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
29,521
Insurances with rates
28
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
114770903-3934474
$37,166
ABBO-ANCH LD CNCH SPNL CORD STM 3.8[OKAH]
Gross
$106,187
114770903-3934474
$37,166
ABBO-ANCH LD CNCH SPNL CORD STM 3.8[OKAH]
Gross
$106,187
134322469-2215159
$16,076
99999-1029-52 - skin substitute 50.27 cm2 Misc
Gross
$45,930
134322469-2215159
$16,076
99999-1029-52 - skin substitute 50.27 cm2 Misc
Gross
$45,930
98138807-2215159
$11,203
99999-0920-90 - Meshed Bilayer Wound Matrix 500 cm
Gross
$32,008
98138807-2215159
$11,203
99999-0920-90 - Meshed Bilayer Wound Matrix 500 cm
Gross
$32,008
134313789-2215159
$10,332
99999-1029-49 - skin substitute 19.64 cm2 Misc
Gross
$29,520
134313789-2215159
$10,332
99999-1029-49 - skin substitute 19.64 cm2 Misc
Gross
$29,520
127476673-2215159
$9,709
99999-1026-57 - skin substitute 325 cm2 Misc
Gross
$27,741
127476673-2215159
$9,709
99999-1026-57 - skin substitute 325 cm2 Misc
Gross
$27,741
98160744-2215159
$8,960
18474-0000-12 - Collagen-Antimicrobial Sheet 128 c
Gross
$25,600
98160744-2215159
$8,960
18474-0000-12 - Collagen-Antimicrobial Sheet 128 c
Gross
$25,600
107006203-3934474
$8,822
TBG PRFSN STRL 8 FT THK3/32[OKAH]
Gross
$25,207
107006203-3934474
$8,822
TBG PRFSN STRL 8 FT THK3/32[OKAH]
Gross
$25,207
114802057-3934474
$8,822
LIVA-KIT PMP W CANN CNTRF TANDEMLIF[OKAH]
Gross
$25,207
114802057-3934474
$8,822
LIVA-KIT PMP W CANN CNTRF TANDEMLIF[OKAH]
Gross
$25,207
114802607-3934474
$8,822
LIVA-KIT BLD PMP PRTKDU LFSPRC 29[OKAH]
Gross
$25,207
114802607-3934474
$8,822
LIVA-KIT BLD PMP PRTKDU LFSPRC 29[OKAH]
Gross
$25,207
103588949-2215159
$8,187
99999-1024-74 - skin substitute 180 cm2 Misc
Gross
$23,390
103588949-2215159
$8,187
99999-1024-74 - skin substitute 180 cm2 Misc
Gross
$23,390
107004876-3934474
$8,014
HD HUM CPLND RSRFC HA CTD 1[OKAH]
Gross
$22,898
107004876-3934474
$8,014
HD HUM CPLND RSRFC HA CTD 1[OKAH]
Gross
$22,898
114772960-3934474
$8,014
KIT SUB BNGF SCP ACCPRT 11G 120 - 414.502[OKAH]
Gross
$22,898
114772960-3934474
$8,014
KIT SUB BNGF SCP ACCPRT 11G 120 - 414.502[OKAH]
Gross
$22,898
114773044-3934474
$8,014
MLD SPCR SHLDR 10MM STD 50X21 - 431410[OKAH]
Gross
$22,898
114773044-3934474
$8,014
MLD SPCR SHLDR 10MM STD 50X21 - 431410[OKAH]
Gross
$22,898
114776763-3934474
$8,014
APLR ENDANCHR CASS HELI-FX 86 - SA-85[OKAH]
Gross
$22,898
114776763-3934474
$8,014
APLR ENDANCHR CASS HELI-FX 86 - SA-85[OKAH]
Gross
$22,898
114781949-3934474
$8,014
INTE-VALVE SHNT CERTAS INLN SPHGRD[OKAH]
Gross
$22,898
114781949-3934474
$8,014
INTE-VALVE SHNT CERTAS INLN SPHGRD[OKAH]
Gross
$22,898
114786774-3934474
$8,014
MLD CMNT ZM SHLDR 18 8 53 46 - 431408[OKAH]
Gross
$22,898
114786774-3934474
$8,014
MLD CMNT ZM SHLDR 18 8 53 46 - 431408[OKAH]
Gross
$22,898
114802024-3934474
$8,014
COOK-HMCLP ENDO INSTNCT 7F 230 BX20[OKAH]
Gross
$22,898
114802024-3934474
$8,014
COOK-HMCLP ENDO INSTNCT 7F 230 BX20[OKAH]
Gross
$22,898
114802574-3934474
$8,014
POLY-DRSG WND 18 X9 CM 1 UNIT PER[OKAH]
Gross
$22,898
114802574-3934474
$8,014
POLY-DRSG WND 18 X9 CM 1 UNIT PER[OKAH]
Gross
$22,898
114802808-3934474
$8,014
POLY-DRSG WND 18 X 18 CM 1 UNIT PER[OKAH]
