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
2,423
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
7211850
—
PGFILGRASTIM 6MG IJ
Gross
$23,084
1417050
—
TISSUE NON-HUMAN 2
Gross
$19,738
1417051
—
TISSUE NON-HUMAN 3
Gross
$19,738
1411436
—
IMPLANT OTHER LVL 6
Gross
$16,475
1414014
—
ANCHOR/SCRW LEVEL 14
Gross
$14,424
7212212
—
FOMEPIZOLE, 15 MG
Gross
$11,530
1630014
—
CTA-ABDOMEN PELVIS
Gross
$11,424
1630009
—
CT-ABD PELVIS WWO
Gross
$11,264
7211857
—
RETEPLASE 18.1MG IJ
Gross
$9,935
1411437
—
IMPLANT OTHER LVL 7
Gross
$9,868
1641022
—
MR-ABDOMEN WWO
Gross
$9,413
1641054
—
MR-BRAIN WWO
Gross
$9,413
1641037
—
MR-BREAST BI W
Gross
$9,413
1641061
—
MR-CERV SPINE WWO
Gross
$9,413
1641012
—
MR-CHEST WWO
Gross
$9,413
1641016
—
MR-LOWER EXTR WWO
Gross
$9,413
1641063
—
MR-LUMB SPINE WWO
Gross
$9,413
1641019
—
MR-LW JOINT WWO
Gross
$9,413
1641048
—
MR-ORBT FAC NCK WWO
Gross
$9,413
1641067
—
MR-PELVIS WWO
Gross
$9,413
1641062
—
MR-THOR SPINE WWO
Gross
$9,413
1641002
—
MR-UPPER EXT WWO
Gross
$9,413
1641005
—
MR-UPPER JOINT WWO
Gross
$9,413
1641051
—
MRA-HEAD WWO
Gross
$9,413
1641009
—
MRA-NECK WWO
Gross
$9,413
1410018
—
OTH STER SUPP LVL 18
Gross
$9,272
1414758
—
MESH IMPLANTABLE 9
Gross
$9,196
1630008
—
CT-ABD PELVIS W
Gross
$8,864
7212208
—
DIGOXIN IMMUNE FAB
Gross
$8,786
1411438
—
IMPLANT OTHER LVL 8
Gross
$8,764
1110826
—
AD PROCEDURE OR LV 6
Gross
$8,748
1110806
—
OR LEV 6 INI 15 MIN
Gross
$8,748
1631556
—
CTA-ABD ART W RUNOFF
Gross
$8,568
1110874
—
PAIN MGMT IN PROC L4
Gross
$8,514
1160134
—
AD PROCEDURE GI LV 4
Gross
$8,492
1160114
—
GI LAB LEV 4 1ST 15
Gross
$8,492
1414755
—
MESH IMPLANTABLE 6
Gross
$8,381
1630007
—
CT-ABD PELVIS WO
Gross
$8,230
1631533
—
CT-CHEST DIAG WWO
Gross
$8,207
1411435
—
IMPLANT OTHER LVL 5
Gross
$8,145
2811584
—
TC-99M AUTO WBC/DOSE
Gross
$8,049
1641083
—
MR-LW JOINT WO BI
Gross
$7,909
1651074
—
NM-MYOCRD SPECT MULT
Gross
$7,717
1110873
—
PAIN MGMT IN PROC L3
Gross
$7,709
1410017
—
OTH STER SUPP LVL 17
Gross
$7,624
1913238
—
INSERTION FLOW CATH
Gross
$7,537
1110842
—
PAIN MGMT IN PROC L2
Gross
$7,479
1110825
—
AD PROCEDURE OR LV 5
Gross
$7,477
1110805
—
OR LEV 5 INI 15 MIN
Gross
$7,477
1212114
—
CROTALID POLY IM 1GM
Gross
$7,359
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 7211850 | PGFILGRASTIM 6MG IJ | $23,084 | — | — | — | 0 |
| 1417050 | TISSUE NON-HUMAN 2 | $19,738 | — | — | — | 0 |
| 1417051 | TISSUE NON-HUMAN 3 | $19,738 | — | — | — | 0 |
| 1411436 | IMPLANT OTHER LVL 6 | $16,475 | — | — | — | 0 |
| 1414014 | ANCHOR/SCRW LEVEL 14 | $14,424 | — | — | — | 0 |
| 7212212 | FOMEPIZOLE, 15 MG | $11,530 | — | — | — | 0 |
