45 CFR § 180 compliance
B · 85
This hospital published most 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
7,273
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
3300240
$38,289
IMPLANT NEURORECIEVER SIMULTR
Gross
$54,699
4902243
$12,944
DIGIFAB 40MG VIAL
Gross
$18,491
3300239
$10,279
REVISE SPINE ELTRD PERQ ARAY
Gross
$14,684
3300233
$7,952
PERCUTENEOUS DISKECTOMY
Gross
$11,360
3300000
$7,305
OPERATING ROOM 1HR
Gross
$10,436
3300298
$7,278
OR LEVEL 5
Gross
$10,397
4050065
$6,608
XPANSION GRAFT APPL
Gross
$9,440
4050066
$6,608
XPANSION GRAFT APPL
Gross
$9,440
4050069
$6,608
SKIN SUB APPLY TRK
Gross
$9,440
3300300
$6,470
OR LEVEL 4
Gross
$9,243
4050190
$6,374
BIOPSY BONE DEEP
Gross
$9,106
4050187
$6,364
BONE BIOPSY EXCISIONAL FACILITY
Gross
$9,091
4050189
$6,364
BIOPSY BONE
Gross
$9,091
4050055
$6,260
SKIN SUB TRUNK
Gross
$8,943
4904170
$6,126
PRAXBIND 50MG/ML
Gross
$8,751
3905609
$6,084
VENTRALIGHT MESH 10X15 CM OVAL
Gross
$8,692
3905561
$5,583
SINGLE USE DUODENOSCOPE
Gross
$7,975
4904202
$5,292
THYROTROPIN ALFA 0.9 MG INJECTION
Gross
$7,560
3900030
$5,236
TUBING IV MINI-DRIP
Gross
$7,480
3300241
$4,938
REVISE/REMOVE NEURORECIEVER
Gross
$7,054
3300302
$4,852
OR LEVEL 3
Gross
$6,932
4901109
$4,736
ANTIVENIN CROTALIDAE
Gross
$6,766
4120002
$4,435
MN PET IMAGE W/O WHOLE BODY
Gross
$6,336
4050140
$4,418
SURGICAL PREP LEGS, TRUNK,ARMS
Gross
$6,312
4240185
$4,398
MRI UP EXT NON BILAT
Gross
$6,283
4240186
$4,398
MRI UP EXT NON JT
Gross
$6,283
4050063
$4,363
CELLUTOME APPLICAT
Gross
$6,233
4050064
$4,363
CELLTOME APPLICAT
Gross
$6,233
4050073
$4,363
SKIN SUB APPLY FEET
Gross
$6,233
4050139
$4,348
PHYS REPAIR WOUND
Gross
$6,211
4120000
$4,333
MN PET IMG W/CT SKULL BS MID
Gross
$6,190
3300231
$4,292
TX SPINAL CORD LESION CER/THOR
Gross
$6,131
3300232
$4,292
INJ NEUROLYT;EPID LUMB/CAUDAL
Gross
$6,131
3300234
$4,292
INJECT INTO DISK LESION
Gross
$6,131
3905560
$4,279
WALLFLEX 10 MM X 60MM FULLY
Gross
$6,113
3300304
$4,043
OR LEVEL 2
Gross
$5,776
4903835
$4,019
LUPRON DEPOT 22.5MG SYRINGE
Gross
$5,742
4200097
$3,989
MYOCARDIAL SPECT MUL
Gross
$5,699
3905613
$3,865
VENTRALEX ST HERNIA PATCH LG
Gross
$5,521
3902847
$3,858
SURGIMEST TINTRA E 2226
Gross
$5,512
3300281
$3,760
DESTR PARAVERTEBRAL NERVE CT
Gross
$5,371
3300283
$3,760
DESTROY PARAVERTEBRAL NRV L/S
Gross
$5,371
4002384
$3,702
SNP MICROARRAY
Gross
$5,288
3300295
$3,689
XPS LASER
Gross
$5,270
3905537
$3,689
XPS LASER
Gross
$5,270
4050191
$3,668
BIOPSY BONE NEEDLE
Gross
$5,240
3380004
$3,652
BIRTHING ROOM
Gross
$5,217
4240189
$3,630
MRI LOW EXT JT BILAT
Gross
$5,186
3901993
$3,590
PORT MRI GROSHW/CATH
Gross
$5,128
3400342
$3,566
UNLIST PROC ABD/PERITON/OMENTM
Gross
$5,094
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3300240 | IMPLANT NEURORECIEVER SIMULTR | $54,699 | $38,289 | — | — | 27 |
| 4902243 | DIGIFAB 40MG VIAL | $18,491 | $12,944 | — | — | 26 |
| 3300239 | REVISE SPINE ELTRD PERQ ARAY | $14,684 | $10,279 | — | — | 27 |
| 3300233 | PERCUTENEOUS DISKECTOMY | $11,360 | $7,952 | — | — | 27 |
| 3300000 | OPERATING ROOM 1HR | $10,436 | $7,305 | — | — | 27 |
