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
116,234
Insurances with rates
16
CPT / HCPCS codes
1,361
Source MRF
Most expensive procedures (gross)
0055T
$4,595
Bone srgry cmptr ct/mri imag
Gross
—
0421T
$9,188
Waterjet prostate abltj cmpl
Gross
—
10005
$4,595
Fna bx w/us gdn 1st les
Gross
—
10006
$4,595
Fna bx w/us gdn ea addl
Gross
—
100131
$224
LENS IOL PC ACR SA60AT PLUS 10.0D
Gross
—
100132
$205
LENS IOL PC ACR SA60AT PLUS 10.5D
Gross
—
100137
$205
LENS IOL PC ACR SA60AT PLUS 20.0D
Gross
—
100167
$205
LENS IOL ANT MONO BI MA60AC 29.5D
Gross
—
100909
$3,014
STM STANDARD 36NK 18X13X160
Gross
—
10093
$1,646
ALLOMATRIX C PUTTY 10CC
Gross
—
100954
$1,507
SHELL ACET PINNACLE SECTOR 60MM
Gross
—
101033
$770
LEAD CAPSURE FIX NOVUS
Gross
—
101045
$445
MESH HERNIA PLUG PERFIX MED 1.3X1.55IN
Gross
—
101081
$1,623
AVITENE BX/6
Gross
—
101087
$435
GWIRE EXTND 0.35 STRAIGHT TIP BX/2
Gross
—
101113
$737
IMP BREAST NACL RND MP 175-200CC
Gross
—
101113
$672
IMP BREAST NACL RND MP 175-200CC
Gross
—
101188
$1,415
FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL
Gross
—
10140
$4,595
Drainage of hematoma/fluid
Gross
—
101422
$670
HEAD FEMORAL 3.5X28MM
Gross
—
101422
$611
HEAD FEMORAL 3.5X28MM
Gross
—
101438
$212
SILICON MOD.T TUB BX/6
Gross
—
101633
$335
KIT CATH TEMP PACE 5FR
Gross
—
101851
$308
INTRO TEAR AWAY 5.5F 10CM
Gross
—
101851
$281
INTRO TEAR AWAY 5.5F 10CM
Gross
—
101854
$308
INTRO TEAR AWAY 4.5F 5CM
Gross
—
101854
$281
INTRO TEAR AWAY 4.5F 5CM
Gross
—
101919
$1,421
PUTTY ALLOMATRIX 10CC
Gross
—
101943
$243
PLATE 2X3 MATRIX
Gross
—
10195
$780
CABLE CRMP 1.7X750MM
Gross
—
101993
$2,058
GRAFT VASC T6MM 60X80CM TW REMOV RING
Gross
—
102
$45,126
HEADACHES WITH MCC
Gross
—
102051
$242
PLATE 6 HOLE
Gross
—
102053
$512
PLATE-T 4HL LCP
Gross
—
102060
$198
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM
Gross
—
102096
$640
LEAD BIPOLAR EPICARDIAL PACING
Gross
—
10223
$672
IMP BREAST NACL RND MP 375-425CC
Gross
—
10224
$672
IMP BREAST NACL RND MP 200-225CC
Gross
—
10225
$737
IMP BREAST NACL RND MP 300-325CC
Gross
—
102297
$7,218
GRAFT BONE INFUSE KIT SM
Gross
—
102300
$10,036
GRAFT BONE INFUSE KIT LG II
Gross
—
102327
$1,298
IMP BREAST GEL RND HP 500CC
Gross
—
102388
$332
AUTOTOME 44
Gross
—
102602
$1,146
IMP BREAST GEL STYL 20 375CC
Gross
—
102612
$1,256
IMP BREAST GEL STYL 20 600CC
Gross
—
102617
$4,134
EXT PIECE REVISION
Gross
—
102618
$6,843
STM REVISION
Gross
—
0054T
$4,595
Bone srgry cmptr fluor image
Gross
—
0228T
$4,595
Njx anes/steroid tfrml edrl w/us cer/thor 1lvl
Gross
—
0280U
$42.41
Hem vw s vw factor & collagen iv binding elisa
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0055T | Bone srgry cmptr ct/mri imag | — | $4,595 | $1,132 | $24,472 | 30 |
| 0421T | Waterjet prostate abltj cmpl | — | $9,188 | $497 | $20,563 | 72 |
| 10005 | Fna bx w/us gdn 1st les | — | $4,595 | $697 | $8,853 | 72 |
| 10006 | Fna bx w/us gdn ea addl | — | $4,595 | $697 | $8,853 | 55 |
| 100131 | LENS IOL PC ACR SA60AT PLUS 10.0D | — | $224 | $157 | $378 | 41 |
| 100132 | LENS IOL PC ACR SA60AT PLUS 10.5D | — | $205 | $157 | $630 | 51 |
| 100137 | LENS IOL PC ACR SA60AT PLUS 20.0D | — | $205 | $157 | $630 | 51 |
| 100167 | LENS IOL ANT MONO BI MA60AC 29.5D | — | $205 | $157 | $630 | 51 |
