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
115,999
Insurances with rates
16
CPT / HCPCS codes
1,361
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
—
100077
$918
PERFLUORON 7ML KIT
Gross
—
100082
$224
LENS IOL PC ACR SA60AT PLUS 18.0D
Gross
—
100095
$205
LENS IOL PC ACR SA60AT PLUS 17.0D
Gross
—
10010
$252
STAPLE FIX NO SPIKE 7.94X23.22
Gross
—
10010
$230
STAPLE FIX NO SPIKE 7.94X23.22
Gross
—
100134
$224
LENS IOL PC ACR SA60AT PLUS 16.0D
Gross
—
100255
$481
CATH TESIO 2LUM LEFT 10FR
Gross
—
10071
$259
CATH PD SWAN NECK CURL R 62.5CM
Gross
—
100898
$1,507
SHELL ACET W/PURIFEX 50MM
Gross
—
100909
$3,014
STM STANDARD 36NK 18X13X160
Gross
—
100909
$2,750
STM STANDARD 36NK 18X13X160
Gross
—
100954
$1,375
SHELL ACET PINNACLE SECTOR 60MM
Gross
—
101045
$406
MESH HERNIA PLUG PERFIX MED 1.3X1.55IN
Gross
—
101085
$2,988
IMP TESTICULAR LG
Gross
—
101087
$397
GWIRE EXTND 0.35 STRAIGHT TIP BX/2
Gross
—
101116
$515
CATH RENEGADE FG 10X150 1TIP
Gross
—
101186
$5,184
MESH HERNIA SEPRAFILM 10/BX
Gross
—
101188
$1,291
FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL
Gross
—
101197
$222
KIT URET PERFLX PLUS 6FRX26CM
Gross
—
101216
$425
CATH SIMMONS I ANGIOGRAPH BX/5
Gross
—
101265
$323
CATH BALLOON DIL 6-8MM
Gross
—
101265
$295
CATH BALLOON DIL 6-8MM
Gross
—
101438
$193
SILICON MOD.T TUB BX/6
Gross
—
101465
$658
PLATE T LCP 3/7H 3.5X96MM OBLI RT
Gross
—
101551
$589
PLATE 1/4 TUB TI W/COLLAR 4H 31MM
Gross
—
101633
$306
KIT CATH TEMP PACE 5FR
Gross
—
101804
$453
BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM
Gross
—
102046
$618
PLATE RECON LCP 5H 3.5X70MM
Gross
—
102047
$2,534
PLATE LCP PROX HUM STD 5H 3.5X114MM
Gross
—
102052
$820
T-PLATE LOCKING 7 HOLE
Gross
—
102053
$467
PLATE-T 4HL LCP
Gross
—
102060
$181
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM
Gross
—
102061
$198
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X55MM
Gross
—
102128
$1,482
HEAD FEM
Gross
—
10225
$672
IMP BREAST NACL RND MP 300-325CC
Gross
—
102297
$6,584
GRAFT BONE INFUSE KIT SM
Gross
—
102305
$4,354
VLV STRATA PROGRAMABLE
Gross
—
102305
$3,971
VLV STRATA PROGRAMABLE
Gross
—
102322
$544
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
—
102333
$1,184
IMP BREAST GEL RND MP 300CC
Gross
—
102612
$1,146
IMP BREAST GEL STYL 20 600CC
Gross
—
102623
$330
SCREW ASNIS III 6.5MMX110MM EA
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
—
100131
$224
LENS IOL PC ACR SA60AT PLUS 10.0D
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0225U | Nfct ds dna&rna 21 sarscov2 | — | $347 | $138 | $1,809 | 72 |
| 0373T | Adapt bhv tx ea 15 min | — | $4,595 | $32.19 | $8,853 | 69 |
| 100077 | PERFLUORON 7ML KIT | — | $918 | $706 | $2,825 | 51 |
| 100082 | LENS IOL PC ACR SA60AT PLUS 18.0D | — | $224 | $157 | $441 | 41 |
| 100095 | LENS IOL PC ACR SA60AT PLUS 17.0D | — | $205 | $157 | $630 | 51 |
| 10010 | STAPLE FIX NO SPIKE 7.94X23.22 | — | $252 | $177 | $496 | 41 |
| 10010 | STAPLE FIX NO SPIKE 7.94X23.22 | — | $230 | $177 | $708 | 51 |
| 100134 | LENS IOL PC ACR SA60AT PLUS 16.0D | — | $224 | $157 | $441 | 41 |
| 100255 | CATH TESIO 2LUM LEFT 10FR | — | $481 | $370 | $1,481 | 51 |
| 10071 | CATH PD SWAN NECK CURL R 62.5CM | — | $259 | $182 | $510 | 41 |
