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
807
Insurances with rates
118
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
PX-274L8035001
$7,473
HC Prosthesis Custom Post Mastectomy Restricted Non-Mm Supply
Gross
$11,497
PX-274L3764001
$1,457
HC Ewho With Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$2,241
PX-274L3763001
$1,392
HC Ewho Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$2,141
PX-3000152U001
$1,170
HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing
Gross
$1,800
PX-274L3906001
$944
HC Who Without Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$1,453
PX-274L3806001
$848
HC Whfo With Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$1,304
PX-274L8030001
$719
HC Prosthesis Breast Silicone/Equal W/O Adhesive Restricted Non-Mm Supply
Gross
$1,106
PX-274L3808001
$666
HC Whfo Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$1,025
PX-278C1717001
$611
HC Brachytherapy Source Non-Stranded High Dose Rate Iridium-192 per Source
Gross
$940
PX-274L3921001
$601
HC Hfo With Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$925
PX-260C8957001
$558
HC IV Infusion Therapy/Diagnosis Initiation Prolonged Infusion
Gross
$858
PX-274L3913001
$508
HC Hfo Without Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$781
PX-274L8020001
$467
HC Prosthesis Breast Mastectomy Form Restricted Non-Mm Supply
Gross
$719
PX-26096521001
$452
HC Refilling & Maintenance Portable Pump
Gross
$696
PX-26096360001
$452
HC Hydration IV Infusion Initial 31minutes - 1 Hour
Gross
$696
PX-26096365001
$423
HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour
Gross
$651
PX-274L3933001
$402
HC Fo Without Joints Custom Fabricated Restricted Non-Mm Supply
Gross
$618
PX-30182542007
$335
HC Warde Acylglycines Quantitative Urine
Gross
$516
PX-3000035U004
$333
HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql
Gross
$513
PX-30182542013
$333
HC Warde Fatty Acid Profile (C12-C22)
Gross
$513
PX-26096374001
$332
HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug
Gross
$511
PX-27000000005
$306
HC Nitric Oxide 1 Hour
Gross
$471
PX-30182731001
$270
HC Fetal Fibronectin
Gross
$415
PX-3010003M001
$254
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
Gross
$392
PX-26096373001
$249
HC Injection Therapeutic/Prophylactic/Diagnostic Intra Arterial
Gross
$383
PX-3000023U002
$249
HC Warde Flt3 Mutation Assay
Gross
$383
PX-30182542047
$240
HC Warde Amyloidosis Transthyretin-Associated Familial
Gross
$369
PX-30086870001
$239
HC Antibody ID RBC Panel
Gross
$368
PX-30180074001
$239
HC Acute Hepatitis Panel
Gross
$368
PX-30086971001
$228
HC Pretreat RBC W Enzyme
Gross
$350
PX-30180081001
$228
HC Obstetric Panel Includes Hiv Test
Gross
$350
PX-30182542067
$227
HC Warde Leukotriene E4 Urine 24 Hour
Gross
$349
PX-3000001U001
$227
HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference
Gross
$349
PX-26096523001
$222
HC Irrigation Implantable Venous Access Device for Drug Delivery Systems
Gross
$342
PX-30180348022
$220
HC Warde Buprenorphine Definitive Assay W Metabolites Meconium
Gross
$339
PX-26096375001
$216
HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push New Substance/Drug
Gross
$333
PX-30184150004
$211
HC Warde Prostaglandin E2 Urine
Gross
$325
PX-26096367001
$209
HC IV Infusion Therapy/Prophylaxis/Diagnosis Addl Sequential Infusion New Drug/Substance > 1 Hour
Gross
$321
PX-30180074002
$204
HC Warde Acute Hepatitis Panel
Gross
$314
PX-30180230003
$196
HC Warde Infliximab Tda
Gross
$301
PX-30086902012
$195
HC Blood Typing Ag Donor Ea Rare Ag Reference
Gross
$300
PX-30182234007
$185
HC Warde 3401103 Beta-Amyloid 1-42 CSF
Gross
$284
PX-30081373004
$176
HC External Hla Class I Typing Low Resolution One Locus Each
Gross
$270
PX-30180055001
$175
HC Obstetric Panel
Gross
$269
PX-30180280001
$173
HC Warde Vedolizumab Tda
Gross
$266
PX-30182542017
$173
HC Warde N-Methylhistamine Urine
Gross
$266
PX-30086905001
$169
HC Blood Typing RBC Ag Non Abo/Rh Ea
Gross
$260
PX-26096376001
$169
HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push Same Substance/Drug
Gross
$260
PX-26096372001
$168
HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im
Gross
$259
PX-30182495014
$159
HC Warde Chromium Fluid
Gross
$245
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PX-274L8035001 | HC Prosthesis Custom Post Mastectomy Restricted Non-Mm Supply | $11,497 | $7,473 | — | — | 256 |
| PX-274L3764001 | HC Ewho With Joints Custom Fabricated Restricted Non-Mm Supply | $2,241 | $1,457 | — | — | 256 |
| PX-274L3763001 | HC Ewho Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply | $2,141 | $1,392 | — | — | 256 |
| PX-3000152U001 | HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing | $1,800 | $1,170 | — | — | 185 |
