45 CFR § 180 compliance
A · 100
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
3,239
Insurances with rates
10
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
37252
$7,730
37252 Ivus Supervision S&i
Gross
$25,766
CDM
$3,622
Knee Instrumentation System Usage
Gross
$12,074
51311
$2,880
Inspace Us Small
Gross
$9,600
49350
$2,757
Psn Rev Fem Distal Aug Sz:11 L
Gross
$9,191
CP17649555859943117
$2,745
43229 Esophagogastroduodenscopy, Flexible, Transoral; With Biopsy, Single, Or Multiple Charge
Gross
$9,150
CP17649555860180577-GY
$2,321
Olanzapine 5 Mg Tab [Reho]
Gross
$7,738
CP17649555860163287
$2,267
Feeding Method Nicu
Gross
$7,557
30900003
$2,267
Newborn Hearing Screening
Gross
$7,557
CP17649555860135026
$2,225
55100-drainage Scrotal Wall Abscess
Gross
$7,418
CP17649555860998392
$2,068
36510 Insert: Cath; Umbilical Vein Charge
Gross
$6,894
48904
$1,912
12.5x50dmm Cn Screw Thrd Plsmc Dl
Gross
$6,372
49497
$1,912
Comp. Pri Stem 11mm Mini
Gross
$6,372
48963
$1,912
Comp. Pri Stem 9mm Mini
Gross
$6,372
3400.0852
$1,910
Profemur Z Classic Stem Sz: 5 Straight Short Neck
Gross
$6,366
3400.076
$1,864
Univers Vaultlock Glenoid Medium
Gross
$6,213
3400.0182
$1,796
4 Hole Post
Gross
$5,988
CP17649555860127015
$1,786
46050-i&d Perianal Abscess Superficial
Gross
$5,954
CP17649555434389549
$1,727
Dcp_generic
Gross
$5,757
CP17649555434987506
$1,727
Amb Mitomycin Charge
Gross
$5,757
CP17649555435101769-JZ
$1,727
Mitomycinamb Mitomycin Charge
Gross
$5,757
CP17649555435220053
$1,727
16729-0116-38mitomycin 40 Mg Pow Inj [Reho]
Gross
$5,757
CP17649555435361907
$1,727
71288-0139-51mitomycin 40 Mg Pow Inj [Reho]
Gross
$5,757
3400.0303
$1,725
36mm Humeral Glenosphere Used For Bearing 36mm
Gross
$5,751
49162
$1,710
Comp. Pri Stem 8mm Mini
Gross
$5,700
3400.0827
$1,698
Centralizer
Gross
$5,661
49086
$1,650
24mm Bone Screw Cort.
Gross
$5,501
5000631
$1,647
23350 Add-on
Gross
$5,489
CP17649555859991041
$1,647
10140-i&d Hematoma/seroma/fluid
Gross
$5,489
3400.0835
$1,647
Galileo Troch Nail 12mmx20cmx130
Gross
$5,489
18501016
$1,603
11x340mmx125 Deg. Long Nail Rt Ti Gamma3
Gross
$5,343
CP17649555860097839
$1,555
21320-nasal Bone W/ Stabilization
Gross
$5,184
1001851
$1,519
Distal Radius Volar Plate 3 Hole
Gross
$5,064
M0222
$1,516
M0243 Intravenous Infusion Casirivimab And Imdevimab Charge
Gross
$5,054
47858
$1,512
Musculoskeletal Allograft Sm
Gross
$5,040
CP17649555860119967
$1,483
32551-insertion Chest Tube
Gross
$4,944
CP17649555860961642
$1,460
Reho Disofenin Up To 15mc
Gross
$4,866
18500449
$1,432
Umbilical/ventral Mesh 10cm Skirted W/central Suture
Gross
$4,774
5000932
$1,427
48102 Add-on
Gross
$4,756
CP17649555860099013
$1,412
23665-shoulder Dislocation W/ Humeral Fx
Gross
$4,708
30200038
$1,411
Diagnostic exam of esophagus, stomach or small bowel using an endoscope
