339815

CCN 339815

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
105,384
Insurances with rates
16
CPT / HCPCS codes
1,361
Source MRF
Retrieved: 2026-10-28

Most expensive procedures (gross)

101854
$308
INTRO TEAR AWAY 4.5F 5CM
Gross
—
102046
$677
PLATE RECON LCP 5H 3.5X70MM
Gross
—
10283
$1,085
CUP ACET BI-P 28MM 42MM
Gross
—
10284
$1,085
CUP ACET BI-P 28MM 43MM
Gross
—
103769
$5,514
VLV MITRL MECH EXP CUF 33MM
Gross
—
10523
$1,585
TRAY TIB NP SZ 4 71MM L
Gross
—
105972
$1,269
WIRE SYNCHRO 35CM TIP 300 CM
Gross
—
106109
$389
WIRE HEADLINER 12 90/150 DEG 200CM
Gross
—
106279
$527
STND PERM STRAIGHT CURVED CLIP
Gross
—
106300
$481
UNI TEMP CLIP HEADING
Gross
—
106321
$770
LEAD CAPSURE SENSE 58CM
Gross
—
106442
$2,048
BLLN HYPERFORM OCCLUSION 4X7MM
Gross
—
101085
$3,276
IMP TESTICULAR LG
Gross
—
101804
$413
BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM
Gross
—
10225
$737
IMP BREAST NACL RND MP 300-325CC
Gross
—
104163
$512
T-PLATE LOCKING 5 HOLE
Gross
—
10434
$865
KIT CATH PLUERAL PLEURX 66CM
Gross
—
105905
$737
IMP BREAST NACL RND HP 630CC
Gross
—
106018
$2,989
COIL DETACH GDC VORTX 2MMX5MM
Gross
—
106321
$844
LEAD CAPSURE SENSE 58CM
Gross
—
106443
$2,048
BLLN HYPERFORM OCCLUSION 7X7MM
Gross
—
106905
$203
SCREW LOKG SLF-TPNG W/ T25 STARDRIVE RECESS 5X60MM
Gross
—
10282
$990
CUP ACET RNGLC BI-P 28MM 41MM
Gross
—
104163
$561
T-PLATE LOCKING 5 HOLE
Gross
—
104671
$611
HEAD MOD 28MM COMPONENT
Gross
—
10522
$1,585
TRAY TIB NP SZ 3 68MM L
Gross
—
10523
$1,445
TRAY TIB NP SZ 4 71MM L
Gross
—
105711
$675
CATH GUIDE 5F MPD 100CM ENVOY
Gross
—
106613
$788
PLT-T 4.5MM LCP NARROW 9H
Gross
—
107053
$904
PLATE LCP NRRW 12H 4.5X224MM
Gross
—
101386
$422
CATH URO MAX II 8X24FR
Gross
—
10225
$672
IMP BREAST NACL RND MP 300-325CC
Gross
—
102331
$1,298
IMP BREAST GEL RND HP 550CC
Gross
—
10289
$1,085
CUP ACET BI-P 28MM 49MM
Gross
—
105166
$1,009
BLADE HELICAL 90MM
Gross
—
10522
$1,445
TRAY TIB NP SZ 3 68MM L
Gross
—
105520
$354
ANCHOR SUT CORKSCREW 5X15.5MM ORD IN MULT OF 5
Gross
—
106287
$481
YASARGIL TITANIUM ANEURYSM PERM
Gross
—
106399
$199
SCREW CANN LAG 2.4X28MM
Gross
—
106444
$1,514
BLLN HYPERGLIDE OCCLUSION 4X10MM
Gross
—
106644
$4,134
EXTENSION PIECE 80MM
Gross
—
107197
$527
CLIP STANDARD STRA/CURV 13.7MM
Gross
—
107056
$657
PLATE BROAD LCP 4.5 6H
Gross
—
107521
$3,935
STENT TRACHBR TBSTS 12X30MM
Gross
—
107527
$3,935
STENT TRACHBR TBSTS 16X60MM
Gross
—
10766
$382
PAT WIRE 28X8MM XSM POLY
Gross
—
101085
$2,988
IMP TESTICULAR LG
Gross
—
101216
$425
CATH SIMMONS I ANGIOGRAPH BX/5
Gross
—
10282
$1,085
CUP ACET RNGLC BI-P 28MM 41MM
Gross
—
10286
$990
CUP ACET RNGLC BI-P 28MM 45MM
Gross
—
Showing top 50 of 105,384 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.