45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,118
Insurances with rates
19
CPT / HCPCS codes
1,101
Most expensive procedures (gross)
J2997
$13,213
""50242-0085-27 - alteplase 100 mg IV Inj [MCMC]""
Gross
$26,426
J9217
$11,141
""00074-3346-03 - leuprolide 22.5 mg/3 months Kit [MCMC]""
Gross
$22,282
J3101
$10,404
""50242-0120-47 - tenecteplase 50 mg Powder [MCMC]""
Gross
$20,809
J9312
$9,887
""50242-0053-06 - riTUXimab 10 mg/mL IV Sol [MCMC]""
Gross
$19,775
J1950
$9,350
""00074-3663-03 - leuprolide 11.25 mg/3 months IM Inj, ER [MCMC]""
Gross
$18,700
35190
$9,150
""35190 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; EXTREMITIES Tech""
Gross
$18,300
47490
$6,200
""47490 CHOLECYSTOSTOMY, PERCUTANEOUS, COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETE ProFe
Gross
$12,400
49320
$6,000
""49320 LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION ProFee
Gross
$12,000
58662
$6,000
""58662 LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VI ProFe
Gross
$12,000
49321
$6,000
""49321 LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) ProFee""
Gross
$12,000
58670
$6,000
""58670 LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION) ProFee""
Gross
$12,000
49594
$6,000
""49594 RPR AA HRN 1ST 3-10 NCR/STRN""
Gross
$12,000
60220
$6,000
""60220 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY ProFee""
Gross
$12,000
57425
$6,000
""57425 LAPAROSCOPY, SURGICAL, COLPOPEXY (SUSPENSION OF VAGINAL APEX) ProFee""
Gross
$12,000
19307
$6,000
""19307 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORAL ProFe
Gross
$12,000
58661
$6,000
""58661 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTO ProFe
Gross
$12,000
58356
$6,000
""58356 ENDOMETRIAL CRYOABLATION WITH ULTRASONIC GUIDANCE, INCLUDING ENDOMETRIAL CURETTAGE, WH ProFe
Gross
$12,000
15734
$5,700
""15734 Muscle, myocutaneous, or fasciocutaneous flap; trunk""
Gross
$11,400
38500
$5,650
""38500 Biopsy or excision of lymph node(s), open, superficial""
Gross
$11,300
38531
$5,650
""38531 OPEN BX/EXC INGUINOFEM NODES""
Gross
$11,300
19101
$5,650
""19101 Biopsy of breast; open, incisional""
Gross
$11,300
19120
$5,650
""19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue""
Gross
$11,300
26607
$5,400
""26607 CLOSED TREATMENT OF METACARPAL FRACTURE, WITH MANIPULATION, WITH EXTERNAL FIXATION, EA Tech"
Gross
$10,800
56620
$5,250
""Vulvectomy""
Gross
$10,500
27675
$5,250
""27675 REPAIR, DISLOCATING PERONEAL TENDONS; WITHOUT FIBULAR OSTEOTOMY TechFee""
Gross
$10,500
25606
$5,200
""25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP TechFee""
Gross
$10,400
36556
$5,150
""36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee""
Gross
$10,300
37785
$5,150
""37785 Ligation, division, and/or excision of varicose vein cluster(s), 1 leg""
Gross
$10,300
36561
$5,150
""36561 INSERT TUNNELED CV CATH""
Gross
$10,300
59409
$5,000
""Vaginal - Delivery Type:""
Gross
$10,000
49550
$5,000
""49550 REPAIR INITIAL FEMORAL HERNIA, ANY AGE; REDUCIBLE ProFee""
Gross
$10,000
58120
$5,000
""58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) ProFee""
Gross
$10,000
57460
$5,000
""57460 Colposcopy of the cervix incl. upper vagina; with loop electrode biopsy(s) of the cervix""
Gross
$10,000
49593
$5,000
""49593 Repair of anterior abdominal hernia(s) any approach, initial""
Gross
$10,000
58150
$5,000
""58150 TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), ProFee
Gross
$10,000
11646
$5,000
