45 CFR § 180 compliance
F · 50
This hospital published little 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
4,131
Insurances with rates
0
CPT / HCPCS codes
6
Source MRF
Most expensive procedures (gross)
4200085
—
ACL RECONSTRUCT VIA SCOPE
Gross
$16,910
6538680
—
ALTEPLASE 100MG VIAL
Gross
$16,376
6587174
—
LUPRON DEPOT 45MG 6-MO
Gross
$12,801
6577530
—
OCTREOTIDE 30MG(SANDOSTATIN LAR)
Gross
$11,375
6554570
—
TENECTEPLASE 50MG KIT
Gross
$11,263
6557847
—
PEGFILGRASTIM 6MG/0.6ML SYR
Gross
$10,906
4200911
—
SHOULDER ARTHROSCOPY
Gross
$8,643
4200499
—
KNEE ARTHROSCOPY
Gross
$8,490
6551758
—
LEUPROLIDE 22.5MG KIT
Gross
$8,413
4200820
—
ROTATOR CUFF REPAIR NONAR
Gross
$8,257
4200226
—
C-SECTION
Gross
$6,712
6572440
—
OCTREOTIDE 20MG - SANDOSTATIN LAR
Gross
$5,982
4200408
—
HERNIA REPAIR BILATERAL
Gross
$5,682
6563118
—
DARBEPOETIN 300MCG/0.6ML SYRINGE
Gross
$5,408
6541163
—
CROTALINE ANTIVENIN 10ML VIAL
Gross
$5,271
6540777
—
RABIES IMMUNE GLOB 10ML
Gross
$5,230
6568745
—
THYROTROPIN J3240
Gross
$5,088
4200416
—
HERNIA REPAIR UNILATERAL
Gross
$4,834
4201364
—
DIGIT AMPUTATION
Gross
$4,654
4200242
—
CARPAL TUNNEL RELEASE
Gross
$4,213
4707733
—
PLATELET APHERESIS IRR LEUKO REDUCE
Gross
$4,167
6582431
—
XGEVA/PROLIA PER 120MG
Gross
$4,112
6588503
—
ABILIFY
Gross
$3,877
4707378
—
VIRAL RESP PCR
Gross
$3,686
1600576
—
CT ABD/PEL/LE VENO W
Gross
$3,610
4200143
—
BAKERS CYST REMOVAL
Gross
$3,580
4707345
—
STREP PNEU IGG AB 23
Gross
$3,520
4200747
—
P-P TUBAL W/DELIVERY STAY
Gross
$3,340
1600477
—
CT IVP WITHOUT & WITH CONTRAST
Gross
$2,964
1600485
—
CT ABD PEL W/W/O CON IN 1 OR BOTH
Gross
$2,964
4200622
—
SURGICAL PROCEDURE
Gross
$2,923
1200633
—
US HEMATOMA FLUID DRAIN
Gross
$2,911
4701520
—
GROSS/MICRO/COMPRE 88309
Gross
$2,860
1600469
—
CT ABDOMEN & PELVIS W/CONTRAST
Gross
$2,619
1600535
—
CT ABD/PEL ANGIO
Gross
$2,619
23002
—
ROOM MEDICAL W/TELE
Gross
$2,497
3200292
—
COLONOSCOPY WITH HOT BIOPSY
Gross
$2,464
3200391
—
COLONOSCPY STOMA BX 44389
Gross
$2,464
3200409
—
COLONOSCPY STOMA HOT BX
Gross
$2,464
3200417
—
COLONOSCOPY STOMA SNARE
Gross
$2,464
4708076
—
TARGET GENOMIC SEQUENCE ANLYS PANEL
Gross
$2,433
1600451
—
CT ABDOMEN & PELV W&W/O CONTRAST
Gross
$2,412
1600006
—
CT ABDOMEN UPPER W & W/O CONTRAST
Gross
$2,398
3200425
—
COLONOSCOPY,FLEX W/BAND LIGATION
Gross
$2,395
6579098
—
DENOSUMAB 60MG INJ
Gross
$2,281
4705000
—
HEP C GENOTYPE
Gross
$2,277
4706685
—
HEPATITIC C VIRUS GENOTYPE, SERUM
Gross
$2,277
4707626
—
HCV GENOTYPE, S
Gross
$2,277
4707642
—
HERPES SIMPLEX I,II,IGG
Gross
$2,277
8505281
—
COLONOSCOPY W/REM SNARE 45385 PR
Gross
$2,254
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4200085 | ACL RECONSTRUCT VIA SCOPE | $16,910 | — | — | — | 0 |
| 6538680 | ALTEPLASE 100MG VIAL | $16,376 | — | — | — | 0 |
| 6587174 | LUPRON DEPOT 45MG 6-MO | $12,801 | — | — | — | 0 |
| 6577530 | OCTREOTIDE 30MG(SANDOSTATIN LAR) | $11,375 | — | — | — | 0 |
| 6554570 | TENECTEPLASE 50MG KIT | $11,263 | — | — | — | 0 |
