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
108,323
Insurances with rates
16
CPT / HCPCS codes
1,360
Source MRF
Most expensive procedures (gross)
0225U
$347
Nfct ds dna&rna 21 sarscov2
Gross
—
0373T
$4,595
Adapt bhv tx ea 15 min
Gross
—
0421T
$9,188
Waterjet prostate abltj cmpl
Gross
—
1
$933,786
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
Gross
—
100077
$1,007
PERFLUORON 7ML KIT
Gross
—
100095
$224
LENS IOL PC ACR SA60AT PLUS 17.0D
Gross
—
100131
$224
LENS IOL PC ACR SA60AT PLUS 10.0D
Gross
—
100131
$205
LENS IOL PC ACR SA60AT PLUS 10.0D
Gross
—
100167
$205
LENS IOL ANT MONO BI MA60AC 29.5D
Gross
—
100255
$481
CATH TESIO 2LUM LEFT 10FR
Gross
—
10057
$2,010
STENT TRACHBR WALL 6X8X40 UNISTEP
Gross
—
10058
$1,833
STENT TRACHBR WALL 6X8X60 UNISTEP
Gross
—
10071
$259
CATH PD SWAN NECK CURL R 62.5CM
Gross
—
100871
$184
INTRO SHEATH PINN PERIPH 5X10
Gross
—
100898
$1,375
SHELL ACET W/PURIFEX 50MM
Gross
—
100916
$281
GUID WIRE INSTR
Gross
—
101081
$1,623
AVITENE BX/6
Gross
—
101087
$435
GWIRE EXTND 0.35 STRAIGHT TIP BX/2
Gross
—
101113
$672
IMP BREAST NACL RND MP 175-200CC
Gross
—
101116
$565
CATH RENEGADE FG 10X150 1TIP
Gross
—
101188
$1,415
FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL
Gross
—
101216
$425
CATH SIMMONS I ANGIOGRAPH BX/5
Gross
—
101265
$295
CATH BALLOON DIL 6-8MM
Gross
—
101278
$569
COIL VORTX DIAMD 2X4X2MM 5/BX
Gross
—
101386
$422
CATH URO MAX II 8X24FR
Gross
—
10140
$4,595
Drainage of hematoma/fluid
Gross
—
101438
$212
SILICON MOD.T TUB BX/6
Gross
—
101633
$335
KIT CATH TEMP PACE 5FR
Gross
—
101804
$453
BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM
Gross
—
101919
$1,421
PUTTY ALLOMATRIX 10CC
Gross
—
10193
$780
CABLE 1MM W/CRIMP 750MM STRL
Gross
—
101993
$2,256
GRAFT VASC T6MM 60X80CM TW REMOV RING
Gross
—
102
$39,806
HEADACHES WITH MCC
Gross
—
102049
$261
PLATE LOCKING TIBULAR 8 HOLE
Gross
—
102051
$242
PLATE 6 HOLE
Gross
—
102053
$512
PLATE-T 4HL LCP
Gross
—
102061
$181
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X55MM
Gross
—
102062
$198
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X50MM
Gross
—
10225
$737
IMP BREAST NACL RND MP 300-325CC
Gross
—
10225
$672
IMP BREAST NACL RND MP 300-325CC
Gross
—
102305
$4,354
VLV STRATA PROGRAMABLE
Gross
—
102305
$3,971
VLV STRATA PROGRAMABLE
Gross
—
102322
$497
CANNULA SNGL STAGE 3/8X32FR BX/10
Gross
—
102327
$1,184
IMP BREAST GEL RND HP 500CC
Gross
—
102328
$498
CANNULA VENOUS SING 32FR STAGE
Gross
—
102331
$1,298
IMP BREAST GEL RND HP 550CC
Gross
—
0054T
$4,595
Bone srgry cmptr fluor image
Gross
—
0055T
$4,595
Bone srgry cmptr ct/mri imag
Gross
—
0228T
$4,595
Njx anes/steroid tfrml edrl w/us cer/thor 1lvl
Gross
—
100132
$224
LENS IOL PC ACR SA60AT PLUS 10.5D
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0225U | Nfct ds dna&rna 21 sarscov2 | — | $347 | $65.78 | $1,746 | 72 |
| 0373T | Adapt bhv tx ea 15 min | — | $4,595 | $31.92 | $6,460 | 71 |
| 0421T | Waterjet prostate abltj cmpl | — | $9,188 | $3,208 | $20,389 | 72 |
| 1 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | $933,786 | $261,919 | $1,194,223 | 46 |
| 100077 | PERFLUORON 7ML KIT | — | $1,007 | $706 | $1,695 | 28 |
| 100095 | LENS IOL PC ACR SA60AT PLUS 17.0D | — | $224 | $157 | $378 | 28 |
| 100131 | LENS IOL PC ACR SA60AT PLUS 10.0D | — | $224 | $157 | $378 | 28 |
