45 CFR § 180 compliance
F · 50
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
7,658
Insurances with rates
0
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
1606923
—
INTERSTIM
Gross
$38,857
1600207
—
NEUROSTIMULATOR
Gross
$33,675
6900025
—
INJ/ASPIRATION SMALL JOINT
Gross
$21,218
1606920
—
LEVEL 7 1ST 15 MIN
Gross
$15,450
504988
—
PACEMAKER SINGLE CHAMBER
Gross
$15,000
1015407
—
ISOPROTERENOL (ISUPREL) 0.2MG/ML 1MG AMP
Gross
$12,800
1606502
—
LEVEL 6 1ST 15 MIN
Gross
$10,300
1600208
—
SNS LEAD
Gross
$10,245
1606500
—
LEVEL 5 2.6 - 3.5 HRS (1ST 15 MIN)
Gross
$10,000
1018013
—
NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG/0.8
Gross
$9,313
1018012
—
NF-Humira Subcutaneous Solution 40MG/0.8
Gross
$9,313
1016631
—
NF-LUPRON DEPOT IM 3 MONTH PWD FOR SUSP
Gross
$9,256
1606400
—
LEVEL 4 1.6 HRS - 2.5 HRS (1ST 15 MIN)
Gross
$8,000
1016315
—
NF-COPAXONE SUBQ KIT 20MG/1ML
Gross
$6,793
1015242
—
DIGOXIN IMMUNE FAB 40MG VIAL
Gross
$6,497
1606300
—
LEVEL 3 46 MIN UP TO 1.5 HRS (1ST 15 MIN
Gross
$6,000
1017286
—
NF-Invega Sustenna IM Susp ER 234MG
Gross
$5,514
3400007
—
MRI HEAD W/WO CONTRAST
Gross
$5,370
3400004
—
MRI ORBIT/FACE/NECK W/WO CONTRAST
Gross
$5,337
1606954
—
PORT, INTRODUCER, DOME 9.6FR SINGLE-LU
Gross
$5,112
1600022
—
AVAULTA SOLO POSTERIOR
Gross
$4,944
3400019
—
MRI CHEST W/WO CONTRAST
Gross
$4,858
3400038
—
PET SCAN (SKULL BASE TO MID THIGH)
Gross
$4,650
1606922
—
ADJUST BLADDER SLING
Gross
$4,635
1606911
—
SOLYX
Gross
$4,635
1400155
—
REMOVE FOREIGN BODY-DEEEP THIGH/KNE
Gross
$4,586
3400003
—
MRI ORBIT/FACE/NECK W/ CONTRAST
Gross
$4,459
3400013
—
MRI T-SPINE W/WO CONTRAST
Gross
$4,339
1606964
—
SINGLE INCISION SLING
Gross
$4,320
2009813
—
CHROMOSOMAL MICROARRY POSTNATAL OLIGO SH
Gross
$4,306
3400006
—
MRI HEAD W/ CONTRAST
Gross
$4,270
3400016
—
MRI L-SPINE W/WO CONTRAST
Gross
$4,267
1600142
—
MINI ARCH
Gross
$4,223
1606691
—
NOVASURE HAND PIECE
Gross
$4,200
1018190
—
REMDESIVIR/NS IVBP 200MG/250ML (1ST DOSE
Gross
$4,162
3400025
—
MRI PELVIS W/WO CONTRAST
Gross
$4,158
3400010
—
MRI C-SPINE W/WO CONTRAST
Gross
$4,119
1610006
—
PEG TUBE OBSTR REMVL
Gross
$4,109
1606958
—
SURGIMESH MESH XB 12.5CM
Gross
$4,095
1606714
—
MONARCH SUBFACIAL HAMMOCK W TENSION SUT
Gross
$4,068
3200210
—
CT ABD/PELVIS W/WO CONTRAST
Gross
$4,025
3400022
—
MRI ABDOMEN W/WO CONTRAST
Gross
$4,021
1606011
—
AMPUTATION OF FGR/THMB PRIM OR SEC
Gross
$4,006
1606200
—
LEVEL 2 UP TO 45 MIN (1ST 15 MIN)
Gross
$4,000
1610075
—
INSERTION OF CENTRAL LINE W/O SUB PORT
Gross
$3,964
1606959
—
SURGIMESH MESH XB, 10CM
Gross
$3,900
3400002
—
MRI ORBIT/FACE/NECK WO CONTRAST
Gross
$3,843
3400054
—
MRA NECK W/CONTRAST
Gross
$3,795
1015549
—
NF-INVEGA SUSTENNA IM SUSP ER 234MG
Gross
$3,774
3400051
—
MRA HEAD W/CONTRAST
Gross
$3,748
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1606923 | INTERSTIM | $38,857 | — | — | — | 0 |
| 1600207 | NEUROSTIMULATOR | $33,675 | — | — | — | 0 |
| 6900025 | INJ/ASPIRATION SMALL JOINT | $21,218 | — | — | — | 0 |
| 1606920 | LEVEL 7 1ST 15 MIN | $15,450 | — | — | — | 0 |
| 504988 | PACEMAKER SINGLE CHAMBER | $15,000 | — | — | — | 0 |