Gross
$22,898
114802808-3934474
$8,014
POLY-DRSG WND 18 X 18 CM 1 UNIT PER[OKAH]
Gross
$22,898
114803403-3934474
$8,014
BOST-MNTR BSCP GLBL MNT XALT[OKAH]
Gross
$22,898
114803403-3934474
$8,014
BOST-MNTR BSCP GLBL MNT XALT[OKAH]
Gross
$22,898
114804724-3934474
$8,014
DEV ICM 3+ ASSERT-IQ 46.5X9.4 - DM5300[OKAH]
Gross
$22,898
114804724-3934474
$8,014
DEV ICM 3+ ASSERT-IQ 46.5X9.4 - DM5300[OKAH]
Gross
$22,898
114805760-3934474
$8,014
HOLO-HNDPC DISP ACESSA PRVU[OKAH]
Gross
$22,898
114805760-3934474
$8,014
HOLO-HNDPC DISP ACESSA PRVU[OKAH]
Gross
$22,898
99503610-2215159
$7,923
99999-1023-85 - skin substitute 268 cm2 Misc
Gross
$22,638
99503610-2215159
$7,923
99999-1023-85 - skin substitute 268 cm2 Misc
Gross
$22,638
107004818-3934474
$7,824
FORCEPS 240CM 2.3MM SPEC RET N[OKAH]
Gross
$22,355
107004818-3934474
$7,824
FORCEPS 240CM 2.3MM SPEC RET N[OKAH]
Gross
$22,355
107005541-3934474
$7,824
TADC-SLEEVE LRNSCP 5-8IN LG PU LF D[OKAH]
Gross
$22,355
107005541-3934474
$7,824
TADC-SLEEVE LRNSCP 5-8IN LG PU LF D[OKAH]
Gross
$22,355
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 114770903-3934474 | ABBO-ANCH LD CNCH SPNL CORD STM 3.8[OKAH] | $106,187 | $37,166 | — | — | 5 |
| 114770903-3934474 | ABBO-ANCH LD CNCH SPNL CORD STM 3.8[OKAH] | $106,187 | $37,166 | — | — | 12 |
| 134322469-2215159 | 99999-1029-52 - skin substitute 50.27 cm2 Misc | $45,930 | $16,076 | — | — | 5 |
| 134322469-2215159 | 99999-1029-52 - skin substitute 50.27 cm2 Misc | $45,930 | $16,076 | — | — | 12 |
| 98138807-2215159 | 99999-0920-90 - Meshed Bilayer Wound Matrix 500 cm | $32,008 | $11,203 | — | — | 5 |
| 98138807-2215159 | 99999-0920-90 - Meshed Bilayer Wound Matrix 500 cm | $32,008 | $11,203 | — | — | 12 |
| 134313789-2215159 | 99999-1029-49 - skin substitute 19.64 cm2 Misc | $29,520 | $10,332 | — | — | 5 |
| 134313789-2215159 | 99999-1029-49 - skin substitute 19.64 cm2 Misc | $29,520 | $10,332 | — | — | 12 |
| 127476673-2215159 | 99999-1026-57 - skin substitute 325 cm2 Misc | $27,741 | $9,709 | — | — | 5 |
| 127476673-2215159 | 99999-1026-57 - skin substitute 325 cm2 Misc | $27,741 | $9,709 | — | — | 12 |
| 98160744-2215159 | 18474-0000-12 - Collagen-Antimicrobial Sheet 128 c | $25,600 | $8,960 | — | — | 5 |
| 98160744-2215159 | 18474-0000-12 - Collagen-Antimicrobial Sheet 128 c | $25,600 | $8,960 | — | — | 12 |
| 107006203-3934474 | TBG PRFSN STRL 8 FT THK3/32[OKAH] | $25,207 | $8,822 | — | — | 5 |
| 107006203-3934474 | TBG PRFSN STRL 8 FT THK3/32[OKAH] | $25,207 | $8,822 | — | — | 12 |
| 114802057-3934474 | LIVA-KIT PMP W CANN CNTRF TANDEMLIF[OKAH] | $25,207 | $8,822 | — | — | 5 |
| 114802057-3934474 | LIVA-KIT PMP W CANN CNTRF TANDEMLIF[OKAH] | $25,207 | $8,822 | — | — | 12 |
| 114802607-3934474 | LIVA-KIT BLD PMP PRTKDU LFSPRC 29[OKAH] | $25,207 | $8,822 | — | — | 5 |
| 114802607-3934474 | LIVA-KIT BLD PMP PRTKDU LFSPRC 29[OKAH] | $25,207 | $8,822 | — | — | 12 |
| 103588949-2215159 | 99999-1024-74 - skin substitute 180 cm2 Misc | $23,390 | $8,187 | — | — | 5 |
| 103588949-2215159 | 99999-1024-74 - skin substitute 180 cm2 Misc | $23,390 | $8,187 | — | — | 12 |
