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
1,725
Insurances with rates
34
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-15595
$23,934
BUPIVACAINE (BULK) 100 % POWDER
Gross
$36,822
559
$23,039
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
Gross
$35,445
399
$21,083
APPENDIX PROCEDURES WITHOUT CC/MCC
Gross
$32,435
RX-79826
$20,021
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$30,801
950
$14,699
AFTERCARE WITHOUT CC/MCC
Gross
$22,614
476
$14,685
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
Gross
$22,593
949
$14,093
AFTERCARE WITH CC/MCC
Gross
$21,682
SUP-33680024
$13,480
BEARING FIXD INFINITY TALAR DOME SZ4 ANKL 33680024
Gross
$20,738
SUP-33680023
$13,480
BEARING FIXD INFINITY TALAR DOME SZ3 ANKL 33680023
Gross
$20,738
SUP-33680021
$13,480
BEARING FIXD INFINITY TALAR DOME SZ1 ANKL 33680021
Gross
$20,738
560
$13,133
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
Gross
$20,205
561
$13,114
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
Gross
$20,175
SUP-150443
$13,017
AUGMENT TIB OSS 20X79/83 150443
Gross
$20,026
897
$12,115
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
Gross
$18,638
RX-224155
$12,048
BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE|RX AMT DISCARD/NOT ADMIN TO PT
Gross
$18,535
SUP-33630023
$11,982
BEARING FIXD INFINITY TALAR DOME SZ3 ANKL 33630023
Gross
$18,434
SUP-33630022
$11,982
BEARING FIXD INFINITY TALAR DOME SZ2 ANKL 33630022
Gross
$18,434
SUP-33630024
$11,982
BEARING FIXD INFINITY TALAR DOME SZ4 ANKL 33630024
Gross
$18,434
CASE-29891
$11,848
Arthrs Ankle Exc Ostchndrl Dfct Talus&/Tib Drlg
Gross
$18,227
202
$11,355
BRONCHITIS AND ASTHMA WITH CC/MCC
Gross
$17,470
SUP-ABS-2090-10
$11,290
ALLOGRAFT ARTHROCELL+ 10ML ABS-2090-10
Gross
$17,369
RX-238695
$10,998
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
Gross
$16,921
886
$10,046
BEHAVIORAL AND DEVELOPMENTAL DISORDERS
Gross
$15,455
726
$10,027
BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
Gross
$15,426
RX-79456
$10,010
ALTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$15,401
SUP-220220903
$9,809
BEARING FIXD INBONE TALAR DOME SZ3 ANKL 220220903
Gross
$15,090
SUP-220220902
$9,263
BEARING FIXD INBONE TALAR DOME SZ2 ANKL 220220902
Gross
$14,251
SUP-211229
$8,712
AUGMENT CMPRHNSV SRS MOD RGNRX LG 211229
Gross
$13,403
SUP-211228
$8,712
AUGMENT CMPRHNSV SRS MOD RGNRX SM 211228
Gross
$13,403
SUP-ABS-4200-038
$8,279
ALLOGRAFT AMINION 3X8CM THICK ABS-4200-038
Gross
$12,737
CASE-64636
$7,812
Bil Destruct Neu Facet W Imag Guid L/S Ea Add
Gross
$12,019
CASE-64635
$7,812
Bil Destruct Neu Facet W Imag Guid L/S Sngl
Gross
$12,019
SUP-5549-A-120
$7,569
AUGMENT TIB TRIATHLON CONE SYMMETRIC CODE B 5549-A-120
Gross
$11,644
SUP-1506-60-009
$7,266
BASEPLATE TIB ATTUNE CMNT SZ9 1506-60-009
Gross
$11,178
SUP-1506-60-003
$7,266
BASEPLATE TIB ATTUNE REV SZ3 1506-60-003
Gross
$11,178
SUP-1506-60-006
$7,266
BASEPLATE TIB ATTUNE REV SZ6 1506-60-006
Gross
$11,178
SUP-1506-60-004