| 100898 | SHELL ACET W/PURIFEX 50MM | — | $1,507 | $1,058 | $2,961 | 41 |
| 100909 | STM STANDARD 36NK 18X13X160 | — | $3,014 | $2,115 | $5,922 | 41 |
| 100909 | STM STANDARD 36NK 18X13X160 | — | $2,750 | $2,115 | $8,460 | 51 |
| 100954 | SHELL ACET PINNACLE SECTOR 60MM | — | $1,375 | $1,058 | $4,230 | 51 |
| 101045 | MESH HERNIA PLUG PERFIX MED 1.3X1.55IN | — | $406 | $312 | $1,249 | 51 |
| 101085 | IMP TESTICULAR LG | — | $2,988 | $2,298 | $9,193 | 51 |
| 101087 | GWIRE EXTND 0.35 STRAIGHT TIP BX/2 | — | $397 | $305 | $1,221 | 51 |
| 101116 | CATH RENEGADE FG 10X150 1TIP | — | $515 | $396 | $1,585 | 51 |
| 101186 | MESH HERNIA SEPRAFILM 10/BX | — | $5,184 | $3,637 | $10,184 | 41 |
| 101188 | FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL | — | $1,291 | $993 | $3,972 | 51 |
| 101197 | KIT URET PERFLX PLUS 6FRX26CM | — | $222 | $156 | $436 | 41 |
| 101216 | CATH SIMMONS I ANGIOGRAPH BX/5 | — | $425 | $327 | $1,308 | 51 |
| 101265 | CATH BALLOON DIL 6-8MM | — | $323 | $227 | $635 | 41 |
| 101265 | CATH BALLOON DIL 6-8MM | — | $295 | $227 | $908 | 51 |
| 101438 | SILICON MOD.T TUB BX/6 | — | $193 | $149 | $594 | 51 |
| 101465 | PLATE T LCP 3/7H 3.5X96MM OBLI RT | — | $658 | $462 | $1,293 | 41 |
| 101551 | PLATE 1/4 TUB TI W/COLLAR 4H 31MM | — | $589 | $453 | $1,813 | 51 |
| 101633 | KIT CATH TEMP PACE 5FR | — | $306 | $235 | $940 | 51 |
| 101804 | BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM | — | $453 | $318 | $889 | 41 |
| 102046 | PLATE RECON LCP 5H 3.5X70MM | — | $618 | $475 | $1,900 | 51 |
| 102047 | PLATE LCP PROX HUM STD 5H 3.5X114MM | — | $2,534 | $1,778 | $4,978 | 41 |
| 102052 | T-PLATE LOCKING 7 HOLE | — | $820 | $575 | $1,610 | 41 |
| 102053 | PLATE-T 4HL LCP | — | $467 | $359 | $1,437 | 51 |
| 102060 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM | — | $181 | $139 | $556 | 51 |
| 102061 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X55MM | — | $198 | $139 | $389 | 41 |
| 102128 | HEAD FEM | — | $1,482 | $1,040 | $2,912 | 41 |
| 10225 | IMP BREAST NACL RND MP 300-325CC | — | $672 | $517 | $2,068 | 51 |
| 102297 | GRAFT BONE INFUSE KIT SM | — | $6,584 | $5,064 | $20,257 | 51 |
| 102305 | VLV STRATA PROGRAMABLE | — | $4,354 | $3,055 | $8,553 | 41 |
| 102305 | VLV STRATA PROGRAMABLE | — | $3,971 | $3,055 | $12,219 | 51 |
| 102322 | CANNULA SNGL STAGE 3/8X32FR BX/10 | — | $544 | $382 | $1,070 | 41 |
| 102327 | IMP BREAST GEL RND HP 500CC | — | $1,184 | $911 | $3,643 | 51 |
| 102328 | CANNULA VENOUS SING 32FR STAGE | — | $498 | $350 | $979 | 41 |
| 102333 | IMP BREAST GEL RND MP 300CC | — | $1,184 | $911 | $3,643 | 51 |
| 102612 | IMP BREAST GEL STYL 20 600CC | — | $1,146 | $881 | $3,525 | 51 |
| 102623 | SCREW ASNIS III 6.5MMX110MM EA | — | $330 | $254 | $1,015 | 51 |
| 0054T | Bone srgry cmptr fluor image | — | $4,595 | $1,132 | $22,149 | 30 |
| 0055T | Bone srgry cmptr ct/mri imag | — | $4,595 | $1,132 | $24,945 | 30 |
| 0228T | Njx anes/steroid tfrml edrl w/us cer/thor 1lvl | — | $4,595 | $752 | $8,853 | 53 |
| 100131 | LENS IOL PC ACR SA60AT PLUS 10.0D | — | $224 | $157 | $441 | 41 |
Showing top 50 of 115,999 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.