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
115,921
Insurances with rates
16
CPT / HCPCS codes
1,361
Source MRF
Most expensive procedures (gross)
0232T
$4,595
Njx platelet plasma
Gross
—
0241U
$188
Nfct ds vir resp rna 4 trgt
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
—
10010
$230
STAPLE FIX NO SPIKE 7.94X23.22
Gross
—
100132
$224
LENS IOL PC ACR SA60AT PLUS 10.5D
Gross
—
100134
$205
LENS IOL PC ACR SA60AT PLUS 16.0D
Gross
—
100909
$3,014
STM STANDARD 36NK 18X13X160
Gross
—
10093
$1,646
ALLOMATRIX C PUTTY 10CC
Gross
—
10093
$1,502
ALLOMATRIX C PUTTY 10CC
Gross
—
100954
$1,507
SHELL ACET PINNACLE SECTOR 60MM
Gross
—
100954
$1,375
SHELL ACET PINNACLE SECTOR 60MM
Gross
—
101045
$406
MESH HERNIA PLUG PERFIX MED 1.3X1.55IN
Gross
—
101186
$4,728
MESH HERNIA SEPRAFILM 10/BX
Gross
—
101197
$222
KIT URET PERFLX PLUS 6FRX26CM
Gross
—
101197
$202
KIT URET PERFLX PLUS 6FRX26CM
Gross
—
101216
$466
CATH SIMMONS I ANGIOGRAPH BX/5
Gross
—
101422
$611
HEAD FEMORAL 3.5X28MM
Gross
—
101465
$600
PLATE T LCP 3/7H 3.5X96MM OBLI RT
Gross
—
101851
$281
INTRO TEAR AWAY 5.5F 10CM
Gross
—
101854
$281
INTRO TEAR AWAY 4.5F 5CM
Gross
—
10195
$780
CABLE CRMP 1.7X750MM
Gross
—
102002
$603
LEAD FLEXTEND /59CM/BI/A
Gross
—
102047
$2,534
PLATE LCP PROX HUM STD 5H 3.5X114MM
Gross
—
102047
$2,311
PLATE LCP PROX HUM STD 5H 3.5X114MM
Gross
—
102048
$2,457
PLATE LCP PROX HUM STD 3H 3.5X90MM
Gross
—
102052
$820
T-PLATE LOCKING 7 HOLE
Gross
—
102052
$748
T-PLATE LOCKING 7 HOLE
Gross
—
102060
$198
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM
Gross
—
102060
$181
SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM
Gross
—
102096
$702
LEAD BIPOLAR EPICARDIAL PACING
Gross
—
102096
$640
LEAD BIPOLAR EPICARDIAL PACING
Gross
—
102128
$1,352
HEAD FEM
Gross
—
10223
$737
IMP BREAST NACL RND MP 375-425CC
Gross
—
10224
$737
IMP BREAST NACL RND MP 200-225CC
Gross
—
102300
$10,036
GRAFT BONE INFUSE KIT LG II
Gross
—
102303
$3,971
VLV ADJ STRATA
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
—
102789
$222
TUBE 14FR MIC J
Gross
—
10283
$990
CUP ACET BI-P 28MM 42MM
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
—
0421T
$9,188
Waterjet prostate abltj cmpl
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0232T | Njx platelet plasma | — | $4,595 | $447 | $8,853 | 71 |
| 0241U | Nfct ds vir resp rna 4 trgt | — | $188 | $47.24 | $619 | 72 |
| 100 | SEIZURES WITH MCC | — | $67,996 | $18,436 | $70,123 | 46 |
| 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 |
| 10010 | STAPLE FIX NO SPIKE 7.94X23.22 | — | $230 | $177 | $708 | 51 |
| 100132 | LENS IOL PC ACR SA60AT PLUS 10.5D | — | $224 | $157 | $441 | 41 |
| 100134 | LENS IOL PC ACR SA60AT PLUS 16.0D | — | $205 | $157 | $630 | 51 |
| 100909 | STM STANDARD 36NK 18X13X160 | — | $3,014 | $2,115 | $5,922 | 41 |