| 1630014 | CTA-ABDOMEN PELVIS | $11,424 | — | — | — | 0 |
| 1630009 | CT-ABD PELVIS WWO | $11,264 | — | — | — | 0 |
| 7211857 | RETEPLASE 18.1MG IJ | $9,935 | — | — | — | 0 |
| 1411437 | IMPLANT OTHER LVL 7 | $9,868 | — | — | — | 0 |
| 1641022 | MR-ABDOMEN WWO | $9,413 | — | — | — | 0 |
| 1641054 | MR-BRAIN WWO | $9,413 | — | — | — | 0 |
| 1641037 | MR-BREAST BI W | $9,413 | — | — | — | 0 |
| 1641061 | MR-CERV SPINE WWO | $9,413 | — | — | — | 0 |
| 1641012 | MR-CHEST WWO | $9,413 | — | — | — | 0 |
| 1641016 | MR-LOWER EXTR WWO | $9,413 | — | — | — | 0 |
| 1641063 | MR-LUMB SPINE WWO | $9,413 | — | — | — | 0 |
| 1641019 | MR-LW JOINT WWO | $9,413 | — | — | — | 0 |
| 1641048 | MR-ORBT FAC NCK WWO | $9,413 | — | — | — | 0 |
| 1641067 | MR-PELVIS WWO | $9,413 | — | — | — | 0 |
| 1641062 | MR-THOR SPINE WWO | $9,413 | — | — | — | 0 |
| 1641002 | MR-UPPER EXT WWO | $9,413 | — | — | — | 0 |
| 1641005 | MR-UPPER JOINT WWO | $9,413 | — | — | — | 0 |
| 1641051 | MRA-HEAD WWO | $9,413 | — | — | — | 0 |
| 1641009 | MRA-NECK WWO | $9,413 | — | — | — | 0 |
| 1410018 | OTH STER SUPP LVL 18 | $9,272 | — | — | — | 0 |
| 1414758 | MESH IMPLANTABLE 9 | $9,196 | — | — | — | 0 |
| 1630008 | CT-ABD PELVIS W | $8,864 | — | — | — | 0 |
| 7212208 | DIGOXIN IMMUNE FAB | $8,786 | — | — | — | 0 |
| 1411438 | IMPLANT OTHER LVL 8 | $8,764 | — | — | — | 0 |
| 1110826 | AD PROCEDURE OR LV 6 | $8,748 | — | — | — | 0 |
| 1110806 | OR LEV 6 INI 15 MIN | $8,748 | — | — | — | 0 |
| 1631556 | CTA-ABD ART W RUNOFF | $8,568 | — | — | — | 0 |
| 1110874 | PAIN MGMT IN PROC L4 | $8,514 | — | — | — | 0 |
| 1160134 | AD PROCEDURE GI LV 4 | $8,492 | — | — | — | 0 |
| 1160114 | GI LAB LEV 4 1ST 15 | $8,492 | — | — | — | 0 |
| 1414755 | MESH IMPLANTABLE 6 | $8,381 | — | — | — | 0 |
| 1630007 | CT-ABD PELVIS WO | $8,230 | — | — | — | 0 |
| 1631533 | CT-CHEST DIAG WWO | $8,207 | — | — | — | 0 |
| 1411435 | IMPLANT OTHER LVL 5 | $8,145 | — | — | — | 0 |
| 2811584 | TC-99M AUTO WBC/DOSE | $8,049 | — | — | — | 0 |
| 1641083 | MR-LW JOINT WO BI | $7,909 | — | — | — | 0 |
| 1651074 | NM-MYOCRD SPECT MULT | $7,717 | — | — | — | 0 |
| 1110873 | PAIN MGMT IN PROC L3 | $7,709 | — | — | — | 0 |
| 1410017 | OTH STER SUPP LVL 17 | $7,624 | — | — | — | 0 |
| 1913238 | INSERTION FLOW CATH | $7,537 | — | — | — | 0 |
| 1110842 | PAIN MGMT IN PROC L2 | $7,479 | — | — | — | 0 |
| 1110825 | AD PROCEDURE OR LV 5 | $7,477 | — | — | — | 0 |
| 1110805 | OR LEV 5 INI 15 MIN | $7,477 | — | — | — | 0 |
| 1212114 | CROTALID POLY IM 1GM | $7,359 | — | — | — | 0 |
Showing top 50 of 2,423 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.