| 6557847 | PEGFILGRASTIM 6MG/0.6ML SYR | $10,906 | — | — | — | 0 |
| 4200911 | SHOULDER ARTHROSCOPY | $8,643 | — | — | — | 0 |
| 4200499 | KNEE ARTHROSCOPY | $8,490 | — | — | — | 0 |
| 6551758 | LEUPROLIDE 22.5MG KIT | $8,413 | — | — | — | 0 |
| 4200820 | ROTATOR CUFF REPAIR NONAR | $8,257 | — | — | — | 0 |
| 4200226 | C-SECTION | $6,712 | — | — | — | 0 |
| 6572440 | OCTREOTIDE 20MG - SANDOSTATIN LAR | $5,982 | — | — | — | 0 |
| 4200408 | HERNIA REPAIR BILATERAL | $5,682 | — | — | — | 0 |
| 6563118 | DARBEPOETIN 300MCG/0.6ML SYRINGE | $5,408 | — | — | — | 0 |
| 6541163 | CROTALINE ANTIVENIN 10ML VIAL | $5,271 | — | — | — | 0 |
| 6540777 | RABIES IMMUNE GLOB 10ML | $5,230 | — | — | — | 0 |
| 6568745 | THYROTROPIN J3240 | $5,088 | — | — | — | 0 |
| 4200416 | HERNIA REPAIR UNILATERAL | $4,834 | — | — | — | 0 |
| 4201364 | DIGIT AMPUTATION | $4,654 | — | — | — | 0 |
| 4200242 | CARPAL TUNNEL RELEASE | $4,213 | — | — | — | 0 |
| 4707733 | PLATELET APHERESIS IRR LEUKO REDUCE | $4,167 | — | — | — | 0 |
| 6582431 | XGEVA/PROLIA PER 120MG | $4,112 | — | — | — | 0 |
| 6588503 | ABILIFY | $3,877 | — | — | — | 0 |
| 4707378 | VIRAL RESP PCR | $3,686 | — | — | — | 0 |
| 1600576 | CT ABD/PEL/LE VENO W | $3,610 | — | — | — | 0 |
| 4200143 | BAKERS CYST REMOVAL | $3,580 | — | — | — | 0 |
| 4707345 | STREP PNEU IGG AB 23 | $3,520 | — | — | — | 0 |
| 4200747 | P-P TUBAL W/DELIVERY STAY | $3,340 | — | — | — | 0 |
| 1600477 | CT IVP WITHOUT & WITH CONTRAST | $2,964 | — | — | — | 0 |
| 1600485 | CT ABD PEL W/W/O CON IN 1 OR BOTH | $2,964 | — | — | — | 0 |
| 4200622 | SURGICAL PROCEDURE | $2,923 | — | — | — | 0 |
| 1200633 | US HEMATOMA FLUID DRAIN | $2,911 | — | — | — | 0 |
| 4701520 | GROSS/MICRO/COMPRE 88309 | $2,860 | — | — | — | 0 |
| 1600469 | CT ABDOMEN & PELVIS W/CONTRAST | $2,619 | — | — | — | 0 |
| 1600535 | CT ABD/PEL ANGIO | $2,619 | — | — | — | 0 |
| 23002 | ROOM MEDICAL W/TELE | $2,497 | — | — | — | 0 |
| 3200292 | COLONOSCOPY WITH HOT BIOPSY | $2,464 | — | — | — | 0 |
| 3200391 | COLONOSCPY STOMA BX 44389 | $2,464 | — | — | — | 0 |
| 3200409 | COLONOSCPY STOMA HOT BX | $2,464 | — | — | — | 0 |
| 3200417 | COLONOSCOPY STOMA SNARE | $2,464 | — | — | — | 0 |
| 4708076 | TARGET GENOMIC SEQUENCE ANLYS PANEL | $2,433 | — | — | — | 0 |
| 1600451 | CT ABDOMEN & PELV W&W/O CONTRAST | $2,412 | — | — | — | 0 |
| 1600006 | CT ABDOMEN UPPER W & W/O CONTRAST | $2,398 | — | — | — | 0 |
| 3200425 | COLONOSCOPY,FLEX W/BAND LIGATION | $2,395 | — | — | — | 0 |
| 6579098 | DENOSUMAB 60MG INJ | $2,281 | — | — | — | 0 |
| 4705000 | HEP C GENOTYPE | $2,277 | — | — | — | 0 |
| 4706685 | HEPATITIC C VIRUS GENOTYPE, SERUM | $2,277 | — | — | — | 0 |
| 4707626 | HCV GENOTYPE, S | $2,277 | — | — | — | 0 |
| 4707642 | HERPES SIMPLEX I,II,IGG | $2,277 | — | — | — | 0 |
| 8505281 | COLONOSCOPY W/REM SNARE 45385 PR | $2,254 | — | — | — | 0 |
Showing top 50 of 4,131 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.