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
3,663
Insurances with rates
32
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
SUP-186657
$23,898
GRAFT VASCULAR ANGIOGRAFT 2 BRANCH L1 CM AORTA ILIAC DISTAL INFRARENAL ALLOGRAFT
Gross
$79,660
PX-36052356
$19,297
Crushing of stone of ureter with insertion of stent using an endoscope
Gross
$64,324
PX-36052332
$19,297
Insertion of stent in ureter using an endoscope
Gross
$64,324
SUP-164999
$14,484
NEUROSTIMULATOR IMPLANTABLE AXONICS NONRECHARGABLE STERILE LATEX FREE DISPOSABLE F15
Gross
$48,281
SUP-31954
$13,539
NEUROSTIMULATOR IMPLANTABLE 2INX1.7IN INTERSTIM II THK.3IN 10-14HZ SACRAL NERVE 4 ELECTRODE LEAD 1 S
Gross
$45,131
SUP-164552
$13,539
NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ 0-4V L2 IN X H1.7 IN 14 ML 22 GM SACRAL NE
Gross
$45,131
SUP-303636
$7,968
SPACER SHOULDER INSPCAE MED
Gross
$26,560
SUP-876284
$7,968
SPACER HUMERAL INSPACE LARGE
Gross
$26,560
SUP-186658
$6,848
GRAFT VASCULAR ANGIOGRAFT FEMORAL ARTERY L21-30 CM OD4-10 MM CRYOPRESERVED
Gross
$22,826
RX-9002
$6,216
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$20,720
SUP-177995
$6,163
STEM HUMERAL 3 SHOULDER NUCLEUS STERILE LATEX FREE
Gross
$20,543
RX-172314
$5,861
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$19,536
SUP-130983
$4,856
PATCH SURGICAL WITTMANN PATCH L40 CM X W20 CM HOOK LOOP SHEET 2 POUCH STERILE
Gross
$16,185
SUP-877817
$4,172
KIT NEUROSTIMULATOR AXONICS TINE LEAD STERILE LATEX FREE
Gross
$13,907
SUP-878691
$3,907
LEAD NEUROSTIMULATOR INTERSTIM L28 CM STERILE LATEX FREE
Gross
$13,023
SUP-107171
$3,860
TENDON PATELLE W/BONE BLOCK
Gross
$12,865
SUP-104172
$3,735
GRAFT BONE LO-RAD HEMI BONE TENDON BONE 10 MM ALLOGRAFT PRESHAPE
Gross
$12,450
SUP-31957
$3,735
LEAD NEUROSTIMULATOR INTERSTIM L28 CM QUADRIPOLAR WITHOUT MRI CAPABILITY
Gross
$12,450
SUP-161137
$3,362
ANCHOR ESYTCH BASE SZ 34MM
Gross
$11,205
SUP-178378
$3,203
PLATE BONE ORTHOLOC STANDARD L185 MM SHOULDER 10 HOLE
Gross
$10,678
RX-13545
$3,125
INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT
Gross
$10,415
PX-36042720
$3,118
Drainage of abscess of throat from inside mouth
Gross
$10,393
RX-9003
$3,108
ALTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$10,360
SUP-178416
$3,025
PLATE BONE ORTHOLOC STANDARD L140 MM SHOULDER 7 HOLE
Gross
$10,085
PX-36036558
$3,003
Insertion of tunneled central venous tube for infusion (5 years or older)
Gross
$10,010
PX-36001230
$2,920
HC or Acuity Lvl 4 1st Hr
Gross
$9,732
SUP-162545
$2,821
ALLOGRAFT INTERFYL FLWBL 1.5ML
Gross
$9,402
PX-36059412
$2,794
Turning of fetus through external manipulation
Gross
$9,314
SUP-187243
$2,703
SYSTEM IMPLANT FIBERTAK SPEEDBRIDGE FIBERTAPE 3 ANCHOR SELF PUNCH NEEDLE LOOP
Gross
$9,010
PX-36054150
$2,671
Removal of foreskin using clamp or device
Gross
$8,902
SUP-870606
$2,615
IMPLANT BIOABSORBABLE REGENETEN BOVINE ACHILLES TENDON LARGE ARTHROSCOPIC DELIVERY SYSTEM ROTATOR CU
Gross
$8,715
SUP-106614
$2,615
IMPLANT BIOLOGICAL TISSUE REGENETEN BOVINE ACHILLES TENDON MEDIUM ROTATOR CUFF DELIVERY DEVICE BIOIN
Gross
$8,715
SUP-126046
$2,615
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 132 D 4 38 MM STANDARD OFFSET L105 MM HIP PRESS FIT ST
Gross
$8,715
SUP-126444
$2,615
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 132 D 5 40 MM STANDARD OFFSET L108 MM HIP PRESS FIT ST
Gross
$8,715
SUP-127243
$2,615
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 127 D 5 44 MM HIGH OFFSET L108 MM HIP PRESS FIT STERIL
Gross
$8,715
SUP-125981
$2,615
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 127 D 3 38 MM HIGH OFFSET L102 MM HIP PRESS FIT STERIL
