45 CFR § 180 compliance
D · 65
This hospital published part 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
3,336
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4085515
$20,574
Mannitol 20% Intravenous Solution 500 Ml[smph]
Gross
$22,860
3217081
$18,991
Arthroplasty Ankle
Gross
$21,101
4089515
$17,922
Tenecteplase 25 Mg Pow
Gross
$19,913
4089020
$15,937
Tenecteplase 50 Mg Intravenous Kit[smph]
Gross
$17,708
26531
$11,724
26531 Arthroplasty, Metacarpophalangeal Joint; With Prosthetic Implant, Each Joint
Gross
$13,027
28297
$11,724
Correction, Hallux Valgus, With Or Without Sesamoidectomy, Lapidus-type Procedure 28297
Gross
$13,027
28310
$11,724
Osteotomy, Shortening, Angular Or Rotational Correction, Proximal Phalanx, First Toe 28310
Gross
$13,027
28304
$11,724
Osteotomy, Tarsal Bones, Other Than Calcaneus Or Talus 28304
Gross
$13,027
4009868
$11,724
Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metatarsal, Multiple 28309
Gross
$13,027
28300
$11,724
Osteotomy; Calcaneus, With Or Without Internal Fixation 28300
Gross
$13,027
27696
$11,724
Repair, Primary, Disrupted Ligament, Ankle, Both Collateral Ligaments 27696
Gross
$13,027
27698
$11,724
Repair, Secondary, Disrupted Ligament, Ankle, Collateral 27698
Gross
$13,027
27691
$11,724
Transfer Or Transplant Of Single Tendon, Deep 27691
Gross
$13,027
26390
$11,724
26390 Excision Flexor Tendon, With Implantation Of Synthetic Rod For Delayed Tendon Graft, H Profee
Gross
$13,027
4009856
$11,724
28740 Arthrodesis, Midtarsal/tarsometatarsal, Single Joint
Gross
$13,027
28750
$11,724
28750 Surgical Repair Of The Metatarsophalangeal Joint Or Big Toe
Gross
$13,027
29807
$11,724
29807 Arthroscopy Shoulder Surg Repair Of Slap Lesion
Gross
$13,027
4009831
$11,724
Ankle Fracture, Orif
Gross
$13,027
4009825
$11,724
Arthroscopy Shoulder
Gross
$13,027
4009830
$11,724
Arthroscopy Shoulder With Rotator Cuff Repair
Gross
$13,027
4009857
$11,724
Bunionectomy/ Osteotomy
Gross
$13,027
4009836
$11,724
Repair Biceps Muscle
Gross
$13,027
4009838
$11,724
Repair Quadriceps
Gross
$13,027
4009837
$11,724
Repair Tendon Lower Extremity
Gross
$13,027
4009853
$10,397
Endoscopy Sinus
Gross
$11,552
4009851
$10,397
Excision Tissue Endoscopy Frontal Sinus
Gross
$11,552
4009850
$10,397
Excision Tissue Endoscopy Maxillary Sinus
Gross
$11,552
4009852
$10,397
Excision Tissue Endoscopy Sphenoid Sinus
Gross
$11,552
4009848
$10,065
Removal of tonsils and adenoid glands, patient younger than age 12
Gross
$11,183
4009844
$10,065
42825 Tonsillectomy, Primary Or Secondary; < Than Age 12
Gross
$11,183
CP17616811146296413
$10,065
Removal of tonsils and adenoid glands, patient younger than age 12
Gross
$11,183
4086317
$9,289
Pegfilgrastim Fpgk 6 Mg/0.6 Ml Sol
Gross
$10,321
4088649
$9,055
16mg/2ml (Synvisc)amb Hylan G-f 20 Charge
Gross
$10,061
4080808
$8,359
Darbepoetin Alfa 500 Mcg/ml Injectable Solution 1 Ml[smph]
Gross
$9,288
49593
$7,335
49593 Repair Ant Abd Hernia(s) 3-10cm, Reducible
