45 CFR § 180 compliance
F · 55
This hospital published little 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: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
16,717
Insurances with rates
6
CPT / HCPCS codes
10,062
Most expensive procedures (gross)
4503330001
$40,701
HC ED REPAIR OF CARDIAC WOUND WITHOUT BYPASS
Gross
$40,701
50242-037-06
$26,963
TENECTEPLASE 50 MG IV KIT (FOR MI ONLY) [28530]
Gross
$26,963
7616456901
$26,054
HC REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV
Gross
$26,054
3612700301
$24,850
HC TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY
Gross
$24,850
4502665001
$17,005
HC ED PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB
Gross
$17,005
4503765001
$15,142
HC ED LIGATION OF FEMORAL VEIN
Gross
$15,142
3614753801
$14,810
HC PERC PLMT BILE DUCT STENT E
Gross
$14,810
3614753901
$14,483
HC PER PLMT BILE DUCT STNT WO
Gross
$14,483
4502132001
$14,480
HC ED CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION
Gross
$14,480
61958-2901-2
$13,827
REMDESIVIR 100 MG IV SOLR [157892]
Gross
$13,827
68982-261-82
$13,432
PROTHROMBIN COMPLEX HUMAN-LANS IV (BALFAXAR) WRAPPED [4080893]
Gross
$13,432
2306115601
$12,862
BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL
Gross
$12,862
7616115601
$12,862
BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL
Gross
$12,862
3613657001
$12,846
HC INS PICC WITH PORT AGE 5 AND UNDER
Gross
$12,846
3614754001
$12,655
HC PER PLMT BILE DUC STNT W/CA
Gross
$12,655
4502765001
$12,331
HC REPAIR ACHILLES TENDON
Gross
$12,331
7616458501
$12,201
HC REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE
Gross
$12,201
68982-261-02
$12,009
PROTHROMBIN COMPLEX HUMAN-LANS IV (BALFAXAR) WRAPPED [4080893]
Gross
$12,009
3612431001
$11,724
HC TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON
Gross
$11,724
3612529001
$11,724
HC TNOT FLXR/XTNSR TENDON FOREARM&/WRIST
Gross
$11,724
3612529002
$11,724
HC TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA
Gross
$11,724
3612606001
$11,724
HC TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT
Gross
$11,724
3612645001
$11,724
HC TENOTOMY FLEXOR PALM OPEN EACH TENDON
Gross
$11,724
3612730701
$11,724
HC TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON
Gross
$11,724
3612739001
$11,724
HC TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON
Gross
$11,724
3612739101
$11,724
HC TOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG
Gross
$11,724
3612824001
$11,724
HC TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC
Gross
$11,724
4506911001
$11,565
HC ED EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
Gross
$11,565
4503321001
$11,370
HC ED TEMPORARY PACEMAKER INSERTION
Gross
$11,370
4502392901
$11,213
HC ED UNLISTED PROCEDURE SHOULDER
Gross
$11,213
4502772001
$10,748
HC REPAIR OF TIBIA
Gross
$10,748
3614754201
$10,626
HC DILATE BILIARY DUCT AMPULLA
Gross
$10,626
4506580001
$10,228
HC PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX
Gross
$10,228
2304187401
$10,122
HC ALVEOLOPLASTY EACH QUADRANT SPECIFY
Gross
$10,122
7614187401
$10,122
HC ALVEOLOPLASTY EACH QUADRANT SPECIFY
Gross
$10,122
3337737301
$9,949
HC RAD THERAPY STEREO BODY
Gross
$9,949
2302607501
$9,915
HC BS ARTHROTOMY WITH EXPLORE MCP
Gross
$9,915
4502434101
$9,902
HC REPAIR TEND MSCL UPPER ARM
Gross
$9,902
3612132001
$9,747
HC CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION
Gross
$9,747
3612133701
$9,747
HC CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION
Gross
$9,747
4502672701
$9,745
HC PERCUT SKEL FIX FINGER
Gross
$9,745
4502144001
$9,713
HC ED CLTX MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE
Gross
$9,713
4506796101
$9,505
HC ED EXCISION AND REPAIR OF EYE LID
Gross
$9,505
13533-318-03
$9,503
RABIES IMMUNE GLOBULIN 900 UNIT/3ML IJ SOLN [157353]
Gross
$9,503
13533-318-30
$9,503
RABIES IMMUNE GLOBULIN 900 UNIT/3ML IJ SOLN [157353]
Gross
$9,503
4501430101
$9,492
HC ED ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM
Gross
$9,492
0169-7810-01
$9,486
ANTIHEMOPHIL FACT BD TRUNCATED IV SOLR - WRAPPED (NOVOEIGHT) [408000955]
Gross
$9,486
50474-870-15
$9,433
BRIVARACETAM 10 MG/ML PO SOLN [127692]
Gross
$9,433
3613657601
$9,401
HC REPAIR CENT VAD WITH SUB PORT
Gross
$9,401
4503657601
$9,401
HC ED RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT
Gross
$9,401
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4503330001 | HC ED REPAIR OF CARDIAC WOUND WITHOUT BYPASS | $40,701 | $40,701 | — | — | 0 |
| 50242-037-06 | TENECTEPLASE 50 MG IV KIT (FOR MI ONLY) [28530] | $26,963 | $26,963 | — | — | 0 |
| 7616456901 | HC REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV | $26,054 | $26,054 | — | — | 0 |
