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
7,965
Insurances with rates
15
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2550317 | alteplase 100 mg IV Inj [FMC] | $34,321 | $20,593 | — | — | 11 |
| 3900220 | INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIA | $19,760 | $11,856 | — | — | 7 |
| 3900221 | INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR | $19,760 | $11,856 | — | — | 7 |
| 3900222 | INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIALVENT | $19,760 | $11,856 | — | — | 7 |
| 3900121 | INSERT/REPLACE TEMP SIN CHAMB CARD | $18,408 | $11,045 | — | — | 7 |
| 2555928 | digoxin immune FAB 40 mg REC [FMC] | $17,246 | $10,347 | — | — | 7 |
| 4202367 | REFLUX MANAGEMENT SYSTEM LXMC13 | $16,500 | $9,900 | — | — | 7 |
| 4202368 | REFLUX MANAGEMENT SYSTEM LXMC14 | $16,500 | $9,900 | — | — | 7 |
| 4202369 | REFLUX MANAGEMENT SYSTEM LXMC15 | $16,500 | $9,900 | — | — | 7 |
| 4202370 | REFLUX MANAGEMENT SYSTEM LXMC16 | $16,500 | $9,900 | — | — | 7 |
| 4202371 | REFLUX MANAGEMENT SYSTEM LXMC17 | $16,500 | $9,900 | — | — | 7 |
| 3900223 | INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX | $14,810 | $8,886 | — | — | 7 |
| 2567758 | tenecteplase 50 mg IV Inj [FMC] | $13,631 | $8,179 | — | — | 11 |
| 2584951 | rabies immune globulin, human 300 intl units/mL Sol 5ml [FMC] | $13,270 | $7,962 | — | — | 7 |
| 2586105 | inclisiran 284 mg/1.5 mL Sol [FMC] | $12,675 | $7,605 | — | — | 9 |
| 2570885 | antivenin (Crotalidae) polyvalent Inj Sol [FMC] | $12,472 | $7,483 | — | — | 8 |
| 2585891 | dantrolene 250 mg IV Inj [FMC} | $11,408 | $6,845 | — | — | 7 |
| 4100108 | MRA LE w/ Contrast Left | $10,306 | $6,184 | — | — | 7 |
| 4100109 | MRA LE w/ Contrast Right | $10,306 | $6,184 | — | — | 7 |
| 4400950 | NAIL INTRAMEDULLARY 10MM DIA 740MML T2 | $10,158 | $6,095 | — | — | 9 |
| 4030004 | BRCA2 GENE FULL SEQUENCE | $10,000 | $6,000 | — | — | 6 |
| 4400792 | TRIATHLON TS FEMUR #6 RIGHT | $9,092 | $5,455 | — | — | 9 |
| 4100250 | FMC RETAVASE HALF KIT (1 VIAL) | $8,610 | $5,166 | — | — | 7 |
| 3900431 | REPAIR BLOOD VESSEL DIRECT NECK | $8,200 | $4,920 | — | — | 7 |
| 4100203 | FMC NM CROFAB | $8,059 | $4,835 | — | — | 8 |
| 3900224 | CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ | $7,870 | $4,722 | — | — | 7 |
| 9642075 | 44207 PROF LAP SURGICAL COLECTOM | $7,531 | $4,519 | — | — | 2 |
| 4401028 | OMNIFIT CEMENTED LONG STEM RIGHT | $7,525 | $4,515 | — | — | 9 |
| 2581932 | calcitonin 200 intl units/mL Inj Sol [FMC] | $7,177 | $4,306 | — | — | 8 |
| 3900391 | RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP | $7,000 | $4,200 | — | — | 7 |
| 4400477 | 15CC HYDROSET | $6,918 | $4,151 | — | — | 9 |
| 3900402 | 67715 INCISION OF EYELID FOLD | $6,800 | $4,080 | — | — | 7 |
| 9646266 | 44626 PROF CLOSURE ENTEROSTOMY HAR | $6,670 | $4,002 | — | — | 2 |
| 3900395 | 52005 CYSTOSCOPY URETER CATHETER | $6,576 | $3,946 | — | — | 9 |
| 2584555 | dalbavancin 500 mg REC [FMC] | $6,540 | $3,924 | — | — | 9 |
| 2586204 | leuprolide 45 mg/6 months Kit [FMC] | $6,500 | $3,900 | — | — | 12 |
| 3500036 | RMVL FB MUSCLE/TENDON SHEATH DEEP/COMP | $6,500 | $3,900 | — | — | 7 |
| 2586121 | denosumab 60 mg/mL Sol [FMC] | $6,336 | $3,801 | — | — | 8 |
| 9696576 | 44204 PROF COLECTOMY PART W ANAST | $6,318 | $3,791 | — | — | 2 |
| 4202798 | TENDON TIBIALIS GRAFT | $6,300 | $3,780 | — | — | 7 |
| 4202824 | DRILL D2.8 | $6,250 | $3,750 | — | — | 7 |
| 4401109 | TRIATHLON TIBIAL ASYMMETRIC CONE AUGMENT SZ B | $6,205 | $3,723 | — | — | 9 |
| 5000184 | V-FORM 6 - 8 ABDOMEN 2 TX AREAS | $6,120 | $3,672 | — | — | 0 |
| 4401038 | RESTORATION MODULAR HIP SYSTEM 19/+10/V40 | $5,975 | $3,585 | — | — | 9 |
| 4401151 | SYSTEM RESTORATION MODULAR HIP V40 23MM/+30MM | $5,974 | $3,584 | — | — | 9 |
| 4400307 | GAMMA 3 S NAIL RIGHT 10x360mm x 125 | $5,815 | $3,489 | — | — | 9 |
| 4202774 | PROXIMAL LATERAL HUMERUS PLATE FOR RIGHT HUMERUS 3 HOLE / L8 | $5,805 | $3,483 | — | — | 7 |
| 9699877 | 43848 PROF REVISION OPN GAST BYPAS | $5,805 | $3,483 | — | — | 2 |
| 4400793 | TRIATHLON TIBIAL CONE AUGMENT SZ C | $5,800 | $3,480 | — | — | 9 |
| 4202803 | MDI IMPLANT SIZE 2 | $5,700 | $3,420 | — | — | 7 |
Showing top 50 of 7,965 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.