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
1,250
Insurances with rates
83
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
602
—
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY C
Gross
$591,862
181
—
LOWER VASCULAR PROCEDURES,EXTREME
Gross
$503,648
CASE-J0870
$27,456
Injection, imetelstat, 1 mg
Gross
$445,269
030
—
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MAJOR
Gross
$430,426
233
$90,313
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
Gross
$412,768
225
—
CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC
Gross
$397,055
691
—
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA,EXTREME
Gross
$387,666
CASE-J1299
$54,244
Inj, eculizumab, 2 mg
Gross
$379,270
CASE-J9022
$15,581
Inj, atezolizumab,10 mg
Gross
$352,710
CASE-J2327
$18,038
Inj risankizumab-rzaa 1 mg
Gross
$345,155
530
—
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR
Gross
$334,586
022
—
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
Gross
$326,504
CASE-C9774
$19,621
Revasc Art(S) Tib/Pernl W Ivl Tlath Tlang
Gross
$321,634
853
—
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
Gross
$316,202
320
—
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MAJOR
Gross
$315,324
234
—
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
Gross
$303,876
461
—
KIDNEY AND URINARY TRACT MALIGNANCY,MAJOR
Gross
$302,331
CASE-21050
$21,537
Condylectomy Temporomandibular Joint Spx
Gross
$273,797
463
$67,003
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT
Gross
$260,087
CASE-C1724
$19,621
Sup Rev Cd 272 Hcpcs C1724
Gross
$254,253
CASE-37215
$6,272
Plcmt Stent(S) Art Crvcarot W Emb Dev
Gross
$248,718
CASE-92938
$20,836
Pci Revasc Cabg Stent/Ath/Ang Add
Gross
$222,889
CASE-J1742
$28,465
Ibutilide fumarate injection
Gross
$222,649
346
—
CONNECTIVE TISSUE DISORDERS,EXTREME
Gross
$219,636
031
—
VENTRICULAR SHUNT PROCEDURES WITH MCC
Gross
$214,407
246
—
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS
Gross
$212,866
405
$64,733
PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
Gross
$210,808
024
$44,944
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
Gross
$204,226
CASE-J9228
$26,729
Ipilimumab injection
Gross
$203,442
CASE-61623
$13,159
Occlude Art Tmp Balln (Tbo) Head/Neck
Gross
$203,323
CASE-37231
$20,836
Revas Art Tibper W Stent&Tlath&Tlang Init
Gross
$187,374
802
$40,879
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
Gross
$184,748
166
—
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
Gross
$184,286
CASE-00620
$35,756
Anesthesia Thoracic Spine & Cord Nos
Gross
$179,031
CASE-22632
$21,975
Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl
Gross
$175,914
CASE-37253
$13,159
Ivus Noncor Add Vssl
Gross
$173,670
475
—
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
Gross
$169,002
CASE-92928
$13,159
Pci Stent/Ang Maj Cor Art Sng
Gross
$167,268
CASE-J9144
$10,090
Daratumumab, hyaluronidase
Gross
$161,191
325
—
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE
Gross
$159,145
377
$18,136
GASTROINTESTINAL HEMORRHAGE WITH MCC
Gross
$152,772
SUP-232492
$152,539
sh ALLOGRAFT FLEXHD PLIA PRE THIN SM 17.5X20CM - /per 1sqcm TBU = 350
Gross
$152,539
136
—
RESPIRATORY MALIGNANCY,MODERATE
Gross
$152,112
CASE-22630
$21,459
Arthrodesis Posterior Interbody 1 Ntrspc Lumbar
Gross
$151,419
CASE-92972
$13,159
Lithotripsy Perc Trnslml Coronary Add On
Gross
$146,881
CASE-C9610
$20,636
Sup Rev Cd 272 Hcpcs C9610
Gross
$145,230
RX-170551
$7,715
C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION
Gross
$138,778
674
—
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
Gross
$135,116
433
—
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
Gross
$132,857
CASE-92979
$13,159
Ivus/Oct Ic Vessel/Grft Add
Gross
$130,800
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 602 | NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY C | $591,862 | — | — | — | 8 |
| 181 | LOWER VASCULAR PROCEDURES,EXTREME | $503,648 | — | — | — | 8 |
| CASE-J0870 | Injection, imetelstat, 1 mg | $445,269 | $27,456 | — | — | 91 |