Gross
$8,715
PX-36012020
$2,611
Simple closure of surface wound reopening
Gross
$8,703
PX-36027562
$2,601
Closed treatment of dislocated kneecap under anesthesia
Gross
$8,670
SUP-173632
$2,490
HEAD HUMERAL PERFORM H16 MM OD43 MM SHOULDER STERILE LATEX FREE
Gross
$8,300
RX-172535
$2,451
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION
Gross
$8,171
PX-36010140
$2,372
Drainage of blood or fluid accumulation
Gross
$7,907
PX-36023655
$2,340
Closed treatment of dislocated shoulder with manipulation under anesthesia
Gross
$7,800
PX-74095810
$2,297
Sleep study in sleep lab (6 years or older)
Gross
$7,658
PX-74095811
$2,297
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$7,658
PX-74000399
$2,297
HC Home Sleep Test Type 3 Portable
Gross
$7,658
RX-29313
$2,259
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION
Gross
$7,530
SUP-40536
$2,245
NAIL INTRAMEDULLARY TITANIUM 130 D L170 MM OD11 MM TROCHANTERIC CANNULATED STERILE GREEN
Gross
$7,482
SUP-40538
$2,245
NAIL INTRAMEDULLARY TITANIUM 130 D L170 MM OD12 MM TROCHANTERIC CANNULATED STERILE GREEN
Gross
$7,482
SUP-40534
$2,245
NAIL INTRAMEDULLARY TITANIUM 130 D L170 MM OD10 MM TROCHANTERIC CANNULATED STERILE GREEN
Gross
$7,482
RX-189816
$2,225
HUMAN PROTHROMBIN CMPLX (PCC)-LANS 4FACTOR 1,000 UNIT (800-1280 UNIT) IV SOLUTION
Gross
$7,417
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-186657 | GRAFT VASCULAR ANGIOGRAFT 2 BRANCH L1 CM AORTA ILIAC DISTAL INFRARENAL ALLOGRAFT | $79,660 | $23,898 | — | — | 92 |
| PX-36052356 | Crushing of stone of ureter with insertion of stent using an endoscope | $64,324 | $19,297 | — | — | 14 |
| PX-36052332 | Insertion of stent in ureter using an endoscope | $64,324 | $19,297 | — | — | 14 |
| SUP-164999 | NEUROSTIMULATOR IMPLANTABLE AXONICS NONRECHARGABLE STERILE LATEX FREE DISPOSABLE F15 | $48,281 | $14,484 | — | — | 92 |
| SUP-31954 | NEUROSTIMULATOR IMPLANTABLE 2INX1.7IN INTERSTIM II THK.3IN 10-14HZ SACRAL NERVE 4 ELECTRODE LEAD 1 S | $45,131 | $13,539 | — | — | 92 |
| SUP-164552 | NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ 0-4V L2 IN X H1.7 IN 14 ML 22 GM SACRAL NE | $45,131 | $13,539 | — | — | 92 |
| SUP-303636 | SPACER SHOULDER INSPCAE MED | $26,560 | $7,968 | — | — | 92 |
| SUP-876284 | SPACER HUMERAL INSPACE LARGE | $26,560 | $7,968 | — | — | 92 |
| SUP-186658 | GRAFT VASCULAR ANGIOGRAFT FEMORAL ARTERY L21-30 CM OD4-10 MM CRYOPRESERVED | $22,826 | $6,848 | — | — | 92 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $20,720 | $6,216 | — | — | 90 |
| SUP-177995 | STEM HUMERAL 3 SHOULDER NUCLEUS STERILE LATEX FREE | $20,543 | $6,163 | — | — | 92 |
| RX-172314 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $19,536 | $5,861 | — | — | 24 |
| SUP-130983 | PATCH SURGICAL WITTMANN PATCH L40 CM X W20 CM HOOK LOOP SHEET 2 POUCH STERILE | $16,185 | $4,856 | — | — | 92 |
| SUP-877817 | KIT NEUROSTIMULATOR AXONICS TINE LEAD STERILE LATEX FREE | $13,907 | $4,172 | — | — | 92 |
| SUP-878691 | LEAD NEUROSTIMULATOR INTERSTIM L28 CM STERILE LATEX FREE | $13,023 | $3,907 | — | — | 92 |
| SUP-107171 | TENDON PATELLE W/BONE BLOCK | $12,865 | $3,860 | — | — | 16 |
| SUP-104172 | GRAFT BONE LO-RAD HEMI BONE TENDON BONE 10 MM ALLOGRAFT PRESHAPE | $12,450 | $3,735 | — | — | 74 |
| SUP-31957 | LEAD NEUROSTIMULATOR INTERSTIM L28 CM QUADRIPOLAR WITHOUT MRI CAPABILITY | $12,450 | $3,735 | — | — | 92 |
| SUP-161137 | ANCHOR ESYTCH BASE SZ 34MM | $11,205 | $3,362 | — | — | 85 |
| SUP-178378 | PLATE BONE ORTHOLOC STANDARD L185 MM SHOULDER 10 HOLE | $10,678 | $3,203 | — | — | 78 |
