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
1,231
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
166
$412,979
166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
Gross
$1,064,378
291
$380,965
291 - HEART FAILURE AND SHOCK WITH MCC
Gross
$981,867
559
$225,058
559 - AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
Gross
$580,046
981
$177,184
981 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
Gross
$456,660
540
$172,102
540 - OSTEOMYELITIS WITH CC
Gross
$443,561
207
$171,150
207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT GREATER THAN 96 HOURS
Gross
$441,109
004
$160,712
004 - TRACHEOSTOMY WITH MV GREATER THAN 96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK W
Gross
$414,206
982
$124,746
982 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
Gross
$321,510
949
$121,256
949 - AFTERCARE WITH CC-MCC
Gross
$312,515
935
$107,767
935 - NON-EXTENSIVE BURNS
Gross
$277,749
189
$99,368
189 - PULMONARY EDEMA AND RESPIRATORY FAILURE
Gross
$256,103
464
$95,841
464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDE
Gross
$247,014
539
$93,553
539 - OSTEOMYELITIS WITH MCC
Gross
$241,116
862
$71,116
862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
Gross
$183,288
196
$57,705
196 - INTERSTITIAL LUNG DISEASE WITH MCC
Gross
$148,724
178
$54,484
178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
Gross
$140,423
593
$46,989
593 - SKIN ULCERS WITH CC
Gross
$121,106
863
$45,414
863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
Gross
$117,047
300
$39,988
300 - PERIPHERAL VASCULAR DISORDERS WITH CC
Gross
$103,062
2900100000
$3,621
2900100000 - APHERESIS PLASMA 36514
Gross
$9,334
5025
$2,491
5025 - R/C LTAC ICU
Gross
$6,419
4654290000
$1,415
4654290000 - Combo Ct (Abd, Pelvis W/O)
Gross
$3,647
3339830000
$1,262
3339830000 - Calcitonin 400 U Inj
Gross
$3,252
36569630350
$1,252
36569630350 - INSJ PICC 5 YR+ W/O IMAGING 36569
Gross
$3,227
4920240000
$1,249
4920240000 - DX BRONCHOSCOPE/BRUSH 31623
Gross
$3,219
3104601200
$1,171
3104601200 - FLOSEAL HEMOSTATIC MATRIX KIT WITH THROM
Gross
$3,018
4646500000
$1,120
4646500000 - Ct Maxillofacial W/O
Gross
$2,887
4654390000
$963
4654390000 - Cta Chest W/W/R
Gross
$2,481
P9073120600
$901
P9073120600 - PLATELETS PHERESIS PATH REDU - P9073
Gross
$2,322
4412930000
$896
4412930000 - REM TUNNELED CVAD W PORT/PUMP 36590
Gross
$2,310
2900010000
$871
2900010000 - Acute Dialysis G0257
Gross
$2,244
2900020000
$845
2900020000 - HEMODIALYSIS INPATIENT
Gross
$2,179
4960360000
$826
4960360000 - BRONCHOSCOPY, LAVAGE 31624
Gross
$2,129
4408300000
$805
4408300000 - Gastrostomy Tube Placement
Gross
$2,075
P9016720600
$774
P9016720600 - RBCS PACKED LEUKORED P9016
Gross
$1,995
P9040720600
$774
P9040720600 - RBC LR IRRAD EA UNIT P9040
Gross
$1,995
6545750100
$729
06545750100 - ORTHOTIC FRARM WR HND FNGR L3807
Gross
$1,879
7701530000
$709
7701530000 - TTE W/DOPPLER COMPLETE 93306
Gross
$1,826
4551060000
$683
4551060000 - REMOVE LUNG CATHETER 32552
Gross
$1,761
4479810000
$667
4479810000 - Catheter, Palindrome 23/40Slot
Gross
$1,718
4920510000
$616
4920510000 - Cpap Follow-Up 94660
Gross
$1,586
4646000000
$598
4646000000 - Ct Head W/O 70450
Gross
$1,540
5021
$593
5021 - R/C LTAC MED SURG
Gross
$1,530
87633720000
$583
87633720000 - RESPIRATORY VIRAL PANEL 87633
Gross
$1,502
4920570000
$577
4920570000 - Ventilator Therapy,Subsequent
Gross
$1,488
4960320000
$577
4960320000 - Ventilator Therapy,First Day 94002
Gross
$1,488
17405630350
$567
17405630350 - PICC NAVICURVE SINGLE LUMEN
Gross
$1,462
17406750100
$561
17406750100 - KIT PICC 2 LUMEN 5.5 FR X55CM
Gross
$1,446
2900050000
$557
2900050000 - Dialysis, Not Hd, Eval
Gross
$1,435
11418601200
$552
11418601200 - TRAY CATHETER WAYNE PNEUMOTHRAX SET
Gross
$1,424
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 166 | 166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,064,378 | $412,979 | — | — | 0 |
| 291 | 291 - HEART FAILURE AND SHOCK WITH MCC | $981,867 | $380,965 | — | — | 0 |
| 559 | 559 - AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $580,046 | $225,058 | — | — | 0 |
| 981 | 981 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $456,660 | $177,184 | — | — | 0 |