""11646 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFe
Gross
$10,000
55040
$5,000
""55040 EXCISION OF HYDROCELE; UNILATERAL ProFee""
Gross
$10,000
58562
$5,000
""58562 HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY ProFee""
Gross
$10,000
35840
$5,000
""35840 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN ProFee""
Gross
$10,000
57135
$5,000
""57135 EXCISION OF VAGINAL CYST OR TUMOR ProFee""
Gross
$10,000
59812
$5,000
""59812 TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY ProFee""
Gross
$10,000
45541
$5,000
""45541 PROCTOPEXY (EG, FOR PROLAPSE); PERINEAL APPROACH ProFee""
Gross
$10,000
57720
$5,000
""57720 TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH ProFee""
Gross
$10,000
45540
$5,000
""45540 PROCTOPEXY (EG, FOR PROLAPSE); ABDOMINAL APPROACH ProFee""
Gross
$10,000
49591
$5,000
""REPAIR OF ANTERIOR ABDOMINAL HERNIA(S), ANY APPROACH, INITIAL, < 3 CM, REDUCIBLE, INCLUDING IMPLAN
Gross
$10,000
J0840
$4,810
""50633-0110-12 - Crofab (Crotalidae) polyvalent - Pow, 2ea [MCMC]""
Gross
$9,619
J0630
$4,711
""67457-0675-02 - calcitonin 200 intl units/mL Inj Sol [MCMC]""
Gross
$9,421
20240
$4,525
""20240 Biopsy, bone, open; superficial""
Gross
$9,050
20525
$4,500
""20525 RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP TechFee""
Gross
$9,000
21552
$4,500
""21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater""
Gross
$9,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ""50242-0085-27 - alteplase 100 mg IV Inj [MCMC]"" | $26,426 | $13,213 | — | — | 42 |
| J9217 | ""00074-3346-03 - leuprolide 22.5 mg/3 months Kit [MCMC]"" | $22,282 | $11,141 | — | — | 42 |
| J3101 | ""50242-0120-47 - tenecteplase 50 mg Powder [MCMC]"" | $20,809 | $10,404 | — | — | 42 |
| J9312 | ""50242-0053-06 - riTUXimab 10 mg/mL IV Sol [MCMC]"" | $19,775 | $9,887 | — | — | 42 |
| J1950 | ""00074-3663-03 - leuprolide 11.25 mg/3 months IM Inj, ER [MCMC]"" | $18,700 | $9,350 | — | — | 42 |
| 35190 | ""35190 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; EXTREMITIES Tech"" | $18,300 | $9,150 | — | — | 43 |
| 47490 | ""47490 CHOLECYSTOSTOMY, PERCUTANEOUS, COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETE ProFe | $12,400 | $6,200 | — | — | 43 |
| 49320 | ""49320 LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION ProFee | $12,000 | $6,000 | — | — | 43 |
| 58662 | ""58662 LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VI ProFe | $12,000 | $6,000 | — | — | 43 |
| 49321 | ""49321 LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) ProFee"" | $12,000 | $6,000 | — | — | 43 |
| 58670 | ""58670 LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION) ProFee"" | $12,000 | $6,000 | — | — | 43 |
| 49594 | ""49594 RPR AA HRN 1ST 3-10 NCR/STRN"" | $12,000 | $6,000 | — | — | 38 |
| 60220 | ""60220 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY ProFee"" | $12,000 | $6,000 | — | — | 43 |
| 57425 | ""57425 LAPAROSCOPY, SURGICAL, COLPOPEXY (SUSPENSION OF VAGINAL APEX) ProFee"" | $12,000 | $6,000 | — | — | 43 |
| 19307 | ""19307 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORAL ProFe | $12,000 | $6,000 | — | — | 43 |
| 58661 | ""58661 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTO ProFe | $12,000 | $6,000 | — | — | 43 |
| 58356 | ""58356 ENDOMETRIAL CRYOABLATION WITH ULTRASONIC GUIDANCE, INCLUDING ENDOMETRIAL CURETTAGE, WH ProFe | $12,000 | $6,000 | — | — | 43 |
| 15734 | ""15734 Muscle, myocutaneous, or fasciocutaneous flap; trunk"" | $11,400 | $5,700 | — | — | 43 |
