45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
21,962
Insurances with rates
2
CPT / HCPCS codes
0
Most expensive procedures (gross)
2595532
$7,392
50242-0085-27 - activase vl 100mg sngl [CADDO]
Gross
$10,560
3371703
$7,179
50242-0120-01 - tenecteplase 50 mg REC [CADDO]
Gross
$10,255
24282845
$5,218
49657 Lap inc hern recur comp
Gross
$7,454
22030181
$4,795
Treatment Room/Vasectomy
Gross
$6,850
24405757
$4,750
radical resection of tumor(eg.sarcoma), soft tissue of thigh or knee area: 5cm or greater
Gross
$6,786
24459518
$4,483
70842-0225-01 - oritavancin 1200 mg REC [CADDO]
Gross
$6,404
24131505
$4,368
41017 XTORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB
Gross
$6,240
3371616
$4,018
50633-0120-11 - digifab inj 40 mg vl [CADDO]
Gross
$5,740
24282843
$3,952
49655 Lap inc hern repair comp
Gross
$5,645
28058516
$3,696
50242-0044-13 - alteplase 50 mg REC
Gross
$5,280
24469352
$3,634
radical resection of tumor(eg.sarcoma) soft tissue of neck or anterior thorax; 5cm or greater
Gross
$5,192
24282844
$3,518
49656 Lap inc hernia repair recur
Gross
$5,025
24282841
$3,500
49653 Lap vent/abd hern proc comp.
Gross
$5,000
27045657
$3,356
Excision, excessive skin and subcutaneous tissue(includes lipectomy) abdomen, infraumbilical pannicu
Gross
$4,794
27045657
$3,356
Excision, excessive skin and subcutaneous tissue(includes lipectomy) abdomen, infraumbilical pannicu
Gross
$4,794
24282842
$3,259
49654 Lap inc hernia repair.
Gross
$4,655
995552
$3,065
Cataract Extraction with Intraocular Lens Implantation
Gross
$4,378
2595645
$3,057
00281-0365-10 - digifab inj 40 mg vl [CADDO]
Gross
$4,367
23041517
$2,975
Tis trnfr f/c/c/m/n/a/g/h/f
Gross
$4,250
22292676
$2,884
OR Level 3 Each Addl 15 Min-BCE
Gross
$4,120
22203676
$2,856
Repair intermediate, scalp, extremities, trunk, over 30 cm
Gross
$4,080
3100201
$2,830
PROCTOSIGMOIDOSCOPY RGD FB REMOVAL CHARGE CADDO
Gross
$4,043
24282840
$2,776
49652 Lap vent/abd hernia repair
Gross
$3,965
2619783
$2,729
DILATION OF RECTUM CHARGE
Gross
$3,899
2619913
$2,729
COLPORRHAPHY SUTURE INJU VAGINA NON-OB CHARGE
Gross
$3,899
22059018
$2,718
EX OF ANAL LESION
Gross
$3,883
24282832
$2,695
47562 Laparocopy, surgical choleystetomy
Gross
$3,850
6810619
$2,686
50633-0110-12 - antivenin (Crotalidae) polyvalent - Sol [CADDO]
Gross
$3,838
995685
$2,668
Esophagogastroduodenoscopy and Colonoscopy
Gross
$3,811
2619819
$2,650
EXCISON OF PILONIDAL CYST; SIMPLE CHARGE
Gross
$3,785
2619808
$2,632
LYSIS PENILE ADHESIONS CHARGE
Gross
$3,760
22011278
$2,631
EXC F/E/E/N/L/MAL + MRG ]4CM
Gross
$3,758
3344285
$2,621
00281-0330-10 - antivenin (Crotalidae) polyvalent - Sol [CADDO]
Gross
$3,744
22097949
$2,584
ANTEPARTUM MANIPULATION
Gross
$3,692
3100200
$2,574
SECONDARY CLOSURE SURG WOUND COMPLICATED CHARGE CADDO
Gross
