45 CFR § 180 compliance
D · 65
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
3,304
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-116482
$39,906
ECALLANTIDE 10 MG/ML SC SOLN
Gross
$39,906
SUP-2020002P
$28,851
Tiss Strattice Recon Perf 20 X 20 Firm
Gross
$28,851
RX-9002
$21,136
ALTEPLASE 100 MG IV SOLR
Gross
$21,136
RX-901923
$21,136
ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE)
Gross
$21,136
RX-901924
$21,136
ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL
Gross
$21,136
RX-904117
$21,136
ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL
Gross
$21,136
RX-903822
$18,801
TENECTEPLASE 50 MG IN 10 ML FOR STROKE IV
Gross
$18,801
SUP-3015
$14,685
Wound Matrix Miro3D 10cm x 5cm x 2cm AFF
Gross
$14,685
SUP-420902
$13,895
Kit Bngf 3Cc Aug Inj
Gross
$13,895
RX-28530
$13,165
TENECTEPLASE 50 MG IV KIT
Gross
$13,165
SUP-372406
$12,435
Tiss Strattice Recon Perf 10 X 16 Firm
Gross
$12,435
SUP-462363
$9,030
Ndl Biopsy Kt Asp Bn Mrw
Gross
$9,030
SUP-337577
$8,691
Stpl Bone 8X8Mm Fuseforce Hand Strl
Gross
$8,691
PX-60106570
$8,344
Brca 1/2 Gene Full Seq Dup/Del
Gross
$8,344
SUP-467467
$8,019
Plate 3 Hl Hk 2 Shrp Tine Mtrsl 42X6.5Mm
Gross
$8,019
RX-143550
$7,519
DANTROLENE SODIUM 250 MG IV SUSR
Gross
$7,519
SUP-3010
$7,350
Wound Matrix Miro3D 5cm x 5cm x 2cm AFF
Gross
$7,350
SUP-271102
$6,765
Stpl Bone 10X10X1.2-1.5Mm 2Mm Easyclip
Gross
$6,765
SUP-382246
$6,522
Plate 2 Hl Slim Y Variax Bone Nonster
Gross
$6,522
PX-SUP108683
$5,794
Staple Nitinoli Fuseforce 8x8mm
Gross
$5,794
SUP-BLM-100-01-0808
$5,376
Mesh Micro 8 X 8 Pc
Gross
$5,376
SUP-BLM-100-010808
$5,376
Wound Matrix Biologic MiroDerm 8cm x 8cm AFF
Gross
$5,376
SUP-285106
$5,198
Mesh Srg Ventralight St Sepra Echo 8x6In
Gross
$5,198
PX-832388
$4,868
Unlisted Lap Abd Perit Omentum
Gross
$4,868
SUP-D1030000
$4,791
Pack Dart-Fire Edge Inst 3.0MM Headed AFF
Gross
$4,791
PX-800475
$4,785
NM Myocard Perfusion Spect Stress and Rest
Gross
$4,785
SUP-3005
$4,485
Wound Matrix Miro3D 3cm x 3cm x 2cm AFF
Gross
$4,485
PX-811386
$4,462
Or Surgery Level 4
Gross
$4,462
PX-811303
$4,432
Polysomn W/Cpap >=6yrs
Gross
$4,432
SUP-BLM-200-02-0307
$4,234
Wound Matrix Biologic MiroDerm 3cm x 7cm AFF
Gross
$4,234
PX-811385
$4,225
Or Surgery Level 3
Gross
$4,225
PX-816880
$4,212
Replantation Digit Distal Complt
Gross
$4,212
RX-22185
$4,171
FOMEPIZOLE 1 GM/ML IV SOLN
Gross
$4,171
PX-811302
$4,137
Polysomn 4 or More >=6yrs
Gross
$4,137
PX-800794
$4,069
CT Abdomen Pelvis Wwo Contrast
Gross
$4,069
PX-831329
$4,058
Drain Peritoneal Abscess Open
Gross
$4,058
PX-811384
$4,052