| 38500 | ""38500 Biopsy or excision of lymph node(s), open, superficial"" | $11,300 | $5,650 | — | — | 43 |
| 38531 | ""38531 OPEN BX/EXC INGUINOFEM NODES"" | $11,300 | $5,650 | — | — | 43 |
| 19101 | ""19101 Biopsy of breast; open, incisional"" | $11,300 | $5,650 | — | — | 43 |
| 19120 | ""19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue"" | $11,300 | $5,650 | — | — | 43 |
| 26607 | ""26607 CLOSED TREATMENT OF METACARPAL FRACTURE, WITH MANIPULATION, WITH EXTERNAL FIXATION, EA Tech" | $10,800 | $5,400 | — | — | 43 |
| 56620 | ""Vulvectomy"" | $10,500 | $5,250 | — | — | 43 |
| 27675 | ""27675 REPAIR, DISLOCATING PERONEAL TENDONS; WITHOUT FIBULAR OSTEOTOMY TechFee"" | $10,500 | $5,250 | — | — | 43 |
| 25606 | ""25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP TechFee"" | $10,400 | $5,200 | — | — | 43 |
| 36556 | ""36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee"" | $10,300 | $5,150 | — | — | 43 |
| 37785 | ""37785 Ligation, division, and/or excision of varicose vein cluster(s), 1 leg"" | $10,300 | $5,150 | — | — | 43 |
| 36561 | ""36561 INSERT TUNNELED CV CATH"" | $10,300 | $5,150 | — | — | 43 |
| 59409 | ""Vaginal - Delivery Type:"" | $10,000 | $5,000 | — | — | 43 |
| 49550 | ""49550 REPAIR INITIAL FEMORAL HERNIA, ANY AGE; REDUCIBLE ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 58120 | ""58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 57460 | ""57460 Colposcopy of the cervix incl. upper vagina; with loop electrode biopsy(s) of the cervix"" | $10,000 | $5,000 | — | — | 86 |
| 49593 | ""49593 Repair of anterior abdominal hernia(s) any approach, initial"" | $10,000 | $5,000 | — | — | 38 |
| 58150 | ""58150 TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), ProFee | $10,000 | $5,000 | — | — | 39 |
| 11646 | ""11646 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFe | $10,000 | $5,000 | — | — | 43 |
| 55040 | ""55040 EXCISION OF HYDROCELE; UNILATERAL ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 58562 | ""58562 HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 35840 | ""35840 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN ProFee"" | $10,000 | $5,000 | — | — | 39 |
| 57135 | ""57135 EXCISION OF VAGINAL CYST OR TUMOR ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 59812 | ""59812 TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 45541 | ""45541 PROCTOPEXY (EG, FOR PROLAPSE); PERINEAL APPROACH ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 57720 | ""57720 TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH ProFee"" | $10,000 | $5,000 | — | — | 43 |
| 45540 | ""45540 PROCTOPEXY (EG, FOR PROLAPSE); ABDOMINAL APPROACH ProFee"" | $10,000 | $5,000 | — | — | 39 |
| 49591 | ""REPAIR OF ANTERIOR ABDOMINAL HERNIA(S), ANY APPROACH, INITIAL, < 3 CM, REDUCIBLE, INCLUDING IMPLAN | $10,000 | $5,000 | — | — | 38 |
| J0840 | ""50633-0110-12 - Crofab (Crotalidae) polyvalent - Pow, 2ea [MCMC]"" | $9,619 | $4,810 | — | — | 41 |
| J0630 | ""67457-0675-02 - calcitonin 200 intl units/mL Inj Sol [MCMC]"" | $9,421 | $4,711 | — | — | 40 |
| 20240 | ""20240 Biopsy, bone, open; superficial"" | $9,050 | $4,525 | — | — | 43 |
| 20525 | ""20525 RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP TechFee"" | $9,000 | $4,500 | — | — | 43 |
| 21552 | ""21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater"" | $9,000 | $4,500 | — | — | 43 |
Showing top 50 of 1,118 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.