$3,677
22440781
$2,555
11606 EXC MAL TRK/ARM/LG > 4.0 CM
Gross
$3,650
22095060
$2,554
ECXIS BENIG LESION F/E/EY/N/L/MM; OVER 4.0 CM
Gross
$3,648
1005106
$2,524
CT Abdomen/Pelvis w + w/o Contrast
Gross
$3,605
22049386
$2,524
7731530 Level 2 0-15 MIN BCE
Gross
$3,605
9631407
$2,524
Skin split a-grft fac/nck/hf/g
Gross
$3,605
24282833
$2,517
47600 Cholecystectomy
Gross
$3,595
22683057
$2,509
65293-0015-03 - oritavancin 400 mg REC [CADDO]
Gross
$3,584
23766029
$2,509
70842-0140-03 - oritavancin 400 mg REC [CADDO]
Gross
$3,584
15431391
$2,505
EXCISION OF MALIG LESION S/N/H/FT/GENT OVER 4.0CM
Gross
$3,578
15169369
$2,504
EX BENIG H/F/NK/SP GREATER THAN 4CM CHARGE
Gross
$3,577
2619864
$2,488
AMPUTATION FINGER/THUMB WITH CLOSURE CHARGE
Gross
$3,554
1005109
$2,454
CT Abdomen/Pelvis w/ Contrast
Gross
$3,506
1005501
$2,379
MRI Spine Cervical w/ + w/o Contrast
Gross
$3,399
1163653
$2,379
MRI Ankle w/ + w/o Contrast Left
Gross
$3,399
1163655
$2,379
MRI Ankle w/ + w/o Contrast Right
Gross
$3,399
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2595532 | 50242-0085-27 - activase vl 100mg sngl [CADDO] | $10,560 | $7,392 | — | — | 0 |
| 3371703 | 50242-0120-01 - tenecteplase 50 mg REC [CADDO] | $10,255 | $7,179 | — | — | 0 |
| 24282845 | 49657 Lap inc hern recur comp | $7,454 | $5,218 | — | — | 0 |
| 22030181 | Treatment Room/Vasectomy | $6,850 | $4,795 | — | — | 0 |
| 24405757 | radical resection of tumor(eg.sarcoma), soft tissue of thigh or knee area: 5cm or greater | $6,786 | $4,750 | — | — | 0 |
| 24459518 | 70842-0225-01 - oritavancin 1200 mg REC [CADDO] | $6,404 | $4,483 | — | — | 0 |
| 24131505 | 41017 XTORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB | $6,240 | $4,368 | — | — | 0 |
| 3371616 | 50633-0120-11 - digifab inj 40 mg vl [CADDO] | $5,740 | $4,018 | — | — | 0 |
| 24282843 | 49655 Lap inc hern repair comp | $5,645 | $3,952 | — | — | 0 |
| 28058516 | 50242-0044-13 - alteplase 50 mg REC | $5,280 | $3,696 | — | — | 0 |
| 24469352 | radical resection of tumor(eg.sarcoma) soft tissue of neck or anterior thorax; 5cm or greater | $5,192 | $3,634 | — | — | 0 |
| 24282844 | 49656 Lap inc hernia repair recur | $5,025 | $3,518 | — | — | 0 |
| 24282841 | 49653 Lap vent/abd hern proc comp. | $5,000 | $3,500 | — | — | 0 |
| 27045657 | Excision, excessive skin and subcutaneous tissue(includes lipectomy) abdomen, infraumbilical pannicu | $4,794 | $3,356 | — | — | 0 |
| 27045657 | Excision, excessive skin and subcutaneous tissue(includes lipectomy) abdomen, infraumbilical pannicu | $4,794 | $3,356 | — | — | 0 |
| 24282842 | 49654 Lap inc hernia repair. | $4,655 | $3,259 | — | — | 0 |
| 995552 | Cataract Extraction with Intraocular Lens Implantation | $4,378 | $3,065 | — | — | 0 |
| 2595645 | 00281-0365-10 - digifab inj 40 mg vl [CADDO] | $4,367 | $3,057 | — | — | 0 |