| 107004876-3934474 | HD HUM CPLND RSRFC HA CTD 1[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 107004876-3934474 | HD HUM CPLND RSRFC HA CTD 1[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114772960-3934474 | KIT SUB BNGF SCP ACCPRT 11G 120 - 414.502[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114772960-3934474 | KIT SUB BNGF SCP ACCPRT 11G 120 - 414.502[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114773044-3934474 | MLD SPCR SHLDR 10MM STD 50X21 - 431410[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114773044-3934474 | MLD SPCR SHLDR 10MM STD 50X21 - 431410[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114776763-3934474 | APLR ENDANCHR CASS HELI-FX 86 - SA-85[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114776763-3934474 | APLR ENDANCHR CASS HELI-FX 86 - SA-85[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114781949-3934474 | INTE-VALVE SHNT CERTAS INLN SPHGRD[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114781949-3934474 | INTE-VALVE SHNT CERTAS INLN SPHGRD[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114786774-3934474 | MLD CMNT ZM SHLDR 18 8 53 46 - 431408[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114786774-3934474 | MLD CMNT ZM SHLDR 18 8 53 46 - 431408[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114802024-3934474 | COOK-HMCLP ENDO INSTNCT 7F 230 BX20[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114802024-3934474 | COOK-HMCLP ENDO INSTNCT 7F 230 BX20[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114802574-3934474 | POLY-DRSG WND 18 X9 CM 1 UNIT PER[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114802574-3934474 | POLY-DRSG WND 18 X9 CM 1 UNIT PER[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114802808-3934474 | POLY-DRSG WND 18 X 18 CM 1 UNIT PER[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114802808-3934474 | POLY-DRSG WND 18 X 18 CM 1 UNIT PER[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114803403-3934474 | BOST-MNTR BSCP GLBL MNT XALT[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114803403-3934474 | BOST-MNTR BSCP GLBL MNT XALT[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114804724-3934474 | DEV ICM 3+ ASSERT-IQ 46.5X9.4 - DM5300[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114804724-3934474 | DEV ICM 3+ ASSERT-IQ 46.5X9.4 - DM5300[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 114805760-3934474 | HOLO-HNDPC DISP ACESSA PRVU[OKAH] | $22,898 | $8,014 | — | — | 5 |
| 114805760-3934474 | HOLO-HNDPC DISP ACESSA PRVU[OKAH] | $22,898 | $8,014 | — | — | 12 |
| 99503610-2215159 | 99999-1023-85 - skin substitute 268 cm2 Misc | $22,638 | $7,923 | — | — | 5 |
| 99503610-2215159 | 99999-1023-85 - skin substitute 268 cm2 Misc | $22,638 | $7,923 | — | — | 12 |
| 107004818-3934474 | FORCEPS 240CM 2.3MM SPEC RET N[OKAH] | $22,355 | $7,824 | — | — | 5 |
| 107004818-3934474 | FORCEPS 240CM 2.3MM SPEC RET N[OKAH] | $22,355 | $7,824 | — | — | 12 |
| 107005541-3934474 | TADC-SLEEVE LRNSCP 5-8IN LG PU LF D[OKAH] | $22,355 | $7,824 | — | — | 5 |
| 107005541-3934474 | TADC-SLEEVE LRNSCP 5-8IN LG PU LF D[OKAH] | $22,355 | $7,824 | — | — | 12 |
Showing top 50 of 29,521 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.