Gross
$4,703
CP17649555860962065
$1,401
Nm Parathyroid Imaging
Gross
$4,669
48998
$1,395
Psn Fem Ps Cement Ccr Sz:9 R Cr Std
Gross
$4,650
27266
$1,388
27266 Cltx Post Hip Arthrp Dislc Req Anes Techfee
Gross
$4,626
35236
$1,340
35236 Repair Blood Vessel With Vein Graft; Upper Extremity
Gross
$4,468
418994700
$1,340
41899 Dental Surgery Procedure Techfee
Gross
$4,468
48105
$1,339
Univ. 5th Metarsal Hook Plate
Gross
$4,463
CP17649555860095238
$1,335
24200-upper Arm/elbow Subcutaneous
Gross
$4,450
CP17649555860101700
$1,335
26605-metacarpal W/ Manipulation
Gross
$4,450
4010.0101
$1,330
81235 Ap Bill Molecular Egfr Gene Analysis
Gross
$4,432
CP17649555859999507
$1,329
10160-aspiration Abscess/cyst/hematoma
Gross
$4,430
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 37252 | 37252 Ivus Supervision S&i | $25,766 | $7,730 | $6,184 | $24,478 | 14 |
| CDM | Knee Instrumentation System Usage | $12,074 | $3,622 | $2,898 | $11,470 | 14 |
| 51311 | Inspace Us Small | $9,600 | $2,880 | $2,304 | $9,120 | 14 |
| 49350 | Psn Rev Fem Distal Aug Sz:11 L | $9,191 | $2,757 | $2,206 | $8,731 | 14 |
| CP17649555859943117 | 43229 Esophagogastroduodenscopy, Flexible, Transoral; With Biopsy, Single, Or Multiple Charge | $9,150 | $2,745 | $2,196 | $8,693 | 14 |
| CP17649555860180577-GY | Olanzapine 5 Mg Tab [Reho] | $7,738 | $2,321 | $1,273 | $7,351 | 14 |
| CP17649555860163287 | Feeding Method Nicu | $7,557 | $2,267 | $1,814 | $7,179 | 14 |
| 30900003 | Newborn Hearing Screening | $7,557 | $2,267 | $1,814 | $7,179 | 14 |
| CP17649555860135026 | 55100-drainage Scrotal Wall Abscess | $7,418 | $2,225 | $596 | $7,047 | 14 |
| CP17649555860998392 | 36510 Insert: Cath; Umbilical Vein Charge | $6,894 | $2,068 | $1,655 | $6,549 | 14 |
| 48904 | 12.5x50dmm Cn Screw Thrd Plsmc Dl | $6,372 | $1,912 | $1,529 | $6,053 | 14 |
| 49497 | Comp. Pri Stem 11mm Mini | $6,372 | $1,912 | $1,529 | $6,053 | 14 |
| 48963 | Comp. Pri Stem 9mm Mini | $6,372 | $1,912 | $1,529 | $6,053 | 14 |
| 3400.0852 | Profemur Z Classic Stem Sz: 5 Straight Short Neck | $6,366 | $1,910 | $1,528 | $6,048 | 14 |
| 3400.076 | Univers Vaultlock Glenoid Medium | $6,213 | $1,864 | $1,491 | $5,902 | 14 |
| 3400.0182 | 4 Hole Post | $5,988 | $1,796 | $1,437 | $5,689 | 14 |
| CP17649555860127015 | 46050-i&d Perianal Abscess Superficial | $5,954 | $1,786 | $596 | $5,656 | 14 |
| CP17649555434389549 | Dcp_generic | $5,757 | $1,727 | $1,382 | $5,469 | 14 |
| CP17649555434987506 | Amb Mitomycin Charge | $5,757 | $1,727 | $1,382 | $5,469 | 14 |
| CP17649555435101769-JZ | Mitomycinamb Mitomycin Charge | $5,757 | $1,727 | $1,382 | $5,469 | 14 |
| CP17649555435220053 | 16729-0116-38mitomycin 40 Mg Pow Inj [Reho] | $5,757 | $1,727 | $1,382 | $5,469 | 14 |