$7,266
BASEPLATE TIB ATTUNE REV SZ4 1506-60-004
Gross
$11,178
SUP-1506-60-008
$7,266
BASEPLATE TIB ATTUNE REV SZ8 1506-60-008
Gross
$11,178
SUP-1506-60-005
$7,266
BASEPLATE TIB ATTUNE REV SZ5 1506-60-005
Gross
$11,178
SUP-1506-60-007
$7,266
BASEPLATE TIB ATTUNE REV SZ7 1506-60-007
Gross
$11,178
SUP-6276-3-005
$7,030
BODY BROACHED #5 6276-3-005
Gross
$10,815
SUP-ABS-4200-036
$6,962
ALLOGRAFT AMNION 3.0X6CM THICK ABS-4200-036
Gross
$10,711
SUP-K300-030-10
$6,757
AUGMENT INJECTABLE 3ML K300-030-10
Gross
$10,395
CASE-29873
$6,747
Arthroscopy Knee Surgical With Lateral Release
Gross
$10,380
SUP-ABS-2090-05
$6,586
ALLOGRAFT ARTHROCELL+ 5ML ABS-2090-05
Gross
$10,132
RX-89931
$6,576
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION
Gross
$10,117
CASE-29876
$6,560
Arthroscopy Knee Surg Synovectomy Maj 2/>Cmprt
Gross
$10,092
SUP-86060100
$6,300
ALLOGRAFT ALLOFIBER DBF 10ML 86060100
Gross
$9,692
CASE-29875
$6,287
Arthroscopy Knee Surg Synovectomy Limited Spx
Gross
$9,672
CASE-29880
$6,125
Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving
Gross
$9,423
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-15595 | BUPIVACAINE (BULK) 100 % POWDER | $36,822 | $23,934 | — | — | 6 |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,445 | $23,039 | — | — | 63 |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $32,435 | $21,083 | — | — | 62 |
| RX-79826 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $30,801 | $20,021 | — | — | 124 |
| 950 | AFTERCARE WITHOUT CC/MCC | $22,614 | $14,699 | — | — | 62 |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $22,593 | $14,685 | — | — | 65 |
| 949 | AFTERCARE WITH CC/MCC | $21,682 | $14,093 | — | — | 62 |
| SUP-33680024 | BEARING FIXD INFINITY TALAR DOME SZ4 ANKL 33680024 | $20,738 | $13,480 | — | — | 113 |
| SUP-33680023 | BEARING FIXD INFINITY TALAR DOME SZ3 ANKL 33680023 | $20,738 | $13,480 | — | — | 113 |
| SUP-33680021 | BEARING FIXD INFINITY TALAR DOME SZ1 ANKL 33680021 | $20,738 | $13,480 | — | — | 113 |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,205 | $13,133 | — | — | 63 |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $20,175 | $13,114 | — | — | 63 |
| SUP-150443 | AUGMENT TIB OSS 20X79/83 150443 | $20,026 | $13,017 | — | — | 113 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $18,638 | $12,115 | — | — | 64 |
| RX-224155 | BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE|RX AMT DISCARD/NOT ADMIN TO PT | $18,535 | $12,048 | — | — | 124 |
| SUP-33630023 | BEARING FIXD INFINITY TALAR DOME SZ3 ANKL 33630023 | $18,434 | $11,982 | — | — | 113 |
| SUP-33630022 | BEARING FIXD INFINITY TALAR DOME SZ2 ANKL 33630022 | $18,434 | $11,982 | — | — | 113 |
| SUP-33630024 | BEARING FIXD INFINITY TALAR DOME SZ4 ANKL 33630024 | $18,434 | $11,982 | — | — | 113 |
| CASE-29891 | Arthrs Ankle Exc Ostchndrl Dfct Talus&/Tib Drlg | $18,227 | $11,848 | — | — | 28 |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $17,470 | $11,355 | — | — | 65 |