| 100131 | LENS IOL PC ACR SA60AT PLUS 10.0D | — | $205 | $157 | $630 | 51 |
| 100167 | LENS IOL ANT MONO BI MA60AC 29.5D | — | $205 | $157 | $630 | 51 |
| 100255 | CATH TESIO 2LUM LEFT 10FR | — | $481 | $370 | $1,481 | 51 |
| 10057 | STENT TRACHBR WALL 6X8X40 UNISTEP | — | $2,010 | $1,410 | $3,384 | 28 |
| 10058 | STENT TRACHBR WALL 6X8X60 UNISTEP | — | $1,833 | $1,410 | $5,640 | 51 |
| 10071 | CATH PD SWAN NECK CURL R 62.5CM | — | $259 | $182 | $437 | 28 |
| 100871 | INTRO SHEATH PINN PERIPH 5X10 | — | $184 | $129 | $310 | 28 |
| 100898 | SHELL ACET W/PURIFEX 50MM | — | $1,375 | $1,058 | $4,230 | 51 |
| 100916 | GUID WIRE INSTR | — | $281 | $197 | $473 | 28 |
| 101081 | AVITENE BX/6 | — | $1,623 | $1,139 | $2,733 | 28 |
| 101087 | GWIRE EXTND 0.35 STRAIGHT TIP BX/2 | — | $435 | $305 | $732 | 28 |
| 101113 | IMP BREAST NACL RND MP 175-200CC | — | $672 | $517 | $2,068 | 51 |
| 101116 | CATH RENEGADE FG 10X150 1TIP | — | $565 | $396 | $951 | 28 |
| 101188 | FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL | — | $1,415 | $993 | $2,383 | 28 |
| 101216 | CATH SIMMONS I ANGIOGRAPH BX/5 | — | $425 | $327 | $1,308 | 51 |
| 101265 | CATH BALLOON DIL 6-8MM | — | $295 | $227 | $908 | 51 |
| 101278 | COIL VORTX DIAMD 2X4X2MM 5/BX | — | $569 | $400 | $959 | 28 |
| 101386 | CATH URO MAX II 8X24FR | — | $422 | $296 | $711 | 28 |
| 10140 | Drainage of hematoma/fluid | — | $4,595 | $815 | $5,904 | 72 |
| 101438 | SILICON MOD.T TUB BX/6 | — | $212 | $149 | $356 | 28 |
| 101633 | KIT CATH TEMP PACE 5FR | — | $335 | $235 | $564 | 28 |
| 101804 | BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM | — | $453 | $318 | $762 | 28 |
| 101919 | PUTTY ALLOMATRIX 10CC | — | $1,421 | $1,093 | $4,371 | 51 |
| 10193 | CABLE 1MM W/CRIMP 750MM STRL | — | $780 | $547 | $1,313 | 28 |
| 101993 | GRAFT VASC T6MM 60X80CM TW REMOV RING | — | $2,256 | $1,583 | $3,799 | 28 |
| 102 | HEADACHES WITH MCC | — | $39,806 | $10,855 | $49,158 | 46 |
| 102049 | PLATE LOCKING TIBULAR 8 HOLE | — | $261 | $201 | $803 | 51 |
| 102051 | PLATE 6 HOLE | — | $242 | $186 | $745 | 51 |
| 102053 | PLATE-T 4HL LCP | — | $512 | $359 | $862 | 28 |
| 102061 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X55MM | — | $181 | $139 | $556 | 51 |
| 102062 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X50MM | — | $198 | $139 | $333 | 28 |
| 10225 | IMP BREAST NACL RND MP 300-325CC | — | $737 | $517 | $1,241 | 28 |
| 10225 | IMP BREAST NACL RND MP 300-325CC | — | $672 | $517 | $2,068 | 51 |
| 102305 | VLV STRATA PROGRAMABLE | — | $4,354 | $3,055 | $7,331 | 28 |
| 102305 | VLV STRATA PROGRAMABLE | — | $3,971 | $3,055 | $12,219 | 51 |
| 102322 | CANNULA SNGL STAGE 3/8X32FR BX/10 | — | $497 | $382 | $1,528 | 51 |
| 102327 | IMP BREAST GEL RND HP 500CC | — | $1,184 | $911 | $3,643 | 51 |
| 102328 | CANNULA VENOUS SING 32FR STAGE | — | $498 | $350 | $839 | 28 |
| 102331 | IMP BREAST GEL RND HP 550CC | — | $1,298 | $911 | $2,186 | 28 |
| 0054T | Bone srgry cmptr fluor image | — | $4,595 | $1,422 | $22,149 | 31 |
| 0055T | Bone srgry cmptr ct/mri imag | — | $4,595 | $1,422 | $20,952 | 31 |
| 0228T | Njx anes/steroid tfrml edrl w/us cer/thor 1lvl | — | $4,595 | $752 | $6,460 | 54 |
| 100132 | LENS IOL PC ACR SA60AT PLUS 10.5D | — | $224 | $157 | $378 | 28 |
Showing top 50 of 108,323 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.