Gross
$8,150
3268292
$6,804
Repair Hernia Umbilical
Gross
$7,560
4084625
$6,754
160mg Triamcinoloneamb Triamcinolone Acetonide Charge
Gross
$7,504
49521
$6,300
49521 Repair Recurrent Inguinal Hernia, Any Age Incarcerated Or Strangulated
Gross
$7,000
4009842
$6,005
Myringotomy
Gross
$6,672
55041
$5,821
Excision Of Hydrocele, Bilateral 55041
Gross
$6,468
55040
$5,821
Excision Of Hydrocele, Unilateral 55040
Gross
$6,468
4009865
$5,774
Removal of one or more breast growth, open procedure
Gross
$6,416
CP17616811146295164
$5,774
Removal of one or more breast growth, open procedure
Gross
$6,416
19125
$5,774
19125 Exc Of Breast Lesion Identified By Preoperative Placement Of Radiological Marker, Open; Single
Gross
$6,415
3211100
$5,578
Osteotomy Tarsal
Gross
$6,198
3217083
$5,578
Repair Hammer Toe
Gross
$6,198
26123
$5,456
26123 Contracture Release Fasciotomy With Digit Release
Gross
$6,062
C9781
$5,456
Shoulder Arthroscopy
Gross
$6,062
4009847
$5,415
Adenoidectomy, Primary, Age 12 Or Over 42831
Gross
$6,017
4009849
$5,415
42821 Tonsillectomy/adenoidectomy Age 12 And Over
Gross
$6,017
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4085515 | Mannitol 20% Intravenous Solution 500 Ml[smph] | $22,860 | $20,574 | — | — | 0 |
| 3217081 | Arthroplasty Ankle | $21,101 | $18,991 | — | — | 0 |
| 4089515 | Tenecteplase 25 Mg Pow | $19,913 | $17,922 | — | — | 0 |
| 4089020 | Tenecteplase 50 Mg Intravenous Kit[smph] | $17,708 | $15,937 | — | — | 0 |
| 26531 | 26531 Arthroplasty, Metacarpophalangeal Joint; With Prosthetic Implant, Each Joint | $13,027 | $11,724 | — | — | 0 |
| 28297 | Correction, Hallux Valgus, With Or Without Sesamoidectomy, Lapidus-type Procedure 28297 | $13,027 | $11,724 | — | — | 0 |
| 28310 | Osteotomy, Shortening, Angular Or Rotational Correction, Proximal Phalanx, First Toe 28310 | $13,027 | $11,724 | — | — | 0 |
| 28304 | Osteotomy, Tarsal Bones, Other Than Calcaneus Or Talus 28304 | $13,027 | $11,724 | — | — | 0 |
| 4009868 | Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metatarsal, Multiple 28309 | $13,027 | $11,724 | — | — | 0 |
| 28300 | Osteotomy; Calcaneus, With Or Without Internal Fixation 28300 | $13,027 | $11,724 | — | — | 0 |
| 27696 | Repair, Primary, Disrupted Ligament, Ankle, Both Collateral Ligaments 27696 | $13,027 | $11,724 | — | — | 0 |
| 27698 | Repair, Secondary, Disrupted Ligament, Ankle, Collateral 27698 | $13,027 | $11,724 | — | — | 0 |
| 27691 | Transfer Or Transplant Of Single Tendon, Deep 27691 | $13,027 | $11,724 | — | — | 0 |
| 26390 | 26390 Excision Flexor Tendon, With Implantation Of Synthetic Rod For Delayed Tendon Graft, H Profee | $13,027 | $11,724 | — | — | 0 |
| 4009856 | 28740 Arthrodesis, Midtarsal/tarsometatarsal, Single Joint | $13,027 | $11,724 | — | — | 0 |
| 28750 | 28750 Surgical Repair Of The Metatarsophalangeal Joint Or Big Toe | $13,027 | $11,724 | — | — | 0 |
| 29807 | 29807 Arthroscopy Shoulder Surg Repair Of Slap Lesion | $13,027 | $11,724 | — | — | 0 |