| 3300298 | OR LEVEL 5 | $10,397 | $7,278 | — | — | 27 |
| 4050065 | XPANSION GRAFT APPL | $9,440 | $6,608 | — | — | 26 |
| 4050066 | XPANSION GRAFT APPL | $9,440 | $6,608 | — | — | 26 |
| 4050069 | SKIN SUB APPLY TRK | $9,440 | $6,608 | — | — | 26 |
| 3300300 | OR LEVEL 4 | $9,243 | $6,470 | — | — | 27 |
| 4050190 | BIOPSY BONE DEEP | $9,106 | $6,374 | — | — | 26 |
| 4050187 | BONE BIOPSY EXCISIONAL FACILITY | $9,091 | $6,364 | — | — | 26 |
| 4050189 | BIOPSY BONE | $9,091 | $6,364 | — | — | 26 |
| 4050055 | SKIN SUB TRUNK | $8,943 | $6,260 | — | — | 26 |
| 4904170 | PRAXBIND 50MG/ML | $8,751 | $6,126 | — | — | 26 |
| 3905609 | VENTRALIGHT MESH 10X15 CM OVAL | $8,692 | $6,084 | — | — | 27 |
| 3905561 | SINGLE USE DUODENOSCOPE | $7,975 | $5,583 | — | — | 27 |
| 4904202 | THYROTROPIN ALFA 0.9 MG INJECTION | $7,560 | $5,292 | — | — | 26 |
| 3900030 | TUBING IV MINI-DRIP | $7,480 | $5,236 | — | — | 27 |
| 3300241 | REVISE/REMOVE NEURORECIEVER | $7,054 | $4,938 | — | — | 27 |
| 3300302 | OR LEVEL 3 | $6,932 | $4,852 | — | — | 27 |
| 4901109 | ANTIVENIN CROTALIDAE | $6,766 | $4,736 | — | — | 26 |
| 4120002 | MN PET IMAGE W/O WHOLE BODY | $6,336 | $4,435 | — | — | 26 |
| 4050140 | SURGICAL PREP LEGS, TRUNK,ARMS | $6,312 | $4,418 | — | — | 26 |
| 4240185 | MRI UP EXT NON BILAT | $6,283 | $4,398 | — | — | 26 |
| 4240186 | MRI UP EXT NON JT | $6,283 | $4,398 | — | — | 26 |
| 4050063 | CELLUTOME APPLICAT | $6,233 | $4,363 | — | — | 26 |
| 4050064 | CELLTOME APPLICAT | $6,233 | $4,363 | — | — | 26 |
| 4050073 | SKIN SUB APPLY FEET | $6,233 | $4,363 | — | — | 26 |
| 4050139 | PHYS REPAIR WOUND | $6,211 | $4,348 | — | — | 26 |
| 4120000 | MN PET IMG W/CT SKULL BS MID | $6,190 | $4,333 | — | — | 26 |
| 3300231 | TX SPINAL CORD LESION CER/THOR | $6,131 | $4,292 | — | — | 27 |
| 3300232 | INJ NEUROLYT;EPID LUMB/CAUDAL | $6,131 | $4,292 | — | — | 27 |
| 3300234 | INJECT INTO DISK LESION | $6,131 | $4,292 | — | — | 27 |
| 3905560 | WALLFLEX 10 MM X 60MM FULLY | $6,113 | $4,279 | — | — | 27 |
| 3300304 | OR LEVEL 2 | $5,776 | $4,043 | — | — | 27 |
| 4903835 | LUPRON DEPOT 22.5MG SYRINGE | $5,742 | $4,019 | — | — | 26 |
| 4200097 | MYOCARDIAL SPECT MUL | $5,699 | $3,989 | — | — | 26 |
| 3905613 | VENTRALEX ST HERNIA PATCH LG | $5,521 | $3,865 | — | — | 27 |
| 3902847 | SURGIMEST TINTRA E 2226 | $5,512 | $3,858 | — | — | 27 |
| 3300281 | DESTR PARAVERTEBRAL NERVE CT | $5,371 | $3,760 | — | — | 27 |
| 3300283 | DESTROY PARAVERTEBRAL NRV L/S | $5,371 | $3,760 | — | — | 27 |
| 4002384 | SNP MICROARRAY | $5,288 | $3,702 | — | — | 26 |
| 3300295 | XPS LASER | $5,270 | $3,689 | — | — | 27 |
| 3905537 | XPS LASER | $5,270 | $3,689 | — | — | 27 |
| 4050191 | BIOPSY BONE NEEDLE | $5,240 | $3,668 | — | — | 26 |
| 3380004 | BIRTHING ROOM | $5,217 | $3,652 | — | — | 27 |
| 4240189 | MRI LOW EXT JT BILAT | $5,186 | $3,630 | — | — | 26 |
| 3901993 | PORT MRI GROSHW/CATH | $5,128 | $3,590 | — | — | 27 |
| 3400342 | UNLIST PROC ABD/PERITON/OMENTM | $5,094 | $3,566 | — | — | 27 |
Showing top 50 of 7,273 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.