| PX-274L3906001 | HC Who Without Joints Custom Fabricated Restricted Non-Mm Supply | $1,453 | $944 | — | — | 256 |
| PX-274L3806001 | HC Whfo With Joints Custom Fabricated Restricted Non-Mm Supply | $1,304 | $848 | — | — | 256 |
| PX-274L8030001 | HC Prosthesis Breast Silicone/Equal W/O Adhesive Restricted Non-Mm Supply | $1,106 | $719 | — | — | 256 |
| PX-274L3808001 | HC Whfo Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply | $1,025 | $666 | — | — | 256 |
| PX-278C1717001 | HC Brachytherapy Source Non-Stranded High Dose Rate Iridium-192 per Source | $940 | $611 | — | — | 260 |
| PX-274L3921001 | HC Hfo With Joints Custom Fabricated Restricted Non-Mm Supply | $925 | $601 | — | — | 256 |
| PX-260C8957001 | HC IV Infusion Therapy/Diagnosis Initiation Prolonged Infusion | $858 | $558 | — | — | 260 |
| PX-274L3913001 | HC Hfo Without Joints Custom Fabricated Restricted Non-Mm Supply | $781 | $508 | — | — | 256 |
| PX-274L8020001 | HC Prosthesis Breast Mastectomy Form Restricted Non-Mm Supply | $719 | $467 | — | — | 256 |
| PX-26096521001 | HC Refilling & Maintenance Portable Pump | $696 | $452 | — | — | 260 |
| PX-26096360001 | HC Hydration IV Infusion Initial 31minutes - 1 Hour | $696 | $452 | — | — | 260 |
| PX-26096365001 | HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour | $651 | $423 | — | — | 260 |
| PX-274L3933001 | HC Fo Without Joints Custom Fabricated Restricted Non-Mm Supply | $618 | $402 | — | — | 256 |
| PX-30182542007 | HC Warde Acylglycines Quantitative Urine | $516 | $335 | — | — | 260 |
| PX-3000035U004 | HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql | $513 | $333 | — | — | 185 |
| PX-30182542013 | HC Warde Fatty Acid Profile (C12-C22) | $513 | $333 | — | — | 260 |
| PX-26096374001 | HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug | $511 | $332 | — | — | 260 |
| PX-27000000005 | HC Nitric Oxide 1 Hour | $471 | $306 | — | — | 236 |
| PX-30182731001 | HC Fetal Fibronectin | $415 | $270 | — | — | 260 |
| PX-3010003M001 | HC Warde Liver Disease Ten Biochemical Assays Serum (Nash) | $392 | $254 | — | — | 256 |
| PX-26096373001 | HC Injection Therapeutic/Prophylactic/Diagnostic Intra Arterial | $383 | $249 | — | — | 260 |
| PX-3000023U002 | HC Warde Flt3 Mutation Assay | $383 | $249 | — | — | 236 |
| PX-30182542047 | HC Warde Amyloidosis Transthyretin-Associated Familial | $369 | $240 | — | — | 260 |
| PX-30086870001 | HC Antibody ID RBC Panel | $368 | $239 | — | — | 260 |
| PX-30180074001 | HC Acute Hepatitis Panel | $368 | $239 | — | — | 260 |
| PX-30086971001 | HC Pretreat RBC W Enzyme | $350 | $228 | — | — | 260 |
| PX-30180081001 | HC Obstetric Panel Includes Hiv Test | $350 | $228 | — | — | 258 |
| PX-30182542067 | HC Warde Leukotriene E4 Urine 24 Hour | $349 | $227 | — | — | 260 |
| PX-3000001U001 | HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference | $349 | $227 | — | — | 185 |
| PX-26096523001 | HC Irrigation Implantable Venous Access Device for Drug Delivery Systems | $342 | $222 | — | — | 260 |
| PX-30180348022 | HC Warde Buprenorphine Definitive Assay W Metabolites Meconium | $339 | $220 | — | — | 252 |
| PX-26096375001 | HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push New Substance/Drug | $333 | $216 | — | — | 260 |
| PX-30184150004 | HC Warde Prostaglandin E2 Urine | $325 | $211 | — | — | 256 |
| PX-26096367001 | HC IV Infusion Therapy/Prophylaxis/Diagnosis Addl Sequential Infusion New Drug/Substance > 1 Hour | $321 | $209 | — | — | 260 |
| PX-30180074002 | HC Warde Acute Hepatitis Panel | $314 | $204 | — | — | 260 |
| PX-30180230003 | HC Warde Infliximab Tda | $301 | $196 | — | — | 260 |
| PX-30086902012 | HC Blood Typing Ag Donor Ea Rare Ag Reference | $300 | $195 | — | — | 260 |
| PX-30182234007 | HC Warde 3401103 Beta-Amyloid 1-42 CSF | $284 | $185 | — | — | 189 |
| PX-30081373004 | HC External Hla Class I Typing Low Resolution One Locus Each | $270 | $176 | — | — | 260 |
| PX-30180055001 | HC Obstetric Panel | $269 | $175 | — | — | 258 |
| PX-30180280001 | HC Warde Vedolizumab Tda | $266 | $173 | — | — | 260 |
| PX-30182542017 | HC Warde N-Methylhistamine Urine | $266 | $173 | — | — | 260 |
| PX-30086905001 | HC Blood Typing RBC Ag Non Abo/Rh Ea | $260 | $169 | — | — | 260 |
| PX-26096376001 | HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push Same Substance/Drug | $260 | $169 | — | — | 236 |
| PX-26096372001 | HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im | $259 | $168 | — | — | 260 |
| PX-30182495014 | HC Warde Chromium Fluid | $245 | $159 | — | — | 260 |
Showing top 50 of 807 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.