| 4009831 | Ankle Fracture, Orif | $13,027 | $11,724 | — | — | 0 |
| 4009825 | Arthroscopy Shoulder | $13,027 | $11,724 | — | — | 0 |
| 4009830 | Arthroscopy Shoulder With Rotator Cuff Repair | $13,027 | $11,724 | — | — | 0 |
| 4009857 | Bunionectomy/ Osteotomy | $13,027 | $11,724 | — | — | 0 |
| 4009836 | Repair Biceps Muscle | $13,027 | $11,724 | — | — | 0 |
| 4009838 | Repair Quadriceps | $13,027 | $11,724 | — | — | 0 |
| 4009837 | Repair Tendon Lower Extremity | $13,027 | $11,724 | — | — | 0 |
| 4009853 | Endoscopy Sinus | $11,552 | $10,397 | — | — | 0 |
| 4009851 | Excision Tissue Endoscopy Frontal Sinus | $11,552 | $10,397 | — | — | 0 |
| 4009850 | Excision Tissue Endoscopy Maxillary Sinus | $11,552 | $10,397 | — | — | 0 |
| 4009852 | Excision Tissue Endoscopy Sphenoid Sinus | $11,552 | $10,397 | — | — | 0 |
| 4009848 | Removal of tonsils and adenoid glands, patient younger than age 12 | $11,183 | $10,065 | — | — | 0 |
| 4009844 | 42825 Tonsillectomy, Primary Or Secondary; < Than Age 12 | $11,183 | $10,065 | — | — | 0 |
| CP17616811146296413 | Removal of tonsils and adenoid glands, patient younger than age 12 | $11,183 | $10,065 | — | — | 0 |
| 4086317 | Pegfilgrastim Fpgk 6 Mg/0.6 Ml Sol | $10,321 | $9,289 | — | — | 0 |
| 4088649 | 16mg/2ml (Synvisc)amb Hylan G-f 20 Charge | $10,061 | $9,055 | — | — | 0 |
| 4080808 | Darbepoetin Alfa 500 Mcg/ml Injectable Solution 1 Ml[smph] | $9,288 | $8,359 | — | — | 0 |
| 49593 | 49593 Repair Ant Abd Hernia(s) 3-10cm, Reducible | $8,150 | $7,335 | — | — | 0 |
| 3268292 | Repair Hernia Umbilical | $7,560 | $6,804 | — | — | 0 |
| 4084625 | 160mg Triamcinoloneamb Triamcinolone Acetonide Charge | $7,504 | $6,754 | — | — | 0 |
| 49521 | 49521 Repair Recurrent Inguinal Hernia, Any Age Incarcerated Or Strangulated | $7,000 | $6,300 | — | — | 0 |
| 4009842 | Myringotomy | $6,672 | $6,005 | — | — | 0 |
| 55041 | Excision Of Hydrocele, Bilateral 55041 | $6,468 | $5,821 | — | — | 0 |
| 55040 | Excision Of Hydrocele, Unilateral 55040 | $6,468 | $5,821 | — | — | 0 |
| 4009865 | Removal of one or more breast growth, open procedure | $6,416 | $5,774 | — | — | 0 |
| CP17616811146295164 | Removal of one or more breast growth, open procedure | $6,416 | $5,774 | — | — | 0 |
| 19125 | 19125 Exc Of Breast Lesion Identified By Preoperative Placement Of Radiological Marker, Open; Single | $6,415 | $5,774 | — | — | 0 |
| 3211100 | Osteotomy Tarsal | $6,198 | $5,578 | — | — | 0 |
| 3217083 | Repair Hammer Toe | $6,198 | $5,578 | — | — | 0 |
| 26123 | 26123 Contracture Release Fasciotomy With Digit Release | $6,062 | $5,456 | — | — | 0 |
| C9781 | Shoulder Arthroscopy | $6,062 | $5,456 | — | — | 0 |
| 4009847 | Adenoidectomy, Primary, Age 12 Or Over 42831 | $6,017 | $5,415 | — | — | 0 |
| 4009849 | 42821 Tonsillectomy/adenoidectomy Age 12 And Over | $6,017 | $5,415 | — | — | 0 |
Showing top 50 of 3,336 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.