| 3612700301 | HC TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY | $24,850 | $24,850 | — | — | 0 |
| 4502665001 | HC ED PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB | $17,005 | $17,005 | — | — | 0 |
| 4503765001 | HC ED LIGATION OF FEMORAL VEIN | $15,142 | $15,142 | — | — | 0 |
| 3614753801 | HC PERC PLMT BILE DUCT STENT E | $14,810 | $14,810 | — | — | 0 |
| 3614753901 | HC PER PLMT BILE DUCT STNT WO | $14,483 | $14,483 | — | — | 0 |
| 4502132001 | HC ED CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION | $14,480 | $14,480 | — | — | 0 |
| 61958-2901-2 | REMDESIVIR 100 MG IV SOLR [157892] | $13,827 | $13,827 | — | — | 0 |
| 68982-261-82 | PROTHROMBIN COMPLEX HUMAN-LANS IV (BALFAXAR) WRAPPED [4080893] | $13,432 | $13,432 | — | — | 0 |
| 2306115601 | BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL | $12,862 | $12,862 | — | — | 0 |
| 7616115601 | BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL | $12,862 | $12,862 | — | — | 0 |
| 3613657001 | HC INS PICC WITH PORT AGE 5 AND UNDER | $12,846 | $12,846 | — | — | 0 |
| 3614754001 | HC PER PLMT BILE DUC STNT W/CA | $12,655 | $12,655 | — | — | 0 |
| 4502765001 | HC REPAIR ACHILLES TENDON | $12,331 | $12,331 | — | — | 0 |
| 7616458501 | HC REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE | $12,201 | $12,201 | — | — | 0 |
| 68982-261-02 | PROTHROMBIN COMPLEX HUMAN-LANS IV (BALFAXAR) WRAPPED [4080893] | $12,009 | $12,009 | — | — | 0 |
| 3612431001 | HC TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON | $11,724 | $11,724 | — | — | 0 |
| 3612529001 | HC TNOT FLXR/XTNSR TENDON FOREARM&/WRIST | $11,724 | $11,724 | — | — | 0 |
| 3612529002 | HC TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA | $11,724 | $11,724 | — | — | 0 |
| 3612606001 | HC TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT | $11,724 | $11,724 | — | — | 0 |
| 3612645001 | HC TENOTOMY FLEXOR PALM OPEN EACH TENDON | $11,724 | $11,724 | — | — | 0 |
| 3612730701 | HC TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON | $11,724 | $11,724 | — | — | 0 |
| 3612739001 | HC TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON | $11,724 | $11,724 | — | — | 0 |
| 3612739101 | HC TOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG | $11,724 | $11,724 | — | — | 0 |
| 3612824001 | HC TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC | $11,724 | $11,724 | — | — | 0 |
| 4506911001 | HC ED EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR | $11,565 | $11,565 | — | — | 0 |
| 4503321001 | HC ED TEMPORARY PACEMAKER INSERTION | $11,370 | $11,370 | — | — | 0 |
| 4502392901 | HC ED UNLISTED PROCEDURE SHOULDER | $11,213 | $11,213 | — | — | 0 |
| 4502772001 | HC REPAIR OF TIBIA | $10,748 | $10,748 | — | — | 0 |
| 3614754201 | HC DILATE BILIARY DUCT AMPULLA | $10,626 | $10,626 | — | — | 0 |
| 4506580001 | HC PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX | $10,228 | $10,228 | — | — | 0 |
| 2304187401 | HC ALVEOLOPLASTY EACH QUADRANT SPECIFY | $10,122 | $10,122 | — | — | 0 |
| 7614187401 | HC ALVEOLOPLASTY EACH QUADRANT SPECIFY | $10,122 | $10,122 | — | — | 0 |
| 3337737301 | HC RAD THERAPY STEREO BODY | $9,949 | $9,949 | — | — | 0 |
| 2302607501 | HC BS ARTHROTOMY WITH EXPLORE MCP | $9,915 | $9,915 | — | — | 0 |
| 4502434101 | HC REPAIR TEND MSCL UPPER ARM | $9,902 | $9,902 | — | — | 0 |
| 3612132001 | HC CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION | $9,747 | $9,747 | — | — | 0 |
| 3612133701 | HC CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION | $9,747 | $9,747 | — | — | 0 |
| 4502672701 | HC PERCUT SKEL FIX FINGER | $9,745 | $9,745 | — | — | 0 |
| 4502144001 | HC ED CLTX MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE | $9,713 | $9,713 | — | — | 0 |
| 4506796101 | HC ED EXCISION AND REPAIR OF EYE LID | $9,505 | $9,505 | — | — | 0 |
| 13533-318-03 | RABIES IMMUNE GLOBULIN 900 UNIT/3ML IJ SOLN [157353] | $9,503 | $9,503 | — | — | 0 |
| 13533-318-30 | RABIES IMMUNE GLOBULIN 900 UNIT/3ML IJ SOLN [157353] | $9,503 | $9,503 | — | — | 0 |
| 4501430101 | HC ED ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM | $9,492 | $9,492 | — | — | 0 |
| 0169-7810-01 | ANTIHEMOPHIL FACT BD TRUNCATED IV SOLR - WRAPPED (NOVOEIGHT) [408000955] | $9,486 | $9,486 | — | — | 0 |
| 50474-870-15 | BRIVARACETAM 10 MG/ML PO SOLN [127692] | $9,433 | $9,433 | — | — | 0 |
| 3613657601 | HC REPAIR CENT VAD WITH SUB PORT | $9,401 | $9,401 | — | — | 0 |
| 4503657601 | HC ED RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT | $9,401 | $9,401 | — | — | 0 |
Showing top 50 of 16,717 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.