| 540 | 540 - OSTEOMYELITIS WITH CC | $443,561 | $172,102 | — | — | 0 |
| 207 | 207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT GREATER THAN 96 HOURS | $441,109 | $171,150 | — | — | 0 |
| 004 | 004 - TRACHEOSTOMY WITH MV GREATER THAN 96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK W | $414,206 | $160,712 | — | — | 0 |
| 982 | 982 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $321,510 | $124,746 | — | — | 0 |
| 949 | 949 - AFTERCARE WITH CC-MCC | $312,515 | $121,256 | — | — | 0 |
| 935 | 935 - NON-EXTENSIVE BURNS | $277,749 | $107,767 | — | — | 0 |
| 189 | 189 - PULMONARY EDEMA AND RESPIRATORY FAILURE | $256,103 | $99,368 | — | — | 0 |
| 464 | 464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDE | $247,014 | $95,841 | — | — | 0 |
| 539 | 539 - OSTEOMYELITIS WITH MCC | $241,116 | $93,553 | — | — | 0 |
| 862 | 862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $183,288 | $71,116 | — | — | 0 |
| 196 | 196 - INTERSTITIAL LUNG DISEASE WITH MCC | $148,724 | $57,705 | — | — | 0 |
| 178 | 178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $140,423 | $54,484 | — | — | 0 |
| 593 | 593 - SKIN ULCERS WITH CC | $121,106 | $46,989 | — | — | 0 |
| 863 | 863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $117,047 | $45,414 | — | — | 0 |
| 300 | 300 - PERIPHERAL VASCULAR DISORDERS WITH CC | $103,062 | $39,988 | — | — | 0 |
| 2900100000 | 2900100000 - APHERESIS PLASMA 36514 | $9,334 | $3,621 | — | — | 0 |
| 5025 | 5025 - R/C LTAC ICU | $6,419 | $2,491 | — | — | 14 |
| 4654290000 | 4654290000 - Combo Ct (Abd, Pelvis W/O) | $3,647 | $1,415 | — | — | 0 |
| 3339830000 | 3339830000 - Calcitonin 400 U Inj | $3,252 | $1,262 | — | — | 0 |
| 36569630350 | 36569630350 - INSJ PICC 5 YR+ W/O IMAGING 36569 | $3,227 | $1,252 | — | — | 0 |
| 4920240000 | 4920240000 - DX BRONCHOSCOPE/BRUSH 31623 | $3,219 | $1,249 | — | — | 0 |
| 3104601200 | 3104601200 - FLOSEAL HEMOSTATIC MATRIX KIT WITH THROM | $3,018 | $1,171 | — | — | 0 |
| 4646500000 | 4646500000 - Ct Maxillofacial W/O | $2,887 | $1,120 | — | — | 0 |
| 4654390000 | 4654390000 - Cta Chest W/W/R | $2,481 | $963 | — | — | 0 |
| P9073120600 | P9073120600 - PLATELETS PHERESIS PATH REDU - P9073 | $2,322 | $901 | — | — | 0 |
| 4412930000 | 4412930000 - REM TUNNELED CVAD W PORT/PUMP 36590 | $2,310 | $896 | — | — | 0 |
| 2900010000 | 2900010000 - Acute Dialysis G0257 | $2,244 | $871 | — | — | 0 |
| 2900020000 | 2900020000 - HEMODIALYSIS INPATIENT | $2,179 | $845 | — | — | 6 |
| 4960360000 | 4960360000 - BRONCHOSCOPY, LAVAGE 31624 | $2,129 | $826 | — | — | 0 |
| 4408300000 | 4408300000 - Gastrostomy Tube Placement | $2,075 | $805 | — | — | 0 |
| P9016720600 | P9016720600 - RBCS PACKED LEUKORED P9016 | $1,995 | $774 | — | — | 0 |
| P9040720600 | P9040720600 - RBC LR IRRAD EA UNIT P9040 | $1,995 | $774 | — | — | 0 |
| 6545750100 | 06545750100 - ORTHOTIC FRARM WR HND FNGR L3807 | $1,879 | $729 | — | — | 0 |
| 7701530000 | 7701530000 - TTE W/DOPPLER COMPLETE 93306 | $1,826 | $709 | — | — | 0 |
| 4551060000 | 4551060000 - REMOVE LUNG CATHETER 32552 | $1,761 | $683 | — | — | 0 |
| 4479810000 | 4479810000 - Catheter, Palindrome 23/40Slot | $1,718 | $667 | — | — | 0 |
| 4920510000 | 4920510000 - Cpap Follow-Up 94660 | $1,586 | $616 | — | — | 0 |
| 4646000000 | 4646000000 - Ct Head W/O 70450 | $1,540 | $598 | — | — | 0 |
| 5021 | 5021 - R/C LTAC MED SURG | $1,530 | $593 | — | — | 14 |
| 87633720000 | 87633720000 - RESPIRATORY VIRAL PANEL 87633 | $1,502 | $583 | — | — | 0 |
| 4920570000 | 4920570000 - Ventilator Therapy,Subsequent | $1,488 | $577 | — | — | 0 |
| 4960320000 | 4960320000 - Ventilator Therapy,First Day 94002 | $1,488 | $577 | — | — | 0 |
| 17405630350 | 17405630350 - PICC NAVICURVE SINGLE LUMEN | $1,462 | $567 | — | — | 0 |
| 17406750100 | 17406750100 - KIT PICC 2 LUMEN 5.5 FR X55CM | $1,446 | $561 | — | — | 0 |
| 2900050000 | 2900050000 - Dialysis, Not Hd, Eval | $1,435 | $557 | — | — | 0 |
| 11418601200 | 11418601200 - TRAY CATHETER WAYNE PNEUMOTHRAX SET | $1,424 | $552 | — | — | 0 |
Showing top 50 of 1,231 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.