45 CFR § 180 compliance
F · 55
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
16,878
Insurances with rates
25
CPT / HCPCS codes
8,498
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 253770078 | alteplase 100 mg Inj | $52,803 | $34,322 | — | — | 15 |
| 253770078 | alteplase 100 mg Inj | $52,803 | $34,322 | — | — | 25 |
| 253770177 | vedolizumab 300 mg Inj | $46,800 | $30,420 | — | — | 15 |
| 253770177 | vedolizumab 300 mg Inj | $46,800 | $30,420 | — | — | 25 |
| 253740027 | tenecteplase 50 mg powd Inj | $45,598 | $29,639 | — | — | 15 |
| 253740027 | tenecteplase 50 mg powd Inj | $45,598 | $29,639 | — | — | 25 |
| 253770170 | durvalumab 500 mg/10 mL Inj | $21,747 | $14,136 | — | — | 15 |
| 253770170 | durvalumab 500 mg/10 mL Inj | $21,747 | $14,136 | — | — | 25 |
| 253770242 | riTUXimab-pvvr 500 mg/50 mL Inj | $19,354 | $12,580 | — | — | 15 |
| 253770242 | riTUXimab-pvvr 500 mg/50 mL Inj | $19,354 | $12,580 | — | — | 25 |
| 256404384 | GRAFT BIO-4 VIABLE BONE MATRIX 10CC | $19,005 | $12,353 | — | — | 15 |
| 256404384 | GRAFT BIO-4 VIABLE BONE MATRIX 10CC | $19,005 | $12,353 | — | — | 25 |
| 253780864 | mepolizumab 100 mg Powder Inj | $18,424 | $11,976 | — | — | 15 |
| 253780864 | mepolizumab 100 mg Powder Inj | $18,424 | $11,976 | — | — | 25 |
| 253770218 | rabies immune globulin, human 1500 intl_units/5 mL IM Inj | $18,102 | $11,766 | — | — | 15 |
| 253770218 | rabies immune globulin, human 1500 intl_units/5 mL IM Inj | $18,102 | $11,766 | — | — | 25 |
| 256400104 | ALLOGRAFT PROCHRONDRIX OSTEOCONDRAL 11MM | $15,571 | $10,121 | — | — | 15 |
| 256400104 | ALLOGRAFT PROCHRONDRIX OSTEOCONDRAL 11MM | $15,571 | $10,121 | — | — | 25 |
| 253770215 | tocilizumab 400 mg/20 mL Inj | $14,342 | $9,322 | — | — | 15 |
| 253770215 | tocilizumab 400 mg/20 mL Inj | $14,342 | $9,322 | — | — | 25 |
| 256414584 | STAPLE EASYFUSE NITINOL 2 LEG 18X20 | $13,448 | $8,741 | — | — | 15 |
| 256414584 | STAPLE EASYFUSE NITINOL 2 LEG 18X20 | $13,448 | $8,741 | — | — | 25 |
| 251142440 | Excision of submandibular (submaxillary) gland | $13,371 | $8,691 | — | — | 15 |
| 251142440 | Excision of submandibular (submaxillary) gland | $13,371 | $8,691 | — | — | 25 |
| 256401388 | SHELL ACETABULAR MULTI HOLE CEMENTLESS 50MM | $13,163 | $8,556 | — | — | 15 |
| 256401388 | SHELL ACETABULAR MULTI HOLE CEMENTLESS 50MM | $13,163 | $8,556 | — | — | 25 |
| 256400314 | GRAFT BIO-4 VIABLE BONE MATRIX 5CC | $13,154 | $8,550 | — | — | 15 |
| 256400314 | GRAFT BIO-4 VIABLE BONE MATRIX 5CC | $13,154 | $8,550 | — | — | 25 |
| 253770201 | romosozumab-aqqg 210 mg/2.34 mL Inj | $13,146 | $8,545 | — | — | 15 |
| 253770201 | romosozumab-aqqg 210 mg/2.34 mL Inj | $13,146 | $8,545 | — | — | 25 |
| 251146060 | INCISION DRNAGE OF ISCHIORECTAL/INTRAMUR | $12,879 | $8,371 | — | — | 15 |
| 251146060 | INCISION DRNAGE OF ISCHIORECTAL/INTRAMUR | $12,879 | $8,371 | — | — | 25 |
| 256400212 | KIT AUGMENT INJECTABLE 3CC | $12,814 | $8,329 | — | — | 15 |
| 256400212 | KIT AUGMENT INJECTABLE 3CC | $12,814 | $8,329 | — | — | 25 |
| 256411188 | MATRIX FLOW PLACENTAL TISSUE VIAFLOW | $12,789 | $8,313 | — | — | 15 |
| 256411188 | MATRIX FLOW PLACENTAL TISSUE VIAFLOW | $12,789 | $8,313 | — | — | 25 |
| 251159409 | Vaginal Delivery W or WO Episiotomy or Forceps | $12,663 | $8,231 | — | — | 15 |
| 251159409 | Vaginal Delivery W or WO Episiotomy or Forceps | $12,663 | $8,231 | — | — | 25 |
| 256400411 | HUMERAL STEM MINI 13MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 15 |
| 256402662 | HUMERAL STEM MINI 11MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 15 |
| 256402552 | HUMERAL STEM MINI 10MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 15 |
| 256403768 | HUMERAL STEM MINI 16MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 15 |
| 256402924 | HUMERAL STEM MINI 15MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 15 |
| 256403470 | STEM HUMERAL PRIMARY COMPHSVE STD 14MM | $11,550 | $7,508 | — | — | 15 |
| 256400411 | HUMERAL STEM MINI 13MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 25 |
| 256402662 | HUMERAL STEM MINI 11MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 25 |
| 256402552 | HUMERAL STEM MINI 10MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 25 |
| 256403768 | HUMERAL STEM MINI 16MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 25 |
| 256402924 | HUMERAL STEM MINI 15MM COMPREHENSIVE | $11,550 | $7,508 | — | — | 25 |
| 256403470 | STEM HUMERAL PRIMARY COMPHSVE STD 14MM | $11,550 | $7,508 | — | — | 25 |
Showing top 50 of 16,878 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.