| CP17649555435361907 | 71288-0139-51mitomycin 40 Mg Pow Inj [Reho] | $5,757 | $1,727 | $1,382 | $5,469 | 14 |
| 3400.0303 | 36mm Humeral Glenosphere Used For Bearing 36mm | $5,751 | $1,725 | $1,380 | $5,463 | 14 |
| 49162 | Comp. Pri Stem 8mm Mini | $5,700 | $1,710 | $1,368 | $5,415 | 14 |
| 3400.0827 | Centralizer | $5,661 | $1,698 | $1,359 | $5,378 | 14 |
| 49086 | 24mm Bone Screw Cort. | $5,501 | $1,650 | $1,320 | $5,226 | 14 |
| 5000631 | 23350 Add-on | $5,489 | $1,647 | $1,317 | $5,215 | 14 |
| CP17649555859991041 | 10140-i&d Hematoma/seroma/fluid | $5,489 | $1,647 | $596 | $5,215 | 14 |
| 3400.0835 | Galileo Troch Nail 12mmx20cmx130 | $5,489 | $1,647 | $1,317 | $5,215 | 14 |
| 18501016 | 11x340mmx125 Deg. Long Nail Rt Ti Gamma3 | $5,343 | $1,603 | $1,282 | $5,076 | 14 |
| CP17649555860097839 | 21320-nasal Bone W/ Stabilization | $5,184 | $1,555 | $1,244 | $4,925 | 14 |
| 1001851 | Distal Radius Volar Plate 3 Hole | $5,064 | $1,519 | $1,215 | $4,811 | 14 |
| M0222 | M0243 Intravenous Infusion Casirivimab And Imdevimab Charge | $5,054 | $1,516 | $1,213 | $4,801 | 14 |
| 47858 | Musculoskeletal Allograft Sm | $5,040 | $1,512 | $1,210 | $4,788 | 14 |
| CP17649555860119967 | 32551-insertion Chest Tube | $4,944 | $1,483 | $596 | $4,697 | 14 |
| CP17649555860961642 | Reho Disofenin Up To 15mc | $4,866 | $1,460 | $1,168 | $4,623 | 14 |
| 18500449 | Umbilical/ventral Mesh 10cm Skirted W/central Suture | $4,774 | $1,432 | $1,146 | $4,535 | 14 |
| 5000932 | 48102 Add-on | $4,756 | $1,427 | $1,141 | $4,518 | 14 |
| CP17649555860099013 | 23665-shoulder Dislocation W/ Humeral Fx | $4,708 | $1,412 | $1,130 | $4,473 | 14 |
| 30200038 | Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $4,703 | $1,411 | $1,129 | $4,468 | 14 |
| CP17649555860962065 | Nm Parathyroid Imaging | $4,669 | $1,401 | $1,121 | $4,436 | 14 |
| 48998 | Psn Fem Ps Cement Ccr Sz:9 R Cr Std | $4,650 | $1,395 | $1,116 | $4,418 | 14 |
| 27266 | 27266 Cltx Post Hip Arthrp Dislc Req Anes Techfee | $4,626 | $1,388 | $596 | $4,395 | 14 |
| 35236 | 35236 Repair Blood Vessel With Vein Graft; Upper Extremity | $4,468 | $1,340 | $1,072 | $4,245 | 14 |
| 418994700 | 41899 Dental Surgery Procedure Techfee | $4,468 | $1,340 | $596 | $4,245 | 14 |
| 48105 | Univ. 5th Metarsal Hook Plate | $4,463 | $1,339 | $1,071 | $4,240 | 14 |
| CP17649555860095238 | 24200-upper Arm/elbow Subcutaneous | $4,450 | $1,335 | $596 | $4,228 | 14 |
| CP17649555860101700 | 26605-metacarpal W/ Manipulation | $4,450 | $1,335 | $596 | $4,228 | 14 |
| 4010.0101 | 81235 Ap Bill Molecular Egfr Gene Analysis | $4,432 | $1,330 | $1,064 | $4,210 | 14 |
| CP17649555859999507 | 10160-aspiration Abscess/cyst/hematoma | $4,430 | $1,329 | $596 | $4,209 | 14 |
Showing top 50 of 3,239 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.