| 10093 | ALLOMATRIX C PUTTY 10CC | — | $1,646 | $1,155 | $3,234 | 41 |
| 10093 | ALLOMATRIX C PUTTY 10CC | — | $1,502 | $1,155 | $4,620 | 51 |
| 100954 | SHELL ACET PINNACLE SECTOR 60MM | — | $1,507 | $1,058 | $2,961 | 41 |
| 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 |
| 101186 | MESH HERNIA SEPRAFILM 10/BX | — | $4,728 | $3,637 | $14,549 | 51 |
| 101197 | KIT URET PERFLX PLUS 6FRX26CM | — | $222 | $156 | $436 | 41 |
| 101197 | KIT URET PERFLX PLUS 6FRX26CM | — | $202 | $156 | $623 | 51 |
| 101216 | CATH SIMMONS I ANGIOGRAPH BX/5 | — | $466 | $327 | $915 | 41 |
| 101422 | HEAD FEMORAL 3.5X28MM | — | $611 | $470 | $1,880 | 51 |
| 101465 | PLATE T LCP 3/7H 3.5X96MM OBLI RT | — | $600 | $462 | $1,847 | 51 |
| 101851 | INTRO TEAR AWAY 5.5F 10CM | — | $281 | $216 | $865 | 51 |
| 101854 | INTRO TEAR AWAY 4.5F 5CM | — | $281 | $216 | $865 | 51 |
| 10195 | CABLE CRMP 1.7X750MM | — | $780 | $547 | $1,532 | 41 |
| 102002 | LEAD FLEXTEND /59CM/BI/A | — | $603 | $464 | $1,857 | 51 |
| 102047 | PLATE LCP PROX HUM STD 5H 3.5X114MM | — | $2,534 | $1,778 | $4,978 | 41 |
| 102047 | PLATE LCP PROX HUM STD 5H 3.5X114MM | — | $2,311 | $1,778 | $7,111 | 51 |
| 102048 | PLATE LCP PROX HUM STD 3H 3.5X90MM | — | $2,457 | $1,724 | $4,826 | 41 |
| 102052 | T-PLATE LOCKING 7 HOLE | — | $820 | $575 | $1,610 | 41 |
| 102052 | T-PLATE LOCKING 7 HOLE | — | $748 | $575 | $2,301 | 51 |
| 102060 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM | — | $198 | $139 | $389 | 41 |
| 102060 | SCREW LOKG SLF-TPNG W/ STARDRIVE RECESS 3.5X60MM | — | $181 | $139 | $556 | 51 |
| 102096 | LEAD BIPOLAR EPICARDIAL PACING | — | $702 | $492 | $1,379 | 41 |
| 102096 | LEAD BIPOLAR EPICARDIAL PACING | — | $640 | $492 | $1,969 | 51 |
| 102128 | HEAD FEM | — | $1,352 | $1,040 | $4,160 | 51 |
| 10223 | IMP BREAST NACL RND MP 375-425CC | — | $737 | $517 | $1,448 | 41 |
| 10224 | IMP BREAST NACL RND MP 200-225CC | — | $737 | $517 | $1,448 | 41 |
| 102300 | GRAFT BONE INFUSE KIT LG II | — | $10,036 | $7,720 | $30,879 | 51 |
| 102303 | VLV ADJ STRATA | — | $3,971 | $3,055 | $12,219 | 51 |
| 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 | $2,468 | 41 |
| 102617 | EXT PIECE REVISION | — | $4,134 | $3,180 | $12,720 | 51 |
| 102618 | STM REVISION | — | $6,843 | $4,802 | $13,444 | 41 |
| 102789 | TUBE 14FR MIC J | — | $222 | $156 | $436 | 41 |
| 10283 | CUP ACET BI-P 28MM 42MM | — | $990 | $761 | $3,046 | 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 | $14,900 | 30 |
| 0228T | Njx anes/steroid tfrml edrl w/us cer/thor 1lvl | — | $4,595 | $752 | $8,853 | 53 |
| 0421T | Waterjet prostate abltj cmpl | — | $9,188 | $497 | $20,570 | 72 |
Showing top 50 of 115,921 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.