Or Surgery Level 2
Gross
$4,052
SUP-BLM-100-01-0608
$4,032
Mesh Micro 6 X 8 Pc
Gross
$4,032
SUP-BLM-100-01-0605
$4,032
Wound Matrix Biologic MiroDerm 6cm x 8cm AFF
Gross
$4,032
PX-833986
$3,960
Resect Tumor Thigh Knee < 5 Cm
Gross
$3,960
PX-835292
$3,960
Resect Tumor Thigh Knee > 5cm
Gross
$3,960
PX-800328
$3,951
Mra Angio Head With and Without Contrast
Gross
$3,951
SUP-3000
$3,885
Wound Matrix Miro3D 2cm X 2cm X 2cm AFF
Gross
$3,885
PX-800803
$3,661
CT Abdomen Pelvis W Contrast
Gross
$3,661
PX-800353
$3,556
MRI Pelvis With and Without Contrast
Gross
$3,556
PX-833242
$3,406
Resect Tumr Radical Soft Tiss Pelv >=5cm
Gross
$3,406
PX-836340
$3,406
Resect Tumor Rad Soft Tiss Pelvic < 5 Cm
Gross
$3,406
PX-832834
$3,247
Split Autograft Trunk Ext 100 Sqcm
Gross
$3,247
PX-832698
$3,239
Rpr Hernia Ing Recur Reducible
Gross
$3,239
PX-835293
$3,208
Resect Tumor Lower Extremity > 5cm
Gross
$3,208
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-116482 | ECALLANTIDE 10 MG/ML SC SOLN | $39,906 | $39,906 | — | — | 0 |
| SUP-2020002P | Tiss Strattice Recon Perf 20 X 20 Firm | $28,851 | $28,851 | — | — | 0 |
| RX-9002 | ALTEPLASE 100 MG IV SOLR | $21,136 | $21,136 | — | — | 0 |
| RX-901923 | ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE) | $21,136 | $21,136 | — | — | 0 |
| RX-901924 | ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL | $21,136 | $21,136 | — | — | 0 |
| RX-904117 | ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL | $21,136 | $21,136 | — | — | 0 |
| RX-903822 | TENECTEPLASE 50 MG IN 10 ML FOR STROKE IV | $18,801 | $18,801 | — | — | 0 |
| SUP-3015 | Wound Matrix Miro3D 10cm x 5cm x 2cm AFF | $14,685 | $14,685 | — | — | 0 |
| SUP-420902 | Kit Bngf 3Cc Aug Inj | $13,895 | $13,895 | — | — | 0 |
| RX-28530 | TENECTEPLASE 50 MG IV KIT | $13,165 | $13,165 | — | — | 0 |
| SUP-372406 | Tiss Strattice Recon Perf 10 X 16 Firm | $12,435 | $12,435 | — | — | 0 |
| SUP-462363 | Ndl Biopsy Kt Asp Bn Mrw | $9,030 | $9,030 | — | — | 0 |
| SUP-337577 | Stpl Bone 8X8Mm Fuseforce Hand Strl | $8,691 | $8,691 | — | — | 0 |
| PX-60106570 | Brca 1/2 Gene Full Seq Dup/Del | $8,344 | $8,344 | — | — | 0 |
| SUP-467467 | Plate 3 Hl Hk 2 Shrp Tine Mtrsl 42X6.5Mm | $8,019 | $8,019 | — | — | 0 |
| RX-143550 | DANTROLENE SODIUM 250 MG IV SUSR | $7,519 | $7,519 | — | — | 0 |
| SUP-3010 | Wound Matrix Miro3D 5cm x 5cm x 2cm AFF | $7,350 | $7,350 | — | — | 0 |
| SUP-271102 | Stpl Bone 10X10X1.2-1.5Mm 2Mm Easyclip | $6,765 | $6,765 | — | — | 0 |
| SUP-382246 | Plate 2 Hl Slim Y Variax Bone Nonster | $6,522 | $6,522 | — | — | 0 |