| 23041517 | Tis trnfr f/c/c/m/n/a/g/h/f | $4,250 | $2,975 | — | — | 0 |
| 22292676 | OR Level 3 Each Addl 15 Min-BCE | $4,120 | $2,884 | — | — | 0 |
| 22203676 | Repair intermediate, scalp, extremities, trunk, over 30 cm | $4,080 | $2,856 | — | — | 0 |
| 3100201 | PROCTOSIGMOIDOSCOPY RGD FB REMOVAL CHARGE CADDO | $4,043 | $2,830 | — | — | 0 |
| 24282840 | 49652 Lap vent/abd hernia repair | $3,965 | $2,776 | — | — | 0 |
| 2619783 | DILATION OF RECTUM CHARGE | $3,899 | $2,729 | — | — | 0 |
| 2619913 | COLPORRHAPHY SUTURE INJU VAGINA NON-OB CHARGE | $3,899 | $2,729 | — | — | 0 |
| 22059018 | EX OF ANAL LESION | $3,883 | $2,718 | — | — | 0 |
| 24282832 | 47562 Laparocopy, surgical choleystetomy | $3,850 | $2,695 | — | — | 0 |
| 6810619 | 50633-0110-12 - antivenin (Crotalidae) polyvalent - Sol [CADDO] | $3,838 | $2,686 | — | — | 0 |
| 995685 | Esophagogastroduodenoscopy and Colonoscopy | $3,811 | $2,668 | — | — | 0 |
| 2619819 | EXCISON OF PILONIDAL CYST; SIMPLE CHARGE | $3,785 | $2,650 | — | — | 0 |
| 2619808 | LYSIS PENILE ADHESIONS CHARGE | $3,760 | $2,632 | — | — | 0 |
| 22011278 | EXC F/E/E/N/L/MAL + MRG ]4CM | $3,758 | $2,631 | — | — | 0 |
| 3344285 | 00281-0330-10 - antivenin (Crotalidae) polyvalent - Sol [CADDO] | $3,744 | $2,621 | — | — | 0 |
| 22097949 | ANTEPARTUM MANIPULATION | $3,692 | $2,584 | — | — | 0 |
| 3100200 | SECONDARY CLOSURE SURG WOUND COMPLICATED CHARGE CADDO | $3,677 | $2,574 | — | — | 0 |
| 22440781 | 11606 EXC MAL TRK/ARM/LG > 4.0 CM | $3,650 | $2,555 | — | — | 0 |
| 22095060 | ECXIS BENIG LESION F/E/EY/N/L/MM; OVER 4.0 CM | $3,648 | $2,554 | — | — | 0 |
| 1005106 | CT Abdomen/Pelvis w + w/o Contrast | $3,605 | $2,524 | — | — | 0 |
| 22049386 | 7731530 Level 2 0-15 MIN BCE | $3,605 | $2,524 | — | — | 0 |
| 9631407 | Skin split a-grft fac/nck/hf/g | $3,605 | $2,524 | — | — | 0 |
| 24282833 | 47600 Cholecystectomy | $3,595 | $2,517 | — | — | 0 |
| 22683057 | 65293-0015-03 - oritavancin 400 mg REC [CADDO] | $3,584 | $2,509 | — | — | 0 |
| 23766029 | 70842-0140-03 - oritavancin 400 mg REC [CADDO] | $3,584 | $2,509 | — | — | 0 |
| 15431391 | EXCISION OF MALIG LESION S/N/H/FT/GENT OVER 4.0CM | $3,578 | $2,505 | — | — | 0 |
| 15169369 | EX BENIG H/F/NK/SP GREATER THAN 4CM CHARGE | $3,577 | $2,504 | — | — | 0 |
| 2619864 | AMPUTATION FINGER/THUMB WITH CLOSURE CHARGE | $3,554 | $2,488 | — | — | 0 |
| 1005109 | CT Abdomen/Pelvis w/ Contrast | $3,506 | $2,454 | — | — | 0 |
| 1005501 | MRI Spine Cervical w/ + w/o Contrast | $3,399 | $2,379 | — | — | 0 |
| 1163653 | MRI Ankle w/ + w/o Contrast Left | $3,399 | $2,379 | — | — | 0 |
| 1163655 | MRI Ankle w/ + w/o Contrast Right | $3,399 | $2,379 | — | — | 0 |
Showing top 50 of 21,962 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.