| RX-13545 | INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT | $10,415 | $3,125 | — | — | 80 |
| PX-36042720 | Drainage of abscess of throat from inside mouth | $10,393 | $3,118 | — | — | 14 |
| RX-9003 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $10,360 | $3,108 | — | — | 90 |
| SUP-178416 | PLATE BONE ORTHOLOC STANDARD L140 MM SHOULDER 7 HOLE | $10,085 | $3,025 | — | — | 79 |
| PX-36036558 | Insertion of tunneled central venous tube for infusion (5 years or older) | $10,010 | $3,003 | — | — | 42 |
| PX-36001230 | HC or Acuity Lvl 4 1st Hr | $9,732 | $2,920 | — | — | 32 |
| SUP-162545 | ALLOGRAFT INTERFYL FLWBL 1.5ML | $9,402 | $2,821 | — | — | 16 |
| PX-36059412 | Turning of fetus through external manipulation | $9,314 | $2,794 | — | — | 52 |
| SUP-187243 | SYSTEM IMPLANT FIBERTAK SPEEDBRIDGE FIBERTAPE 3 ANCHOR SELF PUNCH NEEDLE LOOP | $9,010 | $2,703 | — | — | 24 |
| PX-36054150 | Removal of foreskin using clamp or device | $8,902 | $2,671 | — | — | 90 |
| SUP-870606 | IMPLANT BIOABSORBABLE REGENETEN BOVINE ACHILLES TENDON LARGE ARTHROSCOPIC DELIVERY SYSTEM ROTATOR CU | $8,715 | $2,615 | — | — | 92 |
| SUP-106614 | IMPLANT BIOLOGICAL TISSUE REGENETEN BOVINE ACHILLES TENDON MEDIUM ROTATOR CUFF DELIVERY DEVICE BIOIN | $8,715 | $2,615 | — | — | 92 |
| SUP-126046 | STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 132 D 4 38 MM STANDARD OFFSET L105 MM HIP PRESS FIT ST | $8,715 | $2,615 | — | — | 92 |
| SUP-126444 | STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 132 D 5 40 MM STANDARD OFFSET L108 MM HIP PRESS FIT ST | $8,715 | $2,615 | — | — | 92 |
| SUP-127243 | STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 127 D 5 44 MM HIGH OFFSET L108 MM HIP PRESS FIT STERIL | $8,715 | $2,615 | — | — | 92 |
| SUP-125981 | STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 127 D 3 38 MM HIGH OFFSET L102 MM HIP PRESS FIT STERIL | $8,715 | $2,615 | — | — | 92 |
| PX-36012020 | Simple closure of surface wound reopening | $8,703 | $2,611 | — | — | 14 |
| PX-36027562 | Closed treatment of dislocated kneecap under anesthesia | $8,670 | $2,601 | — | — | 14 |
| SUP-173632 | HEAD HUMERAL PERFORM H16 MM OD43 MM SHOULDER STERILE LATEX FREE | $8,300 | $2,490 | — | — | 92 |
| RX-172535 | RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION | $8,171 | $2,451 | — | — | 270 |
| PX-36010140 | Drainage of blood or fluid accumulation | $7,907 | $2,372 | — | — | 42 |
| PX-36023655 | Closed treatment of dislocated shoulder with manipulation under anesthesia | $7,800 | $2,340 | — | — | 14 |
| PX-74095810 | Sleep study in sleep lab (6 years or older) | $7,658 | $2,297 | — | — | 80 |
| PX-74095811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $7,658 | $2,297 | — | — | 80 |
| PX-74000399 | HC Home Sleep Test Type 3 Portable | $7,658 | $2,297 | — | — | 80 |
| RX-29313 | CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION | $7,530 | $2,259 | — | — | 24 |
| SUP-40536 | NAIL INTRAMEDULLARY TITANIUM 130 D L170 MM OD11 MM TROCHANTERIC CANNULATED STERILE GREEN | $7,482 | $2,245 | — | — | 75 |
| SUP-40538 | NAIL INTRAMEDULLARY TITANIUM 130 D L170 MM OD12 MM TROCHANTERIC CANNULATED STERILE GREEN | $7,482 | $2,245 | — | — | 81 |
| SUP-40534 | NAIL INTRAMEDULLARY TITANIUM 130 D L170 MM OD10 MM TROCHANTERIC CANNULATED STERILE GREEN | $7,482 | $2,245 | — | — | 72 |
| RX-189816 | HUMAN PROTHROMBIN CMPLX (PCC)-LANS 4FACTOR 1,000 UNIT (800-1280 UNIT) IV SOLUTION | $7,417 | $2,225 | — | — | 24 |
Showing top 50 of 3,663 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.