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)
| 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.