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
115,975
Insurances with rates
16
CPT / HCPCS codes
1,361
Source MRF
Most expensive procedures (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
—
10005
$4,595
Fna bx w/us gdn 1st les
Gross
—
100132
$224
LENS IOL PC ACR SA60AT PLUS 10.5D
Gross
—
100132
$205
LENS IOL PC ACR SA60AT PLUS 10.5D
Gross
—
100167
$224
LENS IOL ANT MONO BI MA60AC 29.5D
Gross
—
10071
$237
CATH PD SWAN NECK CURL R 62.5CM
Gross
—
100898
$1,375
SHELL ACET W/PURIFEX 50MM
Gross
—
101
$27,894
SEIZURES WITHOUT MCC
Gross
—
101033
$844
LEAD CAPSURE FIX NOVUS
Gross
—
101113
$737
IMP BREAST NACL RND MP 175-200CC
Gross
—
101197
$202
KIT URET PERFLX PLUS 6FRX26CM
Gross
—
101278
$519
COIL VORTX DIAMD 2X4X2MM 5/BX
Gross
—
101386
$422
CATH URO MAX II 8X24FR
Gross
—
101422
$670
HEAD FEMORAL 3.5X28MM
Gross
—
101804
$413
BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM
Gross
—
101851
$308
INTRO TEAR AWAY 5.5F 10CM
Gross
—
101854
$308
INTRO TEAR AWAY 4.5F 5CM
Gross
—
101919
$1,557
PUTTY ALLOMATRIX 10CC
Gross
—
101943
$266
PLATE 2X3 MATRIX
Gross
—
101943
$243
PLATE 2X3 MATRIX
Gross
—
101993
$2,256
GRAFT VASC T6MM 60X80CM TW REMOV RING
Gross
—
101993
$2,058
GRAFT VASC T6MM 60X80CM TW REMOV RING
Gross
—
102047
$2,311
PLATE LCP PROX HUM STD 5H 3.5X114MM
Gross
—
102051
$265
PLATE 6 HOLE
Gross
—
102052
$748
T-PLATE LOCKING 7 HOLE
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
—
102128
$1,352
HEAD FEM
Gross
—
10223
$737
IMP BREAST NACL RND MP 375-425CC
Gross
—
10223
$672
IMP BREAST NACL RND MP 375-425CC
Gross
—
10224
$737
IMP BREAST NACL RND MP 200-225CC
Gross
—
102300
$11,002
GRAFT BONE INFUSE KIT LG II
Gross
—
102303
$4,354
VLV ADJ STRATA
Gross
—
102322
$497
CANNULA SNGL STAGE 3/8X32FR BX/10
Gross
—
102328
$454
CANNULA VENOUS SING 32FR STAGE
Gross
—
102331
$1,298
IMP BREAST GEL RND HP 550CC
Gross
—
102388
$364
AUTOTOME 44
Gross
—
102602
$1,256
IMP BREAST GEL STYL 20 375CC
Gross
—
102617
$4,532
EXT PIECE REVISION
Gross
—
10270
$990
CUP ACET RNGLC BI-P 28MM 47MM
Gross
—
10282
$990
CUP ACET RNGLC BI-P 28MM 41MM
Gross
—
10283
$1,085
CUP ACET BI-P 28MM 42MM
Gross
—
10284
$990
CUP ACET BI-P 28MM 43MM
Gross
—
10285
$1,085
CUP ACET BI-P 28MM 44MM
Gross
—
100
$67,996
SEIZURES WITH MCC
Gross
—
10006
$4,595
Fna bx w/us gdn ea addl
Gross
—
100082
$205
LENS IOL PC ACR SA60AT PLUS 18.0D
Gross
—
100095
$205
LENS IOL PC ACR SA60AT PLUS 17.0D
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0054T | Bone srgry cmptr fluor image | — | $4,595 | $1,132 | $22,149 | 30 |
| 0055T | Bone srgry cmptr ct/mri imag | — | $4,595 | $1,132 | $20,952 | 30 |
| 0228T | Njx anes/steroid tfrml edrl w/us cer/thor 1lvl | — | $4,595 | $752 | $8,853 | 53 |
| 10005 | Fna bx w/us gdn 1st les | — | $4,595 | $697 | $8,853 | 72 |
| 100132 | LENS IOL PC ACR SA60AT PLUS 10.5D | — | $224 | $157 | $441 | 41 |
| 100132 | LENS IOL PC ACR SA60AT PLUS 10.5D | — | $205 | $157 | $630 | 51 |
| 100167 | LENS IOL ANT MONO BI MA60AC 29.5D | — | $224 | $157 | $441 | 41 |
| 10071 | CATH PD SWAN NECK CURL R 62.5CM | — | $237 | $182 | $728 | 51 |
