DRAINAGE OF ARM BURSA | $6,305 | — | — | — | 0 |
| Q4145 | EPIFIX PARTICULATE 160MG | $6,278 | — | — | — | 0 |
| 54700 | I&D EPIDYMIS TSTIS&/SCROTL SPC | $6,180 | — | — | — | 0 |
| J0875 | DALVANCE 500MG VIAL | $6,142 | — | — | — | 0 |
| 95810 | POLYSOMNOGRAPHY 4+PARAMETERS S | $6,075 | — | — | — | 0 |
| Q4133 | GRAFIX PRIME 5X5 | $6,035 | — | — | — | 0 |
| 12037 | F REPAIR INTRM WND SCLP,AX,TN | $5,831 | — | — | — | 0 |
| 15002 | SURGPREP TRNK/ARM/LEG1ST100SCM | $5,831 | — | — | — | 0 |
| 15100 | SKIN SPLT GRFT TRNK/ARM/LEG | $5,831 | — | — | — | 0 |
| 15110 | EPIDRM AUTOGRFT TRNK/ARM/LEG | $5,831 | — | — | — | 0 |
| 15115 | EPIDRM A-GRFT FACE/NCK/HF/G | $5,831 | — | — | — | 0 |
| 15271 | SKIN SUB GRAFT TRNK/ARM/LEG | $5,831 | — | — | — | 0 |
| 15275 | SKIN SUB GRAFT FACE/NK/HF/G | $5,831 | — | — | — | 0 |
| 15277 | SKN SUB GRFT F/N/HF/G CHILD | $5,831 | — | — | — | 0 |
| 31525 | LARYNGOSCOPY DIRECT FOR EDEMA/ | $5,674 | — | — | — | 0 |
| J0897 | PROLIA(DENOSUMANB)60MG/1ML INJ | $5,564 | — | — | — | 0 |
| 21315 | F CLOSED TX NOSE FX W/O STABLJ | $5,538 | — | — | — | 0 |
| 32556 | INSERT CATH PLEURA W/O IMAGE | $5,529 | — | — | — | 0 |
| 70546 | MRA BRAIN W/WO CONTRAST | $5,430 | — | — | — | 0 |
| G0460 | AUTOLOGOUS PRP FOR ULCERS | $5,319 | — | — | — | 0 |
Showing top 50 of 1,614 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.