| 1015407 | ISOPROTERENOL (ISUPREL) 0.2MG/ML 1MG AMP | $12,800 | — | — | — | 0 |
| 1606502 | LEVEL 6 1ST 15 MIN | $10,300 | — | — | — | 0 |
| 1600208 | SNS LEAD | $10,245 | — | — | — | 0 |
| 1606500 | LEVEL 5 2.6 - 3.5 HRS (1ST 15 MIN) | $10,000 | — | — | — | 0 |
| 1018013 | NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG/0.8 | $9,313 | — | — | — | 0 |
| 1018012 | NF-Humira Subcutaneous Solution 40MG/0.8 | $9,313 | — | — | — | 0 |
| 1016631 | NF-LUPRON DEPOT IM 3 MONTH PWD FOR SUSP | $9,256 | — | — | — | 0 |
| 1606400 | LEVEL 4 1.6 HRS - 2.5 HRS (1ST 15 MIN) | $8,000 | — | — | — | 0 |
| 1016315 | NF-COPAXONE SUBQ KIT 20MG/1ML | $6,793 | — | — | — | 0 |
| 1015242 | DIGOXIN IMMUNE FAB 40MG VIAL | $6,497 | — | — | — | 0 |
| 1606300 | LEVEL 3 46 MIN UP TO 1.5 HRS (1ST 15 MIN | $6,000 | — | — | — | 0 |
| 1017286 | NF-Invega Sustenna IM Susp ER 234MG | $5,514 | — | — | — | 0 |
| 3400007 | MRI HEAD W/WO CONTRAST | $5,370 | — | — | — | 0 |
| 3400004 | MRI ORBIT/FACE/NECK W/WO CONTRAST | $5,337 | — | — | — | 0 |
| 1606954 | PORT, INTRODUCER, DOME 9.6FR SINGLE-LU | $5,112 | — | — | — | 0 |
| 1600022 | AVAULTA SOLO POSTERIOR | $4,944 | — | — | — | 0 |
| 3400019 | MRI CHEST W/WO CONTRAST | $4,858 | — | — | — | 0 |
| 3400038 | PET SCAN (SKULL BASE TO MID THIGH) | $4,650 | — | — | — | 0 |
| 1606922 | ADJUST BLADDER SLING | $4,635 | — | — | — | 0 |
| 1606911 | SOLYX | $4,635 | — | — | — | 0 |
| 1400155 | REMOVE FOREIGN BODY-DEEEP THIGH/KNE | $4,586 | — | — | — | 0 |
| 3400003 | MRI ORBIT/FACE/NECK W/ CONTRAST | $4,459 | — | — | — | 0 |
| 3400013 | MRI T-SPINE W/WO CONTRAST | $4,339 | — | — | — | 0 |
| 1606964 | SINGLE INCISION SLING | $4,320 | — | — | — | 0 |
| 2009813 | CHROMOSOMAL MICROARRY POSTNATAL OLIGO SH | $4,306 | — | — | — | 0 |
| 3400006 | MRI HEAD W/ CONTRAST | $4,270 | — | — | — | 0 |
| 3400016 | MRI L-SPINE W/WO CONTRAST | $4,267 | — | — | — | 0 |
| 1600142 | MINI ARCH | $4,223 | — | — | — | 0 |
| 1606691 | NOVASURE HAND PIECE | $4,200 | — | — | — | 0 |
| 1018190 | REMDESIVIR/NS IVBP 200MG/250ML (1ST DOSE | $4,162 | — | — | — | 0 |
| 3400025 | MRI PELVIS W/WO CONTRAST | $4,158 | — | — | — | 0 |
| 3400010 | MRI C-SPINE W/WO CONTRAST | $4,119 | — | — | — | 0 |
| 1610006 | PEG TUBE OBSTR REMVL | $4,109 | — | — | — | 0 |
| 1606958 | SURGIMESH MESH XB 12.5CM | $4,095 | — | — | — | 0 |
| 1606714 | MONARCH SUBFACIAL HAMMOCK W TENSION SUT | $4,068 | — | — | — | 0 |
| 3200210 | CT ABD/PELVIS W/WO CONTRAST | $4,025 | — | — | — | 0 |
| 3400022 | MRI ABDOMEN W/WO CONTRAST | $4,021 | — | — | — | 0 |
| 1606011 | AMPUTATION OF FGR/THMB PRIM OR SEC | $4,006 | — | — | — | 0 |
| 1606200 | LEVEL 2 UP TO 45 MIN (1ST 15 MIN) | $4,000 | — | — | — | 0 |
| 1610075 | INSERTION OF CENTRAL LINE W/O SUB PORT | $3,964 | — | — | — | 0 |
| 1606959 | SURGIMESH MESH XB, 10CM | $3,900 | — | — | — | 0 |
| 3400002 | MRI ORBIT/FACE/NECK WO CONTRAST | $3,843 | — | — | — | 0 |
| 3400054 | MRA NECK W/CONTRAST | $3,795 | — | — | — | 0 |
| 1015549 | NF-INVEGA SUSTENNA IM SUSP ER 234MG | $3,774 | — | — | — | 0 |
| 3400051 | MRA HEAD W/CONTRAST | $3,748 | — | — | — | 0 |
Showing top 50 of 7,658 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.