45 CFR § 180 compliance
F · 55
This hospital published little 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
6,557
Insurances with rates
8
CPT / HCPCS codes
1,740
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330.01 | AUTOLOGOUS CULTURED CHONDROCYTES SHEET | $197,466 | $145,927 | — | — | 8 |
| J9226.01 | HISTRELIN ACETATE (CPP) 50 MG KIT | $132,982 | $98,273 | — | — | 8 |
| C2616 | YTTRIUM 90 | $25,683 | $18,980 | — | — | 8 |
| 93656F | TX ATRIAL FIB PULM VEIN ISOL | $18,139 | $13,405 | — | — | 13 |
| C1778.01 | SPRINT PNS SYSTEM SINGLE ELECTRODE | $11,727 | $8,666 | — | — | 8 |
| J1162.01 | DIGOXIN IMMUNE FAB 40 MG RECON SOLN 1 EACH VIAL | $11,192 | $8,271 | — | — | 5 |
| J7504.01 | LYMPHOCYTE, ANTI-THYMO IMM GLOB (EQUINE) 50 MG/ML SOLUTION 5 ML AMPULE | $10,846 | $8,015 | — | — | 10 |
| 0275TF | PERQ LAMOT/LAM LUMBAR | $9,287 | $6,863 | — | — | 8 |
| C1762 | TISSUE DECULLULARIZED DERMIS 4 X 7CM AFLEX301 | $9,140 | $6,754 | — | — | 8 |
| 64555F | PERCUT IMPLNT NEUROELEC,PERIPH | $8,724 | $6,447 | — | — | 8 |
| J2507.01 | PEGLOTICASE 8 MG/ML SOLUTION 1 ML VIAL | $8,647 | $6,390 | — | — | 8 |
| 63650F | PERCUT IMPLNT NEUROELECT,EPIDURAL | $8,480 | $6,267 | — | — | 13 |
| 36000006 | OR LEVEL 6 | $8,179 | $6,044 | — | — | 13 |
| A9572 | IN111 PENTETREOTIDE-OCTREOSCAN | $7,600 | $5,616 | — | — | 8 |
| 7649701 | CTA CORONARY RESEARCH | $7,600 | $5,616 | — | — | 13 |
| 43266F | EGD ENDOSCOPIC STENT PLACE | $6,813 | $5,035 | — | — | 13 |
| J9229.01 | INOTUZUMAB OZOGAMICIN 0.9 MG RECON SOLN 1 EACH VIAL | $6,637 | $4,904 | — | — | 26 |
| 49418F | INSERT TUN IP CATH PERC | $6,241 | $4,612 | — | — | 13 |
| 36000005 | OR LEVEL 5 | $6,064 | $4,481 | — | — | 5 |
| J9217.01 | LEUPROLIDE 22.5 MG KIT | $5,688 | $4,203 | — | — | 34 |
| 76497.0101 | CT WHOLE BODY SCAN | $5,544 | $4,097 | — | — | 8 |
| 36561F | INSERT TUNNELED CVENOUS CATHETER WITH PORT>5 YEARS | $5,451 | $4,028 | — | — | 13 |
| 53854F | TRANSURETH DESTR PROSTATE;RADIOFREQ WATER VAPOR | $5,368 | $3,967 | — | — | 13 |
| 13160F | SECD CLOS SURG WND EXTEN/COMPLIC | $5,362 | $3,963 | — | — | 13 |
| 27801964 | TRANSPLANT, CORNEAL, DONOR | $5,330 | $3,939 | — | — | 13 |
| 64448F | INJECT NERV BLCK, FEMORAL, CONT INFUSION, INCL IMAGING | $5,298 | $3,915 | — | — | 13 |
| 9581101 | POLYSOMNOGRAPHY W/CPAP | $5,260 | $3,887 | — | — | 8 |
| 21552F | EXC NECK LES SC = 3CM > | $5,213 | $3,852 | — | — | 13 |
| 64585F | REVISE/REMOVE NEUROELECTRODE | $5,180 | $3,828 | — | — | 8 |
| 36475F | ENDOVENOUS ABLATION INCOMPETENT VEIN, RADIOFREQ. EXTREMITY,1ST VEIN TREATED | $5,144 | $3,801 | — | — | 13 |
| 26236F | PART REMV BONE,DISTAL PHALANX | $5,030 | $3,717 | — | — | 13 |
| 52332F | CYSTOSCOPY,INSERT URETERAL STENT | $4,961 | $3,666 | — | — | 13 |
| 46040F | I&D PERIRECTAL ABSCESS | $4,895 | $3,617 | — | — | 13 |
| 9581001 | POLYSOMNOGRAPHY, 4 OR MORE | $4,814 | $3,558 | — | — | 8 |
| 8145590 | TARGETED GENOMIC SEQUENCE ANALYSIS PANEL | $4,740 | $3,503 | — | — | 13 |
| J1950.01 | LEUPROLIDE 11.25 MG KIT | $4,659 | $3,443 | — | — | 8 |
| A9586 | FLORBETAPIR F 18 500-1900 MBQ/ML SOLUTION | $4,617 | $3,412 | — | — | 8 |
| 57415F | REMOVAL VAGINAL FOR.BODY W ANESTH | $4,595 | $3,396 | — | — | 13 |
| 49550F | REPAIR FEMORAL HERNIA,REDUCIBLE | $4,590 | $3,392 | — | — | 13 |
| 14301F | SKIN TISSUE REARRANGEMENT | $4,580 | $3,385 | — | — | 13 |
| 10180F | COMPLEX DRAINAGE, WOUND | $4,508 | $3,331 | — | — | 13 |
| 19020F | EXPLO/DRAIN BREAST ABSCESS | $4,392 | $3,246 | — | — | 13 |
| 41008F | I&D MOUTH/TONG INTRA,SUBMANDIBULAR | $4,392 | $3,246 | — | — | 13 |
| 51715F | ENDOSCOPIC INJECTION/IMPLANT | $4,365 | $3,226 | — | — | 13 |
| 95716 | VEEG BY TECH, EA INCR 12-26 HR CONT REAL-TIME MONITOR | $4,348 | $3,213 | — | — | 13 |
| 46255F | HEMORRHOIDECTOMY,INT/EXT,SIMPLE | $4,335 | $3,204 | — | — | 13 |
| J7307.01 | ETONOGESTREL 68 MG IMPLANT | $4,252 | $3,142 | — | — | 8 |
| J7298.01 | LEVONORGESTREL 20 MCG/DAY IUD | $4,252 | $3,142 | — | — | 8 |
| 21440F | CLOSED RX DENTAL RIDGE FX | $4,217 | $3,116 | — | — | 13 |
| 41110F | EXCIS TONGUE LESN | $4,216 | $3,116 | — | — | 8 |
Showing top 50 of 6,557 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.