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
14,888
Insurances with rates
8
CPT / HCPCS codes
13,999
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9769 | Cysto w/temp pros implant | — | — | $2,224 | $8,775 | 4 |
| C9772 | Revasc lithotrip tibi/perone | — | — | $2,666 | $13,875 | 15 |
| C9773 | Revasc lithotr-stent tib/per | — | — | $2,666 | $22,033 | 15 |
| C9774 | Revasc lithotr-ather tib/per | — | — | $2,666 | $22,033 | 15 |
| C9775 | Revasc lith-sten-ath tib/per | — | — | $2,666 | $22,033 | 15 |
| C9777 | Esophag mucosal integ add-on | — | — | $1,444 | $8,775 | 14 |
| C9778 | Colpopexy, min/inv, ex-perit | — | — | $2,727 | $6,013 | 13 |
| C9779 | ESD endoscopy or colonoscopy | — | — | $2,224 | $8,775 | 14 |
| C9780 | Insert cv cath inf & sup app | — | — | $2,224 | $9,706 | 13 |
| C9781 | Arthro/shoul surg; w/spacer | — | — | $3,112 | $15,431 | 13 |
| C9783 | Blind cor sinus reducer impl | — | — | $4,223 | $13,875 | 13 |
| C9784 | Endo sleeve gastro w/tube | — | — | $2,224 | $6,144 | 6 |
| C9785 | Endo outlet restrict w/tube | — | — | $2,224 | $12,776 | 13 |
| C9789 | Instill pharm renal pelvis | — | — | $1,226 | $3,532 | 13 |
| C9790 | Kidney histotripsy w/image | — | — | $2,666 | $4,498 | 3 |
| C9792 | Blind/nonblind trans atrial | — | — | $4,223 | $11,471 | 13 |
| C9796 | Rpr intst excl anrect fist | — | — | $1,944 | $3,532 | 13 |
| C9797 | Vasc emb/occ w/prs cath | — | — | $2,224 | $22,033 | 13 |
| C9901 | Endo defect closure GI tract | — | — | $2,224 | $12,776 | 13 |
| G0104 | CA screen;flexi sigmoidscope | — | — | $67.6 | $2,414 | 37 |
| G0105 | Colorectal scrn; hi risk ind | — | — | $217 | $3,213 | 41 |
| G0121 | Colon ca scrn not hi rsk ind | — | — | $217 | $3,213 | 41 |
| G0186 | Dstry eye lesn,fdr vssl tech | — | — | $551 | $4,808 | 38 |
| G0259 | Inject for sacroiliac joint | — | — | $541 | $2,414 | 6 |
| G0260 | Inj for sacroiliac jt anesth | — | — | $707 | $3,886 | 17 |
| G0412 | Open tx iliac spine uni/bil | — | — | $776 | $8,722 | 37 |
| G0413 | Pelvic ring fracture uni/bil | — | — | $1,140 | $8,775 | 38 |
| G0414 | Pelvic ring fx treat int fix | — | — | $1,029 | $8,722 | 37 |
| G0415 | Open tx post pelvic fxcture | — | — | $1,466 | $8,081 | 37 |
| G0448 | Place perm pacing cardiovert | — | — | $2,275 | $8,050 | 8 |
| G0455 | Fecal microbiota prep instil | — | — | $79.43 | $2,414 | 36 |
| G0516 | Insert drug del implant, >4 | — | — | $115 | $2,414 | 38 |
| G0517 | Remove drug implant | — | — | $131 | $2,414 | 38 |
| G0518 | Remove w insert drug implant | — | — | $212 | $2,414 | 38 |
| G0561 | Temp tube delivery, unil | — | — | $541 | $3,102 | 8 |
| P9612 | Catheterize for urine spec | — | — | $3 | $2,414 | 40 |
| P9615 | Urine specimen collect mult | — | — | $3 | $2,414 | 33 |
| S2083 | gastric band adjustment, percutaneous | — | — | $1,444 | $2,414 | 3 |
| S2095 | percut occlusion tumor dest, yttrium-90 | — | — | $2,224 | $3,697 | 3 |
| S2225 | Myringotomy, laser-assisted | — | — | $2,224 | $3,697 | 3 |
| 0191T | Insert ant segment drain int | — | — | $2,444 | $5,982 | 5 |
| 0195T | Prescrl fuse w/o instr l5/s1 | — | — | $2,444 | $4,261 | 3 |
| 0312T | Laps impltj nstim vagus | — | — | $2,444 | $4,261 | 3 |
| 0313T | Laps rmvl nstim array vagus | — | — | $2,444 | $4,261 | 3 |
| 0314T | Laps rmvl vgl arry&pls gen | — | — | $2,444 | $4,261 | 3 |
| 0315T | Rmvl vagus nerve pls gen | — | — | $2,444 | $4,261 | 3 |
| 0316T | Replc vagus nerve pls gen | — | — | $2,444 | $4,261 | 3 |
| 0375T | Total disc arthrp ant appr | — | — | $2,444 | $8,861 | 5 |
| 0376T | Insert ant segment drain int | — | — | $2,302 | $4,261 | 5 |
| 0377T | Anoscpy inj agent for incont | — | — | $1,628 | $4,261 | 5 |
Showing top 50 of 14,888 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.