| PX-SUP108683 | Staple Nitinoli Fuseforce 8x8mm | $5,794 | $5,794 | — | — | 0 |
| SUP-BLM-100-01-0808 | Mesh Micro 8 X 8 Pc | $5,376 | $5,376 | — | — | 0 |
| SUP-BLM-100-010808 | Wound Matrix Biologic MiroDerm 8cm x 8cm AFF | $5,376 | $5,376 | — | — | 0 |
| SUP-285106 | Mesh Srg Ventralight St Sepra Echo 8x6In | $5,198 | $5,198 | — | — | 0 |
| PX-832388 | Unlisted Lap Abd Perit Omentum | $4,868 | $4,868 | — | — | 0 |
| SUP-D1030000 | Pack Dart-Fire Edge Inst 3.0MM Headed AFF | $4,791 | $4,791 | — | — | 0 |
| PX-800475 | NM Myocard Perfusion Spect Stress and Rest | $4,785 | $4,785 | — | — | 0 |
| SUP-3005 | Wound Matrix Miro3D 3cm x 3cm x 2cm AFF | $4,485 | $4,485 | — | — | 0 |
| PX-811386 | Or Surgery Level 4 | $4,462 | $4,462 | — | — | 0 |
| PX-811303 | Polysomn W/Cpap >=6yrs | $4,432 | $4,432 | — | — | 0 |
| SUP-BLM-200-02-0307 | Wound Matrix Biologic MiroDerm 3cm x 7cm AFF | $4,234 | $4,234 | — | — | 0 |
| PX-811385 | Or Surgery Level 3 | $4,225 | $4,225 | — | — | 0 |
| PX-816880 | Replantation Digit Distal Complt | $4,212 | $4,212 | — | — | 0 |
| RX-22185 | FOMEPIZOLE 1 GM/ML IV SOLN | $4,171 | $4,171 | — | — | 0 |
| PX-811302 | Polysomn 4 or More >=6yrs | $4,137 | $4,137 | — | — | 0 |
| PX-800794 | CT Abdomen Pelvis Wwo Contrast | $4,069 | $4,069 | — | — | 0 |
| PX-831329 | Drain Peritoneal Abscess Open | $4,058 | $4,058 | — | — | 0 |
| PX-811384 | Or Surgery Level 2 | $4,052 | $4,052 | — | — | 0 |
| SUP-BLM-100-01-0608 | Mesh Micro 6 X 8 Pc | $4,032 | $4,032 | — | — | 0 |
| SUP-BLM-100-01-0605 | Wound Matrix Biologic MiroDerm 6cm x 8cm AFF | $4,032 | $4,032 | — | — | 0 |
| PX-833986 | Resect Tumor Thigh Knee < 5 Cm | $3,960 | $3,960 | — | — | 0 |
| PX-835292 | Resect Tumor Thigh Knee > 5cm | $3,960 | $3,960 | — | — | 0 |
| PX-800328 | Mra Angio Head With and Without Contrast | $3,951 | $3,951 | — | — | 0 |
| SUP-3000 | Wound Matrix Miro3D 2cm X 2cm X 2cm AFF | $3,885 | $3,885 | — | — | 0 |
| PX-800803 | CT Abdomen Pelvis W Contrast | $3,661 | $3,661 | — | — | 0 |
| PX-800353 | MRI Pelvis With and Without Contrast | $3,556 | $3,556 | — | — | 0 |
| PX-833242 | Resect Tumr Radical Soft Tiss Pelv >=5cm | $3,406 | $3,406 | — | — | 0 |
| PX-836340 | Resect Tumor Rad Soft Tiss Pelvic < 5 Cm | $3,406 | $3,406 | — | — | 0 |
| PX-832834 | Split Autograft Trunk Ext 100 Sqcm | $3,247 | $3,247 | — | — | 0 |
| PX-832698 | Rpr Hernia Ing Recur Reducible | $3,239 | $3,239 | — | — | 0 |
| PX-835293 | Resect Tumor Lower Extremity > 5cm | $3,208 | $3,208 | — | — | 0 |
Showing top 50 of 3,304 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.