| 100909 | STM STANDARD 36NK 18X13X160 | — | $3,014 | $2,115 | $5,076 | 41 |
| 10093 | ALLOMATRIX C PUTTY 10CC | — | $1,646 | $1,155 | $2,772 | 41 |
| 100954 | SHELL ACET PINNACLE SECTOR 60MM | — | $1,507 | $1,058 | $2,538 | 41 |
| 101033 | LEAD CAPSURE FIX NOVUS | — | $770 | $592 | $2,369 | 51 |
| 101045 | MESH HERNIA PLUG PERFIX MED 1.3X1.55IN | — | $445 | $312 | $750 | 41 |
| 101081 | AVITENE BX/6 | — | $1,623 | $1,139 | $2,733 | 41 |
| 101087 | GWIRE EXTND 0.35 STRAIGHT TIP BX/2 | — | $435 | $305 | $732 | 41 |
| 101113 | IMP BREAST NACL RND MP 175-200CC | — | $737 | $517 | $1,241 | 41 |
| 101113 | IMP BREAST NACL RND MP 175-200CC | — | $672 | $517 | $2,068 | 51 |
| 101188 | FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL | — | $1,415 | $993 | $2,383 | 41 |
| 10140 | Drainage of hematoma/fluid | — | $4,595 | $815 | $8,853 | 71 |
| 101422 | HEAD FEMORAL 3.5X28MM | — | $670 | $470 | $1,128 | 41 |
| 101422 | HEAD FEMORAL 3.5X28MM | — | $611 | $470 | $1,880 | 51 |
| 101438 | SILICON MOD.T TUB BX/6 | — | $212 | $149 | $356 | 41 |
| 101633 | KIT CATH TEMP PACE 5FR | — | $335 | $235 | $564 | 41 |
| 101851 | INTRO TEAR AWAY 5.5F 10CM | — | $308 | $216 | $519 | 41 |
| 101851 | INTRO TEAR AWAY 5.5F 10CM | — | $281 | $216 | $865 | 51 |
| 101854 | INTRO TEAR AWAY 4.5F 5CM | — | $308 | $216 | $519 | 41 |
| 101854 | INTRO TEAR AWAY 4.5F 5CM | — | $281 | $216 | $865 | 51 |
| 101919 | PUTTY ALLOMATRIX 10CC | — | $1,421 | $1,093 | $4,371 | 51 |
| 101943 | PLATE 2X3 MATRIX | — | $243 | $187 | $747 | 51 |
| 10195 | CABLE CRMP 1.7X750MM | — | $780 | $547 | $1,313 | 41 |
| 101993 | GRAFT VASC T6MM 60X80CM TW REMOV RING | — | $2,058 | $1,583 | $6,331 | 51 |
| 102 | HEADACHES WITH MCC | — | $45,126 | $12,891 | $75,043 | 46 |
| 102051 | PLATE 6 HOLE | — | $242 | $186 | $745 | 51 |
| 102053 | PLATE-T 4HL LCP | — | $512 | $359 | $862 | 41 |
| 102060 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM | — | $198 | $139 | $333 | 41 |
| 102096 | LEAD BIPOLAR EPICARDIAL PACING | — | $640 | $492 | $1,969 | 51 |
| 10223 | IMP BREAST NACL RND MP 375-425CC | — | $672 | $517 | $2,068 | 51 |
| 10224 | IMP BREAST NACL RND MP 200-225CC | — | $672 | $517 | $2,068 | 51 |
| 10225 | IMP BREAST NACL RND MP 300-325CC | — | $737 | $517 | $1,241 | 41 |
| 102297 | GRAFT BONE INFUSE KIT SM | — | $7,218 | $5,064 | $12,154 | 41 |
| 102300 | GRAFT BONE INFUSE KIT LG II | — | $10,036 | $7,720 | $30,879 | 51 |
| 102327 | IMP BREAST GEL RND HP 500CC | — | $1,298 | $911 | $2,186 | 41 |
| 102388 | AUTOTOME 44 | — | $332 | $255 | $1,020 | 51 |
| 102602 | IMP BREAST GEL STYL 20 375CC | — | $1,146 | $881 | $3,525 | 51 |
| 102612 | IMP BREAST GEL STYL 20 600CC | — | $1,256 | $881 | $2,115 | 41 |
| 102617 | EXT PIECE REVISION | — | $4,134 | $3,180 | $12,720 | 51 |
| 102618 | STM REVISION | — | $6,843 | $4,802 | $11,524 | 41 |
| 0054T | Bone srgry cmptr fluor image | — | $4,595 | $1,132 | $24,945 | 30 |
| 0228T | Njx anes/steroid tfrml edrl w/us cer/thor 1lvl | — | $4,595 | $752 | $8,853 | 53 |
| 0280U | Hem vw s vw factor & collagen iv binding elisa | — | $42.41 | $16.92 | $262 | 72 |
Showing top 50 of 116,234 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.