| 030 | PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MAJOR | $430,426 | — | — | — | 8 |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $412,768 | $90,313 | — | — | 114 |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $397,055 | — | — | — | 9 |
| 691 | LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA,EXTREME | $387,666 | — | — | — | 8 |
| CASE-J1299 | Inj, eculizumab, 2 mg | $379,270 | $54,244 | — | — | 91 |
| CASE-J9022 | Inj, atezolizumab,10 mg | $352,710 | $15,581 | — | — | 118 |
| CASE-J2327 | Inj risankizumab-rzaa 1 mg | $345,155 | $18,038 | — | — | 117 |
| 530 | FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR | $334,586 | — | — | — | 8 |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $326,504 | — | — | — | 9 |
| CASE-C9774 | Revasc Art(S) Tib/Pernl W Ivl Tlath Tlang | $321,634 | $19,621 | — | — | 64 |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $316,202 | — | — | — | 9 |
| 320 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MAJOR | $315,324 | — | — | — | 8 |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $303,876 | — | — | — | 9 |
| 461 | KIDNEY AND URINARY TRACT MALIGNANCY,MAJOR | $302,331 | — | — | — | 8 |
| CASE-21050 | Condylectomy Temporomandibular Joint Spx | $273,797 | $21,537 | — | — | 89 |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT | $260,087 | $67,003 | — | — | 114 |
| CASE-C1724 | Sup Rev Cd 272 Hcpcs C1724 | $254,253 | $19,621 | — | — | 63 |
| CASE-37215 | Plcmt Stent(S) Art Crvcarot W Emb Dev | $248,718 | $6,272 | — | — | 77 |
| CASE-92938 | Pci Revasc Cabg Stent/Ath/Ang Add | $222,889 | $20,836 | — | — | 71 |
| CASE-J1742 | Ibutilide fumarate injection | $222,649 | $28,465 | — | — | 107 |
| 346 | CONNECTIVE TISSUE DISORDERS,EXTREME | $219,636 | — | — | — | 8 |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $214,407 | — | — | — | 9 |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $212,866 | — | — | — | 9 |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $210,808 | $64,733 | — | — | 114 |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $204,226 | $44,944 | — | — | 114 |
| CASE-J9228 | Ipilimumab injection | $203,442 | $26,729 | — | — | 118 |
| CASE-61623 | Occlude Art Tmp Balln (Tbo) Head/Neck | $203,323 | $13,159 | — | — | 77 |
| CASE-37231 | Revas Art Tibper W Stent&Tlath&Tlang Init | $187,374 | $20,836 | — | — | 64 |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $184,748 | $40,879 | — | — | 114 |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $184,286 | — | — | — | 9 |
| CASE-00620 | Anesthesia Thoracic Spine & Cord Nos | $179,031 | $35,756 | — | — | 59 |
| CASE-22632 | Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl | $175,914 | $21,975 | — | — | 60 |
| CASE-37253 | Ivus Noncor Add Vssl | $173,670 | $13,159 | — | — | 62 |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $169,002 | — | — | — | 9 |
| CASE-92928 | Pci Stent/Ang Maj Cor Art Sng | $167,268 | $13,159 | — | — | 91 |
| CASE-J9144 | Daratumumab, hyaluronidase | $161,191 | $10,090 | — | — | 118 |
| 325 | NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE | $159,145 | — | — | — | 8 |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $152,772 | $18,136 | — | — | 114 |
| SUP-232492 | sh ALLOGRAFT FLEXHD PLIA PRE THIN SM 17.5X20CM - /per 1sqcm TBU = 350 | $152,539 | $152,539 | — | — | 132 |
| 136 | RESPIRATORY MALIGNANCY,MODERATE | $152,112 | — | — | — | 8 |
| CASE-22630 | Arthrodesis Posterior Interbody 1 Ntrspc Lumbar | $151,419 | $21,459 | — | — | 91 |
| CASE-92972 | Lithotripsy Perc Trnslml Coronary Add On | $146,881 | $13,159 | — | — | 90 |
| CASE-C9610 | Sup Rev Cd 272 Hcpcs C9610 | $145,230 | $20,636 | — | — | 32 |
| RX-170551 | C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION | $138,778 | $7,715 | — | — | 204 |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $135,116 | — | — | — | 9 |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $132,857 | — | — | — | 9 |
| CASE-92979 | Ivus/Oct Ic Vessel/Grft Add | $130,800 | $13,159 | — | — | 90 |
Showing top 50 of 1,250 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.