45 CFR § 180 compliance
C · 70
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
219
Insurances with rates
260
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PX-49525 | PR Repr Ing Hernia Sliding Any Age | $2,062 | $2,062 | — | — | 388 |
| PX-49593 | PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl 3-10 Cm Reducible | $2,041 | $2,041 | — | — | 481 |
| PX-28285 | PR Correction Hammertoe|BILATERAL PROCEDURE | $1,710 | $1,710 | — | — | 132 |
| PX-J0561 | PR Penicillin G Benzathine Injection 10000 Units | $1,687 | $1,687 | — | — | 776 |
| PX-27810 | PR Treatment Bimalleolar Ankle Fracture Closed With Manipulation | $1,663 | $1,663 | — | — | 183 |
| PX-J7326 | PR Hyaluronan/Derivative Gel-One for Intra-Articular Injection per Dose | $1,631 | $1,631 | — | — | 60 |
| PX-J7318 | PR Hyaluronan or Derivative Intra-Articular Injection 1 Mg | $1,453 | $1,453 | — | — | 96 |
| PX-64721 | PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel | $1,360 | $1,360 | — | — | 1391 |
| PX-64635 | PR Dest by Neurolytic Agent Pv Fct Jt Nrv W Imgn Gud Lumbar/Sacral Sgl | $786 | $786 | — | — | 1389 |
| PX-49591 | PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl < 3 Cm Reducible|ASSISTANT AT SURGERY SERVICE|MULT | $741 | $119 | — | — | 509 |
| PX-11765 | PR Wedge Excision Skin of Nail Fold | $687 | $687 | — | — | 45 |
| PX-26055 | PR Incision Tendon Sheath|MULTIPLE PROCEDURES | $679 | $679 | — | — | 67 |
| PX-J7328 | PR Hyaluronan or Derivative Gel-Syn for Intra-Articular Injection 0.1 Mg | $672 | $336 | — | — | 108 |
| PX-11750 | PR Excision Nail/Nail Matrix Partial/Complete Permanent Removal | $666 | $666 | — | — | 136 |
| PX-64490 | PR Inj Paravertebral Facet Joint W Img Guid Cervical or Thoracic Sgl Level|BILATERAL PROCEDURE | $658 | $658 | — | — | 573 |
| PX-90679 | PR Vaccine Rsv Pref Recombinant Subunit Adjuvanted Dose 0.5 Ml Im | $656 | $656 | — | — | 211 |
| PX-90677 | PR Vaccine Pneumococcal Conjugate 20 Valent (Pcv20) Im | $652 | $652 | — | — | 246 |
| PX-90710 | PR Vaccine Mmrv Live Subcutaneous | $621 | $621 | — | — | 130 |
| PX-11403 | PR Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm|MULTIPLE PROCEDURES | $569 | $569 | — | — | 704 |
| PX-58301 | PR Removal Intrauterine Device|MULTIPLE PROCEDURES | $563 | $563 | — | — | 5 |
| PX-90671 | PR Vaccine Pneumococcal Conjugate 15 Valent (Pcv15) Im | $555 | $555 | — | — | 245 |
| PX-11401 | PR Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm | $517 | $517 | — | — | 777 |
| PX-64640 | PR Destruction by Neurolytic Agent Other Peripheral Nerve or Branch | $515 | $515 | — | — | 1451 |
| PX-11730 | PR Avulsion Nail Plate Partial/Complete Simple Single Nail Plate | $480 | $480 | — | — | 134 |
| PX-99291 | PR Critical Care 30-74 Minutes | $450 | $450 | — | — | 366 |
| PX-90750 | PR Zoster Hzv Recombinant Sub-Unit Adjuvanted for Intramuscular Injection | $442 | $442 | — | — | 241 |
| PX-11055 | PR Paring/Cutting Benign Hyperkeratotic Lesion Single|MULTIPLE PROCEDURES | $426 | $426 | — | — | 450 |
| PX-90716 | PR Vaccine Varicella Live Subcutaneous | $408 | $408 | — | — | 13 |
| PX-J7324 | PR Orthovisc Inj per Dose|BILATERAL PROCEDURE | $404 | $404 | — | — | 21 |
| PX-99496 | PR Management Transitional Care High W/in 7 Days of Discharge | $401 | $401 | — | — | 973 |
| PX-99306 | Initial Nursing Facility Care/Day 45 Minutes | $399 | $399 | — | — | 449 |
| PX-99205 | PR Visit Office Outpatient New High Level | $388 | $388 | — | — | 104 |
| PX-99215 | PR Visit Office Outpatient Established High Level | $382 | $382 | — | — | 173 |
| PX-64492 | PR Inj Pv Facet Joint W Img Guid Cerv or Thoracic Third and Any Addl Level|BILATERAL PROCEDURE | $378 | $378 | — | — | 935 |
| PX-11404 | PR Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm | $372 | $372 | — | — | 212 |
| PX-64636 | PR Dest by Neurolytic Agent Pv Fct Jt Nrv W Imgn Gud Lumbar/Sacral Addl|BILATERAL PROCEDURE | $372 | $372 | — | — | 1380 |
| PX-11982 | PR Removal Drug Delivery Implant | $370 | $370 | — | — | 185 |
| PX-99223 | PR Hospital IP/Obs Care Initial High Level per Day | $368 | $368 | — | — | 230 |
| PX-99285 | PR Emergency Dept Visit High | $367 | $367 | — | — | 26 |
| PX-90734 | PR Vaccine Meningococcal Serogroups a/C/Y/W-135 Quadrivalent (Mcv4/Menacwy) Im | $351 | $351 | — | — | 252 |
| PX-90697 | PR Vaccine Dtap-Ipv-Hib-Hepb Im | $347 | $347 | — | — | 162 |
| PX-11102 | PR Biopsy Skin Tangential Single Lesion | $337 | $337 | — | — | 777 |
| PX-90681 | PR Vaccine Rotavirus Attenuated (Rv1) Live 2 Dose Oral | $309 | $309 | — | — | 187 |
| PX-11200 | PR Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions | $303 | $303 | — | — | 777 |
| PX-11057 | PR Paring/Cutting Benign Hyperkeratotic Lesions > 4 | $299 | $299 | — | — | 777 |
| PX-99495 | PR Management Transitional Care Moderate W/in 14 Days of Discharge | $295 | $295 | — | — | 969 |
| PX-90732 | PR Vaccine Pneumococcal 23 Valent (Ppsv23) Subcutaneous/Im | $292 | $292 | — | — | 101 |
| PX-99204 | PR Visit Office Outpatient New Moderate Level | $285 | $285 | — | — | 104 |
| PX-64493 | PR Inj Paravertebral Facet Joint W Img Guid Lumbar or Sacral Sgl Level | $282 | $282 | — | — | 1318 |
| PX-99222 | PR Hospital IP/Obs Care Initial Moderate Level per Day | $276 | $276 | — | — | 192 |
Showing top 50 of 219 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.