| SUP-ABS-2090-10 | ALLOGRAFT ARTHROCELL+ 10ML ABS-2090-10 | $17,369 | $11,290 | — | — | 113 |
| RX-238695 | ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION | $16,921 | $10,998 | — | — | 124 |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,455 | $10,046 | — | — | 64 |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $15,426 | $10,027 | — | — | 65 |
| RX-79456 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $15,401 | $10,010 | — | — | 124 |
| SUP-220220903 | BEARING FIXD INBONE TALAR DOME SZ3 ANKL 220220903 | $15,090 | $9,809 | — | — | 113 |
| SUP-220220902 | BEARING FIXD INBONE TALAR DOME SZ2 ANKL 220220902 | $14,251 | $9,263 | — | — | 113 |
| SUP-211229 | AUGMENT CMPRHNSV SRS MOD RGNRX LG 211229 | $13,403 | $8,712 | — | — | 113 |
| SUP-211228 | AUGMENT CMPRHNSV SRS MOD RGNRX SM 211228 | $13,403 | $8,712 | — | — | 113 |
| SUP-ABS-4200-038 | ALLOGRAFT AMINION 3X8CM THICK ABS-4200-038 | $12,737 | $8,279 | — | — | 113 |
| CASE-64636 | Bil Destruct Neu Facet W Imag Guid L/S Ea Add | $12,019 | $7,812 | — | — | 28 |
| CASE-64635 | Bil Destruct Neu Facet W Imag Guid L/S Sngl | $12,019 | $7,812 | — | — | 27 |
| SUP-5549-A-120 | AUGMENT TIB TRIATHLON CONE SYMMETRIC CODE B 5549-A-120 | $11,644 | $7,569 | — | — | 113 |
| SUP-1506-60-009 | BASEPLATE TIB ATTUNE CMNT SZ9 1506-60-009 | $11,178 | $7,266 | — | — | 113 |
| SUP-1506-60-003 | BASEPLATE TIB ATTUNE REV SZ3 1506-60-003 | $11,178 | $7,266 | — | — | 113 |
| SUP-1506-60-006 | BASEPLATE TIB ATTUNE REV SZ6 1506-60-006 | $11,178 | $7,266 | — | — | 113 |
| SUP-1506-60-004 | BASEPLATE TIB ATTUNE REV SZ4 1506-60-004 | $11,178 | $7,266 | — | — | 113 |
| SUP-1506-60-008 | BASEPLATE TIB ATTUNE REV SZ8 1506-60-008 | $11,178 | $7,266 | — | — | 113 |
| SUP-1506-60-005 | BASEPLATE TIB ATTUNE REV SZ5 1506-60-005 | $11,178 | $7,266 | — | — | 113 |
| SUP-1506-60-007 | BASEPLATE TIB ATTUNE REV SZ7 1506-60-007 | $11,178 | $7,266 | — | — | 113 |
| SUP-6276-3-005 | BODY BROACHED #5 6276-3-005 | $10,815 | $7,030 | — | — | 113 |
| SUP-ABS-4200-036 | ALLOGRAFT AMNION 3.0X6CM THICK ABS-4200-036 | $10,711 | $6,962 | — | — | 113 |
| SUP-K300-030-10 | AUGMENT INJECTABLE 3ML K300-030-10 | $10,395 | $6,757 | — | — | 113 |
| CASE-29873 | Arthroscopy Knee Surgical With Lateral Release | $10,380 | $6,747 | — | — | 28 |
| SUP-ABS-2090-05 | ALLOGRAFT ARTHROCELL+ 5ML ABS-2090-05 | $10,132 | $6,586 | — | — | 113 |
| RX-89931 | BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION | $10,117 | $6,576 | — | — | 248 |
| CASE-29876 | Arthroscopy Knee Surg Synovectomy Maj 2/>Cmprt | $10,092 | $6,560 | — | — | 28 |
| SUP-86060100 | ALLOGRAFT ALLOFIBER DBF 10ML 86060100 | $9,692 | $6,300 | — | — | 113 |
| CASE-29875 | Arthroscopy Knee Surg Synovectomy Limited Spx | $9,672 | $6,287 | — | — | 28 |
| CASE-29880 | Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving | $9,423 | $6,125 | — | — | 28 |
Showing top 50 of 1,725 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.