| 100898 | SHELL ACET W/PURIFEX 50MM | — | $1,375 | $1,058 | $4,230 | 51 |
| 101 | SEIZURES WITHOUT MCC | — | $27,894 | $8,995 | $32,555 | 47 |
| 101033 | LEAD CAPSURE FIX NOVUS | — | $844 | $592 | $1,658 | 41 |
| 101113 | IMP BREAST NACL RND MP 175-200CC | — | $737 | $517 | $1,448 | 41 |
| 101197 | KIT URET PERFLX PLUS 6FRX26CM | — | $202 | $156 | $623 | 51 |
| 101278 | COIL VORTX DIAMD 2X4X2MM 5/BX | — | $519 | $400 | $1,598 | 51 |
| 101386 | CATH URO MAX II 8X24FR | — | $422 | $296 | $830 | 41 |
| 101422 | HEAD FEMORAL 3.5X28MM | — | $670 | $470 | $1,316 | 41 |
| 101804 | BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM | — | $413 | $318 | $1,270 | 51 |
| 101851 | INTRO TEAR AWAY 5.5F 10CM | — | $308 | $216 | $605 | 41 |
| 101854 | INTRO TEAR AWAY 4.5F 5CM | — | $308 | $216 | $605 | 41 |
| 101919 | PUTTY ALLOMATRIX 10CC | — | $1,557 | $1,093 | $3,060 | 41 |
| 101943 | PLATE 2X3 MATRIX | — | $266 | $187 | $523 | 41 |
| 101943 | PLATE 2X3 MATRIX | — | $243 | $187 | $747 | 51 |
| 101993 | GRAFT VASC T6MM 60X80CM TW REMOV RING | — | $2,256 | $1,583 | $4,432 | 41 |
| 101993 | GRAFT VASC T6MM 60X80CM TW REMOV RING | — | $2,058 | $1,583 | $6,331 | 51 |
| 102047 | PLATE LCP PROX HUM STD 5H 3.5X114MM | — | $2,311 | $1,778 | $7,111 | 51 |
| 102051 | PLATE 6 HOLE | — | $265 | $186 | $522 | 41 |
| 102052 | T-PLATE LOCKING 7 HOLE | — | $748 | $575 | $2,301 | 51 |
| 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 | $389 | 41 |
| 102128 | HEAD FEM | — | $1,352 | $1,040 | $4,160 | 51 |
| 10223 | IMP BREAST NACL RND MP 375-425CC | — | $737 | $517 | $1,448 | 41 |
| 10223 | IMP BREAST NACL RND MP 375-425CC | — | $672 | $517 | $2,068 | 51 |
| 10224 | IMP BREAST NACL RND MP 200-225CC | — | $737 | $517 | $1,448 | 41 |
| 102300 | GRAFT BONE INFUSE KIT LG II | — | $11,002 | $7,720 | $21,615 | 41 |
| 102303 | VLV ADJ STRATA | — | $4,354 | $3,055 | $8,553 | 41 |
| 102322 | CANNULA SNGL STAGE 3/8X32FR BX/10 | — | $497 | $382 | $1,528 | 51 |
| 102328 | CANNULA VENOUS SING 32FR STAGE | — | $454 | $350 | $1,398 | 51 |
| 102331 | IMP BREAST GEL RND HP 550CC | — | $1,298 | $911 | $2,550 | 41 |
| 102388 | AUTOTOME 44 | — | $364 | $255 | $714 | 41 |
| 102602 | IMP BREAST GEL STYL 20 375CC | — | $1,256 | $881 | $2,468 | 41 |
| 102617 | EXT PIECE REVISION | — | $4,532 | $3,180 | $8,904 | 41 |
| 10270 | CUP ACET RNGLC BI-P 28MM 47MM | — | $990 | $761 | $3,046 | 51 |
| 10282 | CUP ACET RNGLC BI-P 28MM 41MM | — | $990 | $761 | $3,046 | 51 |
| 10283 | CUP ACET BI-P 28MM 42MM | — | $1,085 | $761 | $2,132 | 41 |
| 10284 | CUP ACET BI-P 28MM 43MM | — | $990 | $761 | $3,046 | 51 |
| 10285 | CUP ACET BI-P 28MM 44MM | — | $1,085 | $761 | $2,132 | 41 |
| 100 | SEIZURES WITH MCC | — | $67,996 | $18,845 | $70,123 | 47 |
| 10006 | Fna bx w/us gdn ea addl | — | $4,595 | $697 | $8,853 | 55 |
| 100082 | LENS IOL PC ACR SA60AT PLUS 18.0D | — | $205 | $157 | $630 | 51 |
| 100095 | LENS IOL PC ACR SA60AT PLUS 17.0D | — | $205 | $157 | $630 | 51